PMID- 25489596
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20141209
LR  - 20181113
IS  - 2322-5939 (Print)
IS  - 2322-5939 (Electronic)
IS  - 2322-5939 (Linking)
VI  - 3
IP  - 7
DP  - 2014 Dec
TI  - Cholecystectomy and Diagnosis-Related Groups (DRGs): patient classification and 
      hospital reimbursement in 11 European countries.
PG  - 383-91
LID - 10.15171/ijhpm.2014.121 [doi]
AB  - BACKGROUND: As part of the EuroDRG project, researchers from eleven countries 
      (i.e. Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, 
      Poland, Sweden, and Spain) compared how their Diagnosis-Related Groups (DRG) 
      systems deal with cholecystectomy patients. The study aims to assist surgeons and 
      national authorities to optimize their DRG systems. METHODS: National or regional 
      databases were used to identify hospital cases with a procedure of 
      cholecystectomy. DRG classification algorithms and indicators of resource 
      consumption were compared for those DRGs that individually contained at least 1% 
      of cases. Six standardised case vignettes were defined, and quasi prices 
      according to national DRG-based hospital payment systems were ascertained and 
      compared to an index case. RESULTS: European DRG systems vary widely: they 
      classify cholecystectomy patients according to different sets of variables into 
      diverging numbers of DRGs (between two DRGs in Austria and Poland to nine DRGs in 
      England). The most complex DRG is valued at four times more resource intensive 
      than the index case in Ireland but only 1.3 times more resource intensive than 
      the index case in Austria. CONCLUSION: Large variations in the classification of 
      cholecystectomy patients raise concerns whether all systems rely on the most 
      appropriate classification variables. Surgeons, hospital managers and national 
      DRG authorities should consider how other countries' DRG systems classify 
      cholecystectomy patients in order to optimize their DRG systems and to ensure 
      fair and appropriate reimbursement.
FAU - Paat-Ahi, Gerli
AU  - Paat-Ahi G
AD  - PRAXIS Centre for Policy Studies, Tallinn, Estonia. ; Department of Public 
      Health, University of Tartu, Tartu, Estonia.
FAU - Aaviksoo, Ain
AU  - Aaviksoo A
AD  - PRAXIS Centre for Policy Studies, Tallinn, Estonia. ; Technomedicum of TUT, 
      Tallinn University of Technology, Tallinn, Estonia.
FAU - Swiderek, Maria
AU  - Swiderek M
AD  - Department of City and Regional Management, Faculty of Management, University of 
      Lodz, Lodz, Poland. ; National Health Fund, Poland.
CN  - EuroDRG group
LA  - eng
PT  - Journal Article
DEP - 20141113
PL  - Iran
TA  - Int J Health Policy Manag
JT  - International journal of health policy and management
JID - 101619905
CIN - Int J Health Policy Manag. 2015 May;4(5):319-20. PMID: 25905484
CIN - Int J Health Policy Manag. 2015 Jul;4(7):501-2. PMID: 26188820
PMC - PMC4258890
OTO - NOTNLM
OT  - Cholecystectomy
OT  - Diagnosis-Related Groups (DRGs)
OT  - Economics
OT  - Europe
OT  - Hospital
EDAT- 2014/12/10 06:00
MHDA- 2014/12/10 06:01
PMCR- 2014/11/13
CRDT- 2014/12/10 06:00
PHST- 2014/05/20 00:00 [received]
PHST- 2014/11/08 00:00 [accepted]
PHST- 2014/12/10 06:00 [entrez]
PHST- 2014/12/10 06:00 [pubmed]
PHST- 2014/12/10 06:01 [medline]
PHST- 2014/11/13 00:00 [pmc-release]
AID - 10.15171/ijhpm.2014.121 [doi]
PST - epublish
SO  - Int J Health Policy Manag. 2014 Nov 13;3(7):383-91. doi: 10.15171/ijhpm.2014.121. 
      eCollection 2014 Dec.