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- W3135923381 abstract "Diagnosis Related Group (DRG)-based healthcare financing systems were first introduced in the US in 1983. Since that time, at least 19 countries throughout the Organization for Economic Cooperation & Development (OECD) have adopted similar systems, at various levels of implementation and scope. While the medical community has expressed concern about the price-control effects of these activity-based financing systems on the quality of healthcare, few studies have examined the association of DRG-based payments on the costs and quality of care on a comparative international and case-mix adjusted basis. In this paper we review the current status of DRG-type system adoption in OECD countries. Specifically, we provide a review of the level of adoption within each country's payment system, and the scope of adoption throughout the healthcare sector. We then examine the association of DRG-type financing system adoption with case-mix adjusted costs and quality of healthcare. We focus particularly on OECD countries with the more recent implementation experience. While measuring the effects on quality of healthcare continues to be a challenge, we find that DRG adoption tends to be associated with higher case-mix adjusted cost per day, shorter length of stay and lower total cost per patient case. Our findings provide information useful to the healthcare policy and planning boards of countries with more recent DRG implementation experience as they attempt to fine-tune their systems in relation to cross-country benchmarks. Our findings also provide information useful for the advancement of healthcare provider organizations when attempting to assess, compare and improve the quality, efficiency and effectiveness of their operations across international boundaries." @default.
- W3135923381 created "2021-03-29" @default.
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- W3135923381 date "2007-06-14" @default.
- W3135923381 modified "2023-09-27" @default.
- W3135923381 title "The Association of DRG-Based Financing With Case-Mix Adjusted Costs and Quality of Healthcare in OECD Countries: Evidence from Recent Implementations" @default.
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