PMID- 17657691
OWN - NLM
STAT- MEDLINE
DCOM- 20071031
LR  - 20091111
IS  - 0023-2165 (Print)
IS  - 0023-2165 (Linking)
VI  - 224
IP  - 7
DP  - 2007 Jul
TI  - [Experiences with the Introduction of Diagnosis Related Groups (DRG) in the 
      Hungarian Ophthalmology].
PG  - 575-9
AB  - OBJECTIVE: The aim of our investigation is to analyse the effect of the 
      introduction of the DRG (Diagnosis Related Groups) principle on the financing of 
      ophthalmology care including the analysis of market share of ophthalmology. DATA 
      AND METHODS: Data of the study derive from the financial database of the 
      Hungarian National Health Insurance Fund Administration (OEP) containing the 
      monthly activity reports of health care providers. The financing of acute 
      hospital care in Hungary is based on a case-mix system called Homogeneous Disease 
      Groups (Homogen Betegsegcsoportok, HBCS). The analysis covers the period between 
      1995 and 2003. We used the following indicators in order to analyse the market 
      share of ophthalmology: financial cases (patients), DRG costweights and nursing 
      days (length of stay). RESULTS: From the DRG costweights - serving as a base 
      value for financing - the market share of ophthalmology was 3.3 - 3.5 % in 1995 - 
      1996, but decreased to 2.6 - 2.7 % in 1997 - 1998, and after a gradual increase 
      since 1999 it went up to 3.4 % in 2002 - 2003. The market share of ophthalmology 
      from financial cases (patients) increased from 3.1 - 3.2 % in 1995 - 1996 to 3.8 
      - 3.9 % in 2002 - 2003. From the total number of nursing days ophthalmology had a 
      market share of 2.4 - 2.6 % in 1995 - 1996, which showed a further decrease to 
      2.2 - 2.3 % in 2002 - 2003. The average length of stay in ophthalmology decreased 
      from 8 days (1995) to 4 days (2003). CONCLUSION: The frequent changes of the 
      Hungarian DRG system had a significant effect on the financing of Hungarian 
      ophthalmology care. The continuous changes in the regulation of financing and 
      reimbursement represent a big challenge for ophthalmology.
FAU - Lampe, Z
AU  - Lampe Z
AD  - Augenklinik, Medizinische Universitat, Debrecen, Ungarn.
FAU - Boncz, I
AU  - Boncz I
FAU - Sebestyen, A
AU  - Sebestyen A
FAU - Berta, A
AU  - Berta A
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Erfahrungen der Umsetzung von Diagnosis Related Groups (DRG) in der ungarischen 
      Augenheilkunde.
PL  - Germany
TA  - Klin Monbl Augenheilkd
JT  - Klinische Monatsblatter fur Augenheilkunde
JID - 0014133
SB  - IM
MH  - Diagnosis-Related Groups/*economics
MH  - Eye Diseases/diagnosis/*economics/therapy
MH  - Hospital Costs/trends
MH  - Hospitalization/economics
MH  - Humans
MH  - Hungary
MH  - Length of Stay/economics
MH  - National Health Programs/*economics
MH  - Ophthalmology/*economics
MH  - Reimbursement Mechanisms/trends
EDAT- 2007/07/28 09:00
MHDA- 2007/11/01 09:00
CRDT- 2007/07/28 09:00
PHST- 2007/07/28 09:00 [pubmed]
PHST- 2007/11/01 09:00 [medline]
PHST- 2007/07/28 09:00 [entrez]
AID - 10.1055/s-2006-927217 [doi]
PST - ppublish
SO  - Klin Monbl Augenheilkd. 2007 Jul;224(7):575-9. doi: 10.1055/s-2006-927217.