PMID- 19939501
OWN - NLM
STAT- MEDLINE
DCOM- 20100519
LR  - 20091216
IS  - 1773-0597 (Electronic)
IS  - 0181-5512 (Linking)
VI  - 32
IP  - 10
DP  - 2009 Dec
TI  - [Impact of the Activity-Based Financing (11th Version) on glaucoma surgery 
      payment in hospital resources].
PG  - 701-6
LID - 10.1016/j.jfo.2009.10.013 [doi]
AB  - AIM: In this study, the potential impact of 11(th) version of the National Health 
      System's Activity-Based Financing on the income of a University Hospital 
      department was evaluated for glaucoma surgeries. PATIENTS AND METHODS: The number 
      of glaucoma surgeries in 2008 was analyzed based on the Medicalization Program of 
      Information Systems. Using the 11(th) version of the Activity-Based Financing for 
      Diagnosis-Related Groups (DRG), we compared the income of these surgical 
      procedures on both an inpatient and an outpatient setting. RESULTS: One hundred 
      and forty-nine patients undergoing glaucoma surgery between January and December 
      2008 were included, 94% of whom were treated on an outpatient basis. The lower 
      reimbursement for outpatient surgery resulted in a loss of euro 100,000 or 64% of 
      revenues compared to an inpatient procedure. DISCUSSION: Ambulatory glaucoma 
      surgery is feasible but requires rigorous organization. Nonetheless, while 
      department incomes are related to activity, ambulatory care seems financially 
      disadvantageous. Many departments are trying to develop an ambulatory structure, 
      but the apparent contradiction between the objectives of public health insurance 
      and the hospital's need to balance its budget requires further clarification.
FAU - Muselier, A
AU  - Muselier A
AD  - Service d'Ophtalmologie, Centre Hospitalier Universitaire, 3 rue Faubourg Raines, 
      Dijon, France.
FAU - Mathieu, B
AU  - Mathieu B
FAU - Aube, H
AU  - Aube H
FAU - Creuzot-Garcher, C
AU  - Creuzot-Garcher C
FAU - Bron, A
AU  - Bron A
LA  - fre
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Retentissement de la version 11 de la T2A sur le financement de la chirurgie des 
      glaucomes.
PL  - France
TA  - J Fr Ophtalmol
JT  - Journal francais d'ophtalmologie
JID - 7804128
SB  - IM
MH  - Aged
MH  - Ambulatory Surgical Procedures/*economics
MH  - Female
MH  - Glaucoma/*surgery
MH  - Hospitals, University/*economics
MH  - Humans
MH  - Male
MH  - Retrospective Studies
EDAT- 2009/11/27 06:00
MHDA- 2010/05/21 06:00
CRDT- 2009/11/27 06:00
PHST- 2009/07/30 00:00 [received]
PHST- 2009/10/15 00:00 [accepted]
PHST- 2009/11/27 06:00 [entrez]
PHST- 2009/11/27 06:00 [pubmed]
PHST- 2010/05/21 06:00 [medline]
AID - S0181-5512(09)00328-3 [pii]
AID - 10.1016/j.jfo.2009.10.013 [doi]
PST - ppublish
SO  - J Fr Ophtalmol. 2009 Dec;32(10):701-6. doi: 10.1016/j.jfo.2009.10.013.