PMID- 21826495
OWN - NLM
STAT- MEDLINE
DCOM- 20131127
LR  - 20181202
IS  - 1433-044X (Electronic)
IS  - 0177-5537 (Linking)
VI  - 116
IP  - 2
DP  - 2013 Feb
TI  - [Comparison between the Austrian and German DRG systems in hand surgery].
PG  - 118-24
LID - 10.1007/s00113-011-2061-3 [doi]
AB  - BACKGROUND: Diagnosis-Related Groups (DRG) are a patient classification system 
      grouping related types of patients treated to the resources they consumed. In 
      this analysis, we compared the Austrian and the German DRG systems. METHOD: The 
      15 most common hand surgical diagnoses and their corresponding operative 
      treatment were transferred into the Austrian system. Thus, the length of stay and 
      the reimbursement of both countries could be obtained and compared. RESULTS: The 
      mean values and the median values of the upper and lower thresholds of length of 
      stay as well as the average length of stay were all lower in Austria compared to 
      Germany. Reimbursement in Germany was higher in 13 of 19 cases. Total proceeds 
      amounted to 1.67 million <euro> in the German and 1.70 million <euro> in the 
      Austrian health care system. Considering the purchasing power applying consumer 
      prize parities, the difference of reimbursement between the countries rose to 
      130,000 <euro> which equals a difference of almost 8%. CONCLUSION: Reimbursement 
      of the top 15 diagnoses in hand surgery in Austria is 8% higher than in Germany. 
      Except for one case, mean values as well as upper and lower thresholds of length 
      of stay are considerably shorter in Austria. Comparison of international data to 
      refine a national compensation system is advocated.
FAU - Lotter, O
AU  - Lotter O
AD  - Berufsgenossenschaftliche Unfallklinik, Klinik fur Plastische, Hand-, 
      Rekonstruktive und Verbrennungschirurgie, Eberhard Karls Universitat Tubingen, 
      Schnarrenbergstrasse 95, 72076, Tubingen, Deutschland. oliver.lotter@freenet.de
FAU - Jaminet, P
AU  - Jaminet P
FAU - Schwarzach, S
AU  - Schwarzach S
FAU - Schaller, H E
AU  - Schaller HE
LA  - ger
PT  - Comparative Study
PT  - Journal Article
TT  - Vergleich der Handchirurgie im osterreichischen und deutschen 
      Fallpauschalensystem.
PL  - Germany
TA  - Unfallchirurg
JT  - Der Unfallchirurg
JID - 8502736
SB  - IM
MH  - Austria/epidemiology
MH  - Diagnosis-Related Groups/*economics/*statistics & numerical data
MH  - Germany/epidemiology
MH  - Hand Injuries/*economics/epidemiology/*surgery
MH  - Hospital Costs/*statistics & numerical data
MH  - Humans
MH  - Insurance, Health, Reimbursement/*economics/statistics & numerical data
MH  - Length of Stay/*economics/statistics & numerical data
EDAT- 2011/08/10 06:00
MHDA- 2013/12/16 06:00
CRDT- 2011/08/10 06:00
PHST- 2011/08/10 06:00 [entrez]
PHST- 2011/08/10 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 10.1007/s00113-011-2061-3 [doi]
PST - ppublish
SO  - Unfallchirurg. 2013 Feb;116(2):118-24. doi: 10.1007/s00113-011-2061-3.