Case Mix: Global Views, Local Actions

Evolution in Twenty Countries

F.H. Roger France, I. Mertens, M.-C. Closon, Francis Henri Roger France, Jacob Hofdijk

• Publisher: SAGE Publications Ltd
• Year: 2006
• Print ISBN:
  9781586032173
• eBook ISBN:
  9781607509301
• Edition: 1
• Topic: Medicine
• Subtopic: Public Health, Administration & Care

Diagnosis Related Groups (DRGs) were the first health management tool to group patients in clinical meaningful categories with homogeneous resources consumption. DRGs have been selected in 1983 as the prospective payment system for MEDICARE patients in the USA. This innovation migrated to several Western countries first, in Eastern Europe and in Asia soon thereafter. What is the present situation? This book describes the actual state of case mix uses in twenty countries all over the world. Experts from Australia, Austria, Belgium, Denmark, Finland, France, Germany, Great Britain, Ireland, Japan, South Korea, Mexico, the Netherlands, Romania, Russia, South Africa, Spain, Sweden, Switzerland, the USA accepted to describe the development and adaptations of case mix in their country. In addition, they provide a concise analysis of health care organization, financing methods, and information checking in these countries. Such information cannot be found easily in the literature. It gives physicians, hospital managers, researchers and policy makers a basis for making decisions on new paths to develop in health care delivery systems.

Table of contents

• Title page
• Foreword
• Contents
• List of authors
• Nomenclatures, Classifications and Case-Mix: From Patient Description to Abstraction
• Case Mix in Australia: AR-DRG - A Smooth Process Involving States and aCommonwealth Government,
• Case Mix in Austria: Five Years Experience with a New Hospital Financing System
• Case Mix in Belgium: A Rapid Coverage and a Progressive AP-DRG Use
• Case Mix in Denmark: Status on the Development and Use of the Nord "Dk" DRG
• Case Mix in Finland: From the Fin to the Nord DRG
• Case Mix in France: Is there a French Way from Problem to Paradigm in Healthcare? The DRG/PMSI SAGA
• Case Mix in Germany: DRG-Based Hospital Payment in Germany
• Case Mix in Great Britain: from DRG to HRG, Healthcare Resources Groups
• Case Mix in Ireland: Budgeting Basis for Acute Hospital Services
• Case Mix in Japan: Towards a J-DRG
• Case Mix in South Korea: The Demonstration of the KDRG
• Case Mix in Mexico: A Progressive Implementation
• Case Mix in The Netherlands: The DBC 2003 Project
• Case Mix in Romania: History of Case-Mix Development
• Case Mix in Russia: A Possible Development in a New Social Security System
• Case Mix in South Africa: Pilot Projects
• Case Mix in Spain: Financial and Clinical Management
• Case Mix in Sweden: From Spri to the Nord DRG
• Case Mix in Switzerland: From an Information to a Financing System?
• Case Mix in the USA: Fifteen Years of DRG-Based Hospital Financing in the United States
• International Studies on Health Systems: The Strength of Combining Data Sources
• Author Index