PMID- 8134668
OWN - NLM
STAT- MEDLINE
DCOM- 19940421
LR  - 20061115
IS  - 0398-7620 (Print)
IS  - 0398-7620 (Linking)
VI  - 42
IP  - 1
DP  - 1994
TI  - [Illness-based payment to hospitals: the French experience].
PG  - 68-78
AB  - Since 1991, the French government is experiencing case based prospective payment 
      mechanisms for public and for profit private hospitals. The experiments are the 
      final objective of a program launched in 1982 to implement Diagnosis Related 
      Groups (DRG) in France. Experiments are described and discussed. The relevance of 
      the DRG classification is questioned, as well as the potential incentives 
      embedded in the payment scheme. In the public sector, a case based prospective 
      budgeting method is tested, to re-allocate resources according to case mix and 
      relative costs. In the for profit sector, a prospective payment per case is 
      designed, with price and volume adjustment inside a global cap of expenses. The 
      experiments are a first step towards the unification of payment methods in both 
      sectors. But important differences still remain, dealing with the scope of the 
      payment method and the rate-setting basis. All expenditures will be covered in 
      the public sector, physician fees are excluded in the private sector. The rates 
      are based on actual cost in the public sector, on actual bills for the private 
      sector.
FAU - De Pouvourville, G
AU  - De Pouvourville G
AD  - Groupe IMAGE, ENSP, Saint-Maurice.
FAU - Comar, L
AU  - Comar L
FAU - Bouvier, V
AU  - Bouvier V
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Le paiement a la pathologie des hopitaux: l'experience francaise.
PL  - France
TA  - Rev Epidemiol Sante Publique
JT  - Revue d'epidemiologie et de sante publique
JID - 7608039
SB  - IM
MH  - Costs and Cost Analysis
MH  - *Diagnosis-Related Groups
MH  - Financing, Organized
MH  - France
MH  - Health Care Rationing
MH  - Humans
MH  - Insurance, Health/economics
MH  - Private Sector
MH  - *Prospective Payment System
MH  - Rate Setting and Review
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
PST - ppublish
SO  - Rev Epidemiol Sante Publique. 1994;42(1):68-78.