PMID- 21800267
OWN - NLM
STAT- MEDLINE
DCOM- 20120127
LR  - 20191210
IS  - 1439-1309 (Electronic)
IS  - 0034-3536 (Linking)
VI  - 50
IP  - 4
DP  - 2011 Aug
TI  - [REDIA--impacts of DRG introduction in the acute sector on medical 
      rehabilitation].
PG  - 214-21
LID - 10.1055/s-0031-1275720 [doi]
AB  - The REDIA study is the only long-term (2003-2009), prospective, multicentre study 
      analyzing the impact of the DRG system on quality and costs in rehabilitation 
      facilities. In 2004, Diagnosis Related Groups (DRG) were implemented on a 
      mandatory basis in the German healthcare system as a reimbursement scheme for 
      hospitals based on administered prices for procedures. Experiences from other 
      countries revealed that introduction of DRG does not only have a significant 
      impact on hospitals but also on rehabilitation facilities. The study approach 
      ensures a comprehensive analysis as it considers major clinical, therapeutic, 
      psychological and economic aspects. The REDIA study is the only nationwide 
      empirical study that includes all stages of the implementation process: before 
      DRG implementation, during the convergence phase and following implementation. An 
      indication-specific comparison of the phases showed significantly shorter stays 
      in the acute sector as well as shorter transition times between the sectors, 
      resulting in admission of patients into rehabilitative care at an earlier stage 
      of their recovery process. Significant diversions of treatment efforts from the 
      acute sector to the rehabilitative sector have been proven in terms of increased 
      nursing efforts and potential changes in the therapeutic and medical treatments 
      to be provided.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - von Eiff, W
AU  - von Eiff W
AD  - Centrum fur Krankenhausmanagement, Institut an der Westfalischen 
      Wilhelms-Universitat Munster, Munster. ckm@wiwi.uni-muenster.de
FAU - Schuring, S
AU  - Schuring S
FAU - Greitemann, B
AU  - Greitemann B
FAU - Karoff, M
AU  - Karoff M
LA  - ger
PT  - Journal Article
TT  - REDIA - Auswirkungen der DRG-Einfuhrung auf die Rehabilitation.
DEP - 20110728
PL  - Germany
TA  - Rehabilitation (Stuttg)
JT  - Die Rehabilitation
JID - 0401273
SB  - IM
CIN - Rehabilitation (Stuttg). 2011 Aug;50(4):213. PMID: 21800266
MH  - Arthroplasty, Replacement, Hip/economics/rehabilitation
MH  - Arthroplasty, Replacement, Knee/economics/rehabilitation
MH  - Convalescence
MH  - Coronary Artery Bypass/economics/rehabilitation
MH  - Cost Allocation
MH  - Delivery of Health Care/economics/legislation & jurisprudence
MH  - Diagnosis-Related Groups/*economics/*legislation & jurisprudence
MH  - Fee-for-Service Plans/*economics/*legislation & jurisprudence
MH  - Female
MH  - Germany
MH  - Health Plan Implementation/economics/legislation & jurisprudence
MH  - Health Services Needs and Demand/economics/legislation & jurisprudence
MH  - Humans
MH  - Length of Stay/*economics/*legislation & jurisprudence
MH  - Lumbar Vertebrae/surgery
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/economics/rehabilitation
MH  - National Health Programs/*economics/*legislation & jurisprudence
MH  - Outcome and Process Assessment, Health Care
MH  - Patient Care Team/economics/legislation & jurisprudence
MH  - Rehabilitation Centers/*economics/*legislation & jurisprudence
MH  - Rehabilitation Nursing/economics/legislation & jurisprudence
MH  - Spinal Diseases/economics/rehabilitation
EDAT- 2011/07/30 06:00
MHDA- 2012/01/28 06:00
CRDT- 2011/07/30 06:00
PHST- 2011/07/30 06:00 [entrez]
PHST- 2011/07/30 06:00 [pubmed]
PHST- 2012/01/28 06:00 [medline]
AID - 10.1055/s-0031-1275720 [doi]
PST - ppublish
SO  - Rehabilitation (Stuttg). 2011 Aug;50(4):214-21. doi: 10.1055/s-0031-1275720. Epub 
      2011 Jul 28.