PMID- 28756097
OWN - NLM
STAT- MEDLINE
DCOM- 20181016
LR  - 20181202
IS  - 1879-1476 (Electronic)
IS  - 0385-8146 (Linking)
VI  - 45
IP  - 3
DP  - 2018 Jun
TI  - Impact of the Korean Diagnosis-Related Groups payment system on the outcomes of 
      adenotonsillectomy: A single center experience.
PG  - 504-507
LID - S0385-8146(17)30029-9 [pii]
LID - 10.1016/j.anl.2017.07.005 [doi]
AB  - OBJECTIVES: To report outcomes with regard to clinical aspects and medical costs 
      of adenotonsillectomy and tonsillectomy at a single institution before and after 
      implementation of the Diagnosis-Related Groups (DRG) payment system in Korea. 
      METHODS: We retrospectively reviewed the records of patients treated with 
      adenotonsillectomy or tonsillectomy between July 2012 and June 2014. The Korean 
      DRG payment system was applied to seven groups of specific diseases and surgeries 
      including adenotonsillectomy and tonsillectomy from July 2013 at all hospitals in 
      Korea. We divided patients into four groups according whether the fee-for-service 
      (FFS) or DRG payment system was implemented and operation type 
      (FFS-adenotonsillectomy (AT), DRG-AT, FFS-tonsillectomy (T), and DRG-T). RESULTS: 
      A total of 1402 patients were included (485 FFS-AT, 490 DRG-AT, 203 FFS-T, and 
      223 DRG-T). The total medical cost of the DRG-AT group was significantly lower 
      than that of the FFS-AT group (1191+/-404 vs. 1110+/-279 USD, P<0.05). There were no 
      significant differences in length of hospital stay or postoperative complications 
      among groups. CONCLUSION: The Korean DRG system for adenotonsillectomy and 
      tonsillectomy reduced medical costs and clinical outcomes were not significantly 
      altered by the adoption of the DRG system. LEVEL OF EVIDENCE: 4.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Kwak, Sang Hyun
AU  - Kwak SH
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Kim, Ji Hoon
AU  - Kim JH
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Kim, Da Hee
AU  - Kim DH
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Kim, Jung Min
AU  - Kim JM
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Byeon, Hyung Kwon
AU  - Byeon HK
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Kim, Won Shik
AU  - Kim WS
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea. Electronic address: wskim78@yuhs.ac.
FAU - Koh, Yoon Woo
AU  - Koh YW
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Kim, Se-Heon
AU  - Kim SH
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
FAU - Choi, Eun Chang
AU  - Choi EC
AD  - Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 
      Republic of Korea.
LA  - eng
PT  - Journal Article
DEP - 20170726
PL  - Netherlands
TA  - Auris Nasus Larynx
JT  - Auris, nasus, larynx
JID - 7708170
SB  - IM
MH  - Adenoidectomy/*economics/methods
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Deductibles and Coinsurance
MH  - *Diagnosis-Related Groups
MH  - Emergency Service, Hospital/statistics & numerical data
MH  - *Fee-for-Service Plans
MH  - Female
MH  - *Health Care Costs
MH  - Health Expenditures
MH  - Humans
MH  - Length of Stay/economics/statistics & numerical data
MH  - Male
MH  - Postoperative Complications/epidemiology
MH  - Postoperative Period
MH  - Reimbursement Mechanisms
MH  - Republic of Korea
MH  - Retrospective Studies
MH  - Tonsillectomy/*economics/methods
MH  - Young Adult
OTO - NOTNLM
OT  - Adenotonsillectomy
OT  - Diagnosis-Related Groups (DRG)
OT  - Fee-for-service (FFS)
OT  - Payment system
OT  - Tonsillectomy
EDAT- 2017/08/02 06:00
MHDA- 2018/10/17 06:00
CRDT- 2017/07/31 06:00
PHST- 2017/01/03 00:00 [received]
PHST- 2017/04/16 00:00 [revised]
PHST- 2017/07/06 00:00 [accepted]
PHST- 2017/08/02 06:00 [pubmed]
PHST- 2018/10/17 06:00 [medline]
PHST- 2017/07/31 06:00 [entrez]
AID - S0385-8146(17)30029-9 [pii]
AID - 10.1016/j.anl.2017.07.005 [doi]
PST - ppublish
SO  - Auris Nasus Larynx. 2018 Jun;45(3):504-507. doi: 10.1016/j.anl.2017.07.005. Epub 
      2017 Jul 26.