Representation of Internal Medicine in G-DRG System Analysis of Reasons for Prolonged Length of Stay

被引：1

作者：

Siam, Kristina ^{[1
]}

Roeder, Norbert ^{[2
]}

Foelsch, Ulrich R. ^{[3
]}

Spies, Hans-Friedrich ^{[4
]}

机构：

[1] Univ Klinikum Munster, DRG Res Grp, Munster, Germany

[2] DRG Res Grp, Dorn 10, D-48308 Senden, Germany

[3] Univ Klinikum Schleswig Holstein, Klin Innere Med 1, Campus Kiel, Kiel, Germany

[4] Berufsverband Deutsch Internisten BDI eV, Wiesbaden, Germany

来源：

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT | 2017年 / 142卷 / 15期

关键词：

DRG-System; prolonged length of stay; hospital financing;

D O I：

10.1055/s-0043-113120

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background There is an ongoing discussion within the German Society of Internal Medicine (DGIM) and the Professional Association of German Internists (BDI) about the appropriate depiction and remuneration of internal medicine in the G-DRG. Method Therefore, cases with a significantly prolonged length of stay were analyzed in a multicenter study. 124 cases from 6 hospitals were collected for evaluation. Results The results show that the observed prolongation of hospitalization was mainly due to medical reasons. Discussion Thus, patients with unclear symptoms and consequently need for a thorough workup could not be identified to cause longer inpatient stay. Instead, treatment complications and comorbidities led to extended hospitalization. The results also reveal prolonged hospitalization as a consequence of unsettled or delayed postdischarge care e.g. in rehabilitation facilities.

引用

页码：1144 / 1152

页数：9

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