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Perspectives d'utilisation des DRGs en Belgique.

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Closon, Marie-Christine [UCL]

In order to use DRGs as a tool for the payment of hospitals, their explanatory power on the variance of hospital expenses was tested on a sample of 42,500 patients from three university hospitals in Belgium. Their explanatory power is high for all categories of expenses (42% for length of stay, 52% for medical fees). A refinement of DRG is, however, already possible by using variables from the uniform discharges summaries as secondary diagnoses, type of admissions, use of intensive care unit. The explanatory power of these variables is high for MDC but weak for DRG. It is also necessary to define criteria of intensity of care for the nursing care. The article also illustrates some problems when using DRG and proposes some solutions. A study of specific DRGs shows us how they can be used as comparative instruments for internal management and evaluation of quality of care.

Document type Article de périodique (Journal article) – English Abstract, Journal Article
Publication date 1989
Journal information "Sozial- und Präventivmedizin" - Vol. 34, no. 4, p. 167-74 (1989)
issn 0303-8408
Publication status Publié
Affiliation UCL
MESH Subject Age Factors ; Belgium ; Costs and Cost Analysis ; Diagnosis-Related Groups - utilization ; Economics, Hospital - trends ; Fees, Medical ; Financial Management, Hospital ; Financing, Organized ; Health Expenditures ; Humans ; Length of Stay ; Severity of Illness Index
Links
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  5. Arrêté royal du 14 août 1987, modifié par arrêté royal du 11 décembre 1987, Ministry of Public Health.
  6. Petit Maryse. «Le système d'information en soins infirmiers». Proceedings of EFMI Working Conference on DRGs, Brussels, June 1989.
  7. Roger F.H., Devaluation De La Qualite Des Soins, 10.1080/17843286.1988.11717935
  8. Dubois RW et al. Adjusted hospital death rates: a potential screen for quality of medical care. Am J Public Health, 1987,77: 1162–6.
  9. Beguin C, Gendreikes Y, Meurisse AM, Joris M, Servais P, Willems JL. Quality of data base. How to mesure and to improve it? Proceedings of EFMI Working Conference on DRGs, Brussels, June 1989.
  10. Fitzgerald et al. «The care of eldery patients with hip fractures. Changes since implementation of the prospective payment system». NEJM319: 1392–7.
Bibliographic reference Closon, Marie-Christine. Perspectives d'utilisation des DRGs en Belgique.. In: Sozial- und Präventivmedizin, Vol. 34, no. 4, p. 167-74 (1989)
Permanent URL http://hdl.handle.net/2078.1/22247