PMID- 34065293
OWN - NLM
STAT- MEDLINE
DCOM- 20210625
LR  - 20210625
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 10
DP  - 2021 May 20
TI  - The Use of Diagnosis-Related Group-Based Reimbursement in the Czech Hospital Care 
      System.
LID - 10.3390/ijerph18105463 [doi]
LID - 5463
AB  - (1) Background: Diagnosis-Related Groups (DRG), one possibility of a hospital 
      payment system, are currently used in most European countries. Introduced to the 
      Czech system in the 1990s, the DRGs are currently used mainly for care reporting 
      and partly for reimbursement. According to most experts, the use of DRG remain 
      controversial. The goal of this paper was to study the effects of the current 
      Czech DRG system on hospitals financing and, on this basis, to propose possible 
      changes to the reimbursement mechanism in the Czech Republic. (2) Methods: 
      Qualitative research methods were used for evaluating DRG mechanisms of 
      application in three selected healthcare establishments in the CR in the period 
      of 2012-2018. (3) Results: Our study shows that the current implementation of the 
      DRG system is set up in a way that is very similar to traditional flat rates and 
      is unlikely to yield major positive effects of the DRG mechanism, such as 
      predictability of payments for hospitalisation cases, care quality and efficiency 
      and transparent financing. (4) Conclusions: Based on our results, deep systemic 
      change of the reimbursement mechanism in the Czech Republic is necessary. We 
      propose five partial measures leading to the cultivation of the Czech DRG.
FAU - Kotherova, Zuzana
AU  - Kotherova Z
AUID- ORCID: 0000-0002-1214-9879
AD  - Department of Public and Social Policy, Institute of Sociological Studies, 
      Faculty of Social Sciences, Charles University, Pekarska 16, 158 00 Praha 5, 
      Czech Republic.
FAU - Caithamlova, Martina
AU  - Caithamlova M
AUID- ORCID: 0000-0002-8297-7450
AD  - Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech 
      Technical University in Prague, nam. Sitna 3105, 272 01 Kladno 2, Czech Republic.
FAU - Nemec, Juraj
AU  - Nemec J
AUID- ORCID: 0000-0002-5881-7422
AD  - Faculty of Economics and Administration, Masaryk University, Lipova 41a, 602 00 
      Brno, Czech Republic.
AD  - Faculty of Economics, Matej Bel University, Tajovskeho 10, 97401 Banska Bystrica, 
      Slovakia.
FAU - Dolejsova, Katerina
AU  - Dolejsova K
AD  - Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech 
      Technical University in Prague, nam. Sitna 3105, 272 01 Kladno 2, Czech Republic.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210520
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Czech Republic
MH  - *Diagnosis-Related Groups
MH  - Europe
MH  - Hospitals
MH  - Humans
MH  - *Reimbursement Mechanisms
PMC - PMC8160843
OTO - NOTNLM
OT  - Czech Republic
OT  - DRG
OT  - hospital economy
COIS- The authors declare no conflict of interest.
EDAT- 2021/06/03 06:00
MHDA- 2021/06/29 06:00
PMCR- 2021/05/20
CRDT- 2021/06/02 01:12
PHST- 2021/04/20 00:00 [received]
PHST- 2021/05/13 00:00 [revised]
PHST- 2021/05/18 00:00 [accepted]
PHST- 2021/06/02 01:12 [entrez]
PHST- 2021/06/03 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2021/05/20 00:00 [pmc-release]
AID - ijerph18105463 [pii]
AID - ijerph-18-05463 [pii]
AID - 10.3390/ijerph18105463 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2021 May 20;18(10):5463. doi: 
      10.3390/ijerph18105463.