G-DRG Version 2009: New Developments

被引:8
|
作者
Mueller, Marcel L. [1 ,2 ]
Forschner, Andrea [3 ]
Wenke, Andreas [2 ]
Luger, Thomas A. [4 ]
Rompel, Rainer [5 ]
Roeder, Norbert [2 ]
Hensen, Peter [2 ,6 ]
机构
[1] Univ Freiburg, Dept Dermatol, Univ Med Ctr Freiburg, D-79104 Freiburg, Germany
[2] Univ Clin Munster, DRG Res Grp, Munster, Germany
[3] Univ Tubingen, Dept Dermatol, D-72074 Tubingen, Germany
[4] Univ Munster, Dept Dermatol, D-4400 Munster, Germany
[5] Municipal Clin Kassel, Dept Dermatol, Kassel, Germany
[6] FHM Bielefeld Univ Appl Sci, Bielefeld, Germany
来源
JOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT | 2009年 / 7卷 / 04期
关键词
DRG; diagnosis-related groups; health care system; hospital funding; prospective payment system;
D O I
10.1111/j.1610-0387.2009.07068.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The update of the G-DRG system for the year 2009 has been successfully negotiated. Like in the past years, changes are minimal and not dramatic, but they significantly enhance the quality of the DRG system. Once again, the German DRG system demonstrates its versatility and reliability for clinical reimbursement purposes. In the field of dermatology, several improvements or enhancements can be identified; the average case mix index that declined in the past years should now rise by 0.5 percent for 2009. Oncology cases are affected especially by this increase. Some refinements advanced for several years by the German Dermatologic Society (DDG) have been recognized -complex therapies like vacuum wound therapy, isolation due to multi-resistant infections and multiple primary tumors now have better cost weights. Although there still remain some minor problems like reimbursement of cost-intensive treatments, German dermatology is in summary very well prepared for the year 2009.
引用
收藏
页码:318 / 327
页数:10
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