PMID- 1948465
OWN - NLM
STAT- MEDLINE
DCOM- 19911218
LR  - 20181130
IS  - 0256-9574 (Print)
VI  - 80
IP  - 10
DP  - 1991 Nov 16
TI  - Diagnosis-related groups--application in a paediatric department.
PG  - 494-6
AB  - The Diagnosis-Related Groups (DRG) system is used in the USA to classify patients 
      on the basis of diagnosis into medically meaningful groups. The system was 
      developed for evaluation of resource utilisation for peer review purposes. It has 
      become better known through being utilised by Medicare, the medical insurance 
      system for the poor in the USA, for prospective determination and payment of 
      patient's hospitalisation costs. A pilot study to compare the costs of hospital 
      care in a sample of the paediatric patient population at Ga-Rankuwa Hospital with 
      the DRG weightings was undertaken to assess its application locally. A poor 
      correlation was found. The costing studies conducted for this purpose were also 
      used to compare resource use between units in the Department of Paediatrics, and 
      substantial unexplained variations were found. It is concluded that the 
      weightings used in the US DRG system cannot be directly applied to the patients 
      at Ga-Rankuwa Hospital for billing purposes. The DRG principle, however, is 
      feasible and has important management benefits; it is recommended that locally 
      determined DRG weightings be developed, and that other hospitals explore their 
      use in peer review of resource management, costing and pricing.
FAU - Hay, I T
AU  - Hay IT
AD  - Department of Paediatrics and Child Health, Medical University of Southern 
      Africa, Pretoria.
FAU - Ellis, J B
AU  - Ellis JB
FAU - Robertson, J
AU  - Robertson J
FAU - Jacobs, D J
AU  - Jacobs DJ
FAU - Mokgabudi, A
AU  - Mokgabudi A
LA  - eng
PT  - Journal Article
PL  - South Africa
TA  - S Afr Med J
JT  - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
JID - 0404520
SB  - IM
MH  - Diagnosis-Related Groups/*statistics & numerical data
MH  - Hospital Departments/*statistics & numerical data
MH  - Length of Stay/statistics & numerical data
MH  - *Pediatrics
MH  - Pilot Projects
MH  - South Africa
EDAT- 1991/11/16 00:00
MHDA- 1991/11/16 00:01
CRDT- 1991/11/16 00:00
PHST- 1991/11/16 00:00 [pubmed]
PHST- 1991/11/16 00:01 [medline]
PHST- 1991/11/16 00:00 [entrez]
PST - ppublish
SO  - S Afr Med J. 1991 Nov 16;80(10):494-6.