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Journal articles on the topic 'Diagnosis related groups'

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Published: 4 June 2021
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1

Gibbs, Cedric C. J. "Diagnosis related groups." Medical Journal of Australia 143, no. 6 (September 1985): 227. http://dx.doi.org/10.5694/j.1326-5377.1985.tb122949.x.

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2

Tonkin, David. "Diagnosis related groups." Medical Journal of Australia 143, no. 6 (September 1985): 261. http://dx.doi.org/10.5694/j.1326-5377.1985.tb122972.x.

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3

Last, Peter M. "Diagnosis related groups." Medical Journal of Australia 145, no. 10 (November 1986): 551. http://dx.doi.org/10.5694/j.1326-5377.1986.tb139485.x.

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4

DUCKETT, S. J. "Diagnosis related groups." Journal of Paediatrics and Child Health 29, no. 4 (August 1993): 263. http://dx.doi.org/10.1111/j.1440-1754.1993.tb00507.x.

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5

Safran, Charles, Douglas Porter, Warner V. Slack, and Howard L. Bleich. "Diagnosis-Related Groups." Medical Care 25, no. 10 (October 1987): 1011–14. http://dx.doi.org/10.1097/00005650-198710000-00010.

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6

Mang, H., U. Kunzmann, and M. Bauer. "Diagnosis Related Groups." Der Anaesthesist 56, no. 9 (August 19, 2007): 867–76. http://dx.doi.org/10.1007/s00101-007-1255-0.

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7

Michel, A., and E. O. Martin. "Diagnosis Related Groups." Der Anaesthesist 56, no. 9 (August 19, 2007): 865. http://dx.doi.org/10.1007/s00101-007-1257-y.

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8

Greenberg, Larrie W. "Diagnosis-Related Groups." American Journal of Diseases of Children 139, no. 5 (May 1, 1985): 524. http://dx.doi.org/10.1001/archpedi.1985.02140070098046.

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9

Rivany, Ronnie. "Indonesia Diagnosis Related Groups." Kesmas: National Public Health Journal 4, no. 1 (August 1, 2009): 3. http://dx.doi.org/10.21109/kesmas.v4i1.194.

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Di Amerika dan Australia, Kelompok Diagnosis Terkait (Diagnosis Related Group’s ) (DRGs) adalah suatu cara mengidentifikasi dan mengelompokkan pasien yang mempunyai kebutuhan dan sumber yang sama dirumah sakit berdasarkan alur perjalanan klinis (Clinical Pathway ). Penyakit yang mempunyai co morbidity atau co mortality, disebut Casemixdan mempunyai kode yang memperlihatkan derajat keparahan kelompok penyakit sehingga secara linear akan mem-pengaruhi besaran biaya perawatan. Dengan demikian, pembayaran perawatan di rumah sakit akan dilakukan berdasarkan “kesembuhan“ (cost of treatmentper diagnosis ), dan bukan berdasarkan penggunaan pelayanan medis dan non medis (fee for services). Di Indonesia sampai kini belum ada model perhi-tungan biaya untuk pembayaran perawatan mulai pasien masuk sampai sembuh dan keluar rumah sakit berdasarkan diagnosis (cost of treatment per diag-nosis). Pola pembiayaan yang digunakan di rumah sakit masih didasarkan pada fee for services. Dalam bentuk tesis, konsep Indonesia – DRG/ INA –DRG kami kembangkan di Fakultas Kesehatan Masyarakat Universitas Indonesia, mengacu pada Australian DRG.Kata kunci : INA-DRG, kelompok diagnosis terkait, alur perjalanan klinisAbstractIn America, and Australian, Diagnosis Related Groups, known as DRGs is a method to identify and classify inpatients that have the same resources within hospitals based on Clinical Pathway. It has numbering/coding system used like a menu for determining the cost. The co morbidity and/or co mortality of a di-sease is called the Casemix, where it has numbering/coding that shows the degree of severity, which the cost linearly increased. Therefore the financing is based on the in-patients’ ”recovery” (cost of treatment per diagnosis), and not based on the utility of the medical and non medical treatments ( fee for services). One of the issues arise in Indonesia’s health financing system is that it does not have the costing model for health care financing, for inpatients from ad-mission to discharge (cost of treatment per diagnosis). Therefore the financing system used is based on fee for services. Using Australian DRG as reference, the concept of Indonesia–DRG / INA–DRG is developed by the researcher with Graduate Students in the Public Health and Hospital Administration Program, Postgraduate Studies Faculty of Public Health University of Indonesia, in Thesis.Keywords : INA-DRG’s, diagnosis related groups, clinical pathway
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10

Elsner, H., B. B�tz, T. Magerkurth, and St R�th. "German Diagnosis Related Groups." Der Nervenarzt 74, no. 7 (July 1, 2003): 601–6. http://dx.doi.org/10.1007/s00115-003-1499-0.

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11

Wienke, A. "Diagnosis Related Groups (DRGs)." HNO 49, no. 7 (July 1, 2001): 569–70. http://dx.doi.org/10.1007/s001060170085.

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12

Lungen, M., B. Dredge, A. Rose, C. Roebuck, E. Plamper, and K. Lauterbach. "Using diagnosis-related groups." European Journal of Health Economics 5, no. 4 (November 2004): 287–89. http://dx.doi.org/10.1007/s10198-004-0267-9.

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13

Roberts, Sharon L. "The future marriage between diagnosis related groups and nursing diagnosis related groups." Critical Care Nursing Quarterly 9, no. 4 (March 1987): 70–82. http://dx.doi.org/10.1097/00002727-198703000-00010.

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14

Moreno-Rodríguez, Francisco Javier. "Outliers in diagnosis-related groups." ACTUALIDAD MEDICA 99, no. 793 (December 31, 2014): 127–31. http://dx.doi.org/10.15568/am.2014.793.or02.

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15

Kynes, Patricia M. "On surviving diagnosis-related groups." Journal of Wound, Ostomy and Continence Nursing 12, no. 1 (January 1985): 3–4. http://dx.doi.org/10.1097/00152192-198501000-00016.

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16

Kugler, C., S. Freytag, R. Stillger, P. Bauer, and A. Ferbert. "Australian Refined Diagnosis Related Groups." DMW - Deutsche Medizinische Wochenschrift 125, no. 51/52 (December 31, 2000): 1554–59. http://dx.doi.org/10.1055/s-2000-9554.

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17

Eggli, Yves. "Diagnosis related groups: Quelles perspectives?" Sozial- und Präventivmedizin SPM 34, no. 4 (July 1989): 149–50. http://dx.doi.org/10.1007/bf02080402.

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18

Latal, A. T., W. Fiori, H. Bunzemeier, and N. Roeder. "German Diagnosis Related Groups 2016." Zeitschrift für Herz-,Thorax- und Gefäßchirurgie 30, no. 3 (April 14, 2016): 184–93. http://dx.doi.org/10.1007/s00398-016-0072-7.

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19

Horstmeier, P., J. Oberfeld, N. Roeder, and A. T. Latal. "German Diagnosis Related Groups 2018." Zeitschrift für Herz-,Thorax- und Gefäßchirurgie 32, no. 5 (May 14, 2018): 412–26. http://dx.doi.org/10.1007/s00398-018-0241-y.

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20

Tresch, Donald D. "Coping With Diagnosis Related Groups." Archives of Internal Medicine 148, no. 6 (June 1, 1988): 1393. http://dx.doi.org/10.1001/archinte.1988.00380060157028.

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21

Mullin, Robert L. "Diagnosis-Related Groups and Severity." JAMA 254, no. 9 (September 6, 1985): 1208. http://dx.doi.org/10.1001/jama.1985.03360090098028.

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22

DUBOIS, R. S., and D. T. CASS. "ARE DIAGNOSIS RELATED GROUPS (DRG) REALLY RELATED?" Journal of Paediatrics and Child Health 30, no. 2 (April 1994): 189. http://dx.doi.org/10.1111/j.1440-1754.1994.tb00609.x.

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23

Halloran, Edward J. "Nursing workload, medical diagnosis related groups, and nursing diagnoses." Research in Nursing & Health 8, no. 4 (December 1985): 421–33. http://dx.doi.org/10.1002/nur.4770080415.

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24

PHELAN, P. D. "ARE DIAGNOSIS RELATED GROUPS (DRG) REALLY RELATED? REPLY." Journal of Paediatrics and Child Health 30, no. 2 (April 1994): 189a—189. http://dx.doi.org/10.1111/j.1440-1754.1994.tb00610.x.

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25

Lichtig, Leo K., Robert A. Knauf, Albert Bartoletti, Lynn-Marie Wozniak, Robert H. Gregg, John Muldoon, and William C. Ellis. "Revising Diagnosis-Related Groups for Neonates." Pediatrics 84, no. 1 (July 1, 1989): 49–61. http://dx.doi.org/10.1542/peds.84.1.49.

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Groups of neonates who are usually treated at hospitals that provide specialized pediatric care are not adequately classified by the use of diagnosis-related groups (DRGs). Therefore, a set of revised DRGs, pediatric modified DRGs (PM-DRGs), have been developed. Use of PM-DRGs substantially improves the classification of neonates in the following ways: a single pediatric modified major diagnostic category has been defined to include only and all neonates (patients younger than 29 days of age when admitted to the hospital); deaths and transfers of newborns are no longer combined into a single group; birth weight (rather than diagnosis) is used as the primary variable to differentiate categories of neonates; and duration of mechanical ventilation, presence of major problems, and surgery are used to define specific PM-DRGs. A total of 46 PM-DRGs have been developed to replace the 7 DRGs for neonates. Based on a sample of discharged patients from 13 children's hospitals, the overall variance reduction in duration of stay for neonates using PM-DRGs was 38.7% compared with 20.4% for DRGs. Variance reduction for PM-DRGs was 45.9% compared with 16.3% for DRGs when operating cost per case was used instead of duration of stay. After removing outliers at 150 days, the duration of stay variance reduction was 53.3% vs 23.6%, respectively, and the operating cost variance reduction was 58.8% vs 17.8%, respectively.
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26

Morton, Anthony. "Diagnosis related groups: To the Editor." Medical Journal of Australia 145, no. 10 (November 1986): 551. http://dx.doi.org/10.5694/j.1326-5377.1986.tb139486.x.

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27

McMahon, Laurence F. "Diagnosis-Related Groups: Past and Future." Infection Control and Hospital Epidemiology 9, no. 10 (October 1988): 471–74. http://dx.doi.org/10.2307/30145166.

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28

McMahon, Laurence F. "Diagnosis-Related Groups: Past and Future." Infection Control & Hospital Epidemiology 9, no. 10 (October 1988): 471–74. http://dx.doi.org/10.1086/645747.

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Introduction of the diagnosis-related group (DRG)-based Medicare Prospective Payment System is one of a series of major innovations that has occurred in the payment and delivery of health care over the past ten years. Changes such as the increased prevalence of health maintenance organizations, preferred provider organizations, third-party utilization review programs, and the peer review organizations for Medicare patients have all altered the way health care is financed and delivered. The DRG-based Medicare Prospective Payment System is the most visible of these changes, given its breadth of application and its radical departure from the previous retrospective reimbursement for hospital care. The Medicare Prospective Payment System has been in effect since October, 1983. As we approach the fifth anniversary of this program, it is a good time to review its history and to make some judgments as to its future.
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29

Fetter, Robert B. "Diagnosis Related Groups: Understanding Hospital Performance." Interfaces 21, no. 1 (February 1991): 6–26. http://dx.doi.org/10.1287/inte.21.1.6.

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30

Bühring, M., and R. Brenke. "‘Diagnosis Related Groups’ in der Naturheilkunde." Complementary Medicine Research 8, no. 2 (2001): 65–67. http://dx.doi.org/10.1159/000057198.

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31

Brooten, Kenneth E. "Legal Implications of Diagnosis-Related Groups." Drug Intelligence & Clinical Pharmacy 20, no. 7-8 (July 1986): 597–99. http://dx.doi.org/10.1177/106002808602000721.

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The legal ramifications of diagnosis-related groups (DRGs) on the health-care system in general and on pharmacists in particular are undetermined. As pharmacists continue to play an increasing role in therapeutic decisions, their exposure to malpractice suits will continue to rise. Pharmacists' liability in medical malpractice actually began prior to the introduction of DRGs, with the adoption by many states of “generic substitute” laws. Situations that can lead to judgments against pharmacists are reviewed. The majority rule of joint and several liability is explained. The conclusion that “DRGs are not a legal defense” is underscored by a dramatic presentation of a hypothetical court case.
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32

Horn, Susan D., Roger A. Horn, Phoebe D. Sharkey, Robert J. Beall, John S. Hoff, and Beryl J. Rosenstein. "Misclassification Problems in Diagnosis-Related Groups." New England Journal of Medicine 314, no. 8 (February 20, 1986): 484–87. http://dx.doi.org/10.1056/nejm198602203140805.

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33

Oyebode, Femi, Stuart Cumella, Gillian Garden, and Sharon Binyon. "Diagnosis-related groups: implications for psychiatry." Psychiatric Bulletin 14, no. 1 (January 1990): 1–3. http://dx.doi.org/10.1192/pb.14.1.1.

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The escalating cost of medical care in most industrial countries has given impetus to several different strategies designed to impose limitations on cost and introduce efficiency into health care systems. In the United States of America, legislation was passed in 1983 to introduce a system of prospective payment for Medicare hospital expenditures. This change was a departure from the previous cost based reimbursement method and was based upon a categorisation of medical conditions into discrete groups termed diagnosis-related groups (DRGs). The intention of the American Congress in passing the legislation was to encourage hospitals to reduce cost without sacrificing quality of care.
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34

Muñoz, Eric, Ronald Greenberg, Glen Faust, Jonathan D. Goldstein, Simmy Bank, and Leslie Wise. "Gastroenterology, Diagnosis-Related Groups, and Age." Journal of Clinical Gastroenterology 11, no. 4 (August 1989): 421–29. http://dx.doi.org/10.1097/00004836-198908000-00015.

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35

Young, Donald A. "Synthesis: Experience with Diagnosis Related Groups." International Journal of Technology Assessment in Health Care 2, no. 1 (January 1986): 77–81. http://dx.doi.org/10.1017/s0266462300002798.

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The Medicare prospective payment system (PPS) for inpatient hopital service was enacted in 1983. It uses a classification based on diagnosis-related groups (DRGs) to determine payment for services provided.
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36

Eggli, Yves. "What future for diagnosis related groups?" Sozial- und Präventivmedizin SPM 34, no. 4 (July 1989): 150–51. http://dx.doi.org/10.1007/bf02080403.

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37

Spiegel, Allen D., and Florence Kavaler. "The debate over Diagnosis Related Groups." Journal of Community Health 10, no. 2 (June 1985): 81–92. http://dx.doi.org/10.1007/bf01326513.

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38

Osiński, Krzysztof. "Diagnosis-Related Groups: Various system applications." Nursing and Public Health 7, no. 3 (September 29, 2017): 227–33. http://dx.doi.org/10.17219/pzp/69711.

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39

Segal, M. J. "Diagnosis-related groups for physician reimbursement?" JAMA: The Journal of the American Medical Association 254, no. 18 (November 8, 1985): 2639–40. http://dx.doi.org/10.1001/jama.254.18.2639.

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40

Segal, Mark J. "Diagnosis-Related Groups for Physician Reimbursement?" JAMA: The Journal of the American Medical Association 254, no. 18 (November 8, 1985): 2639. http://dx.doi.org/10.1001/jama.1985.03360180143045.

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41

Kwak, Jin-Mi, and Kwang-Soo Lee. "Is the Hospital Caseload of Diagnosis Related Groups Related to Medical Charges and Length of Stay?" Korean Journal of Health Service Management 8, no. 4 (December 30, 2014): 13–24. http://dx.doi.org/10.12811/kshsm.2014.8.4.013.

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42

Resnick, Michael B., Mario Ariet, Randolph L. Carter, Andres Cao, Robert R. Furlough, Janet H. Evans, Allan G. W. McLeod, et al. "Prospective pricing system by diagnosis-related groups: Comparison of federal diagnosis-related groups with high-risk obstetric care groups." American Journal of Obstetrics and Gynecology 156, no. 3 (March 1987): 567–73. http://dx.doi.org/10.1016/0002-9378(87)90052-4.

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43

Wood, Trevor J., Susan E. Thomas, and George R. Palmer. "Diagnosis related groups — implications for Australian physicians." Medical Journal of Australia 143, no. 6 (September 1985): 242–43. http://dx.doi.org/10.5694/j.1326-5377.1985.tb122961.x.

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44

Wood, Trevor J., and Susan E. Thomas. "Severity of illness and Diagnosis Related Groups." Medical Journal of Australia 145, no. 2 (July 1986): 79–81. http://dx.doi.org/10.5694/j.1326-5377.1986.tb101082.x.

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45

DEL GUERCIO, LOUIS R. M., JOHN A. SAVINO, and JEAN C. MORGAN. "Physiologic Assessment of Surgical Diagnosis-Related Groups." Annals of Surgery 202, no. 4 (October 1985): 519–23. http://dx.doi.org/10.1097/00000658-198510000-00012.

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46

Goldfield, Norbert. "The Evolution of Diagnosis-Related Groups (DRGs)." Quality Management in Health Care 19, no. 1 (January 2010): 3–16. http://dx.doi.org/10.1097/qmh.0b013e3181ccbcc3.

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47

Müller-Staub, Maria, and Wolter Paans. "Diagnosis-Related Groups and Electronic Nursing Documentation." CIN: Computers, Informatics, Nursing 29, no. 2 (February 2011): 73–74. http://dx.doi.org/10.1097/ncn.0b013e3181fcf814.

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48

Bertoli, Paola, and Veronica Grembi. "The political economy of diagnosis-related groups." Social Science & Medicine 190 (October 2017): 38–47. http://dx.doi.org/10.1016/j.socscimed.2017.08.006.

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49

Burgmer, Markus, Norbert Roeder, and Gereon Heuft. "Fallgruppensystem der "diagnosis related groups" in Deutschland." Psychotherapeut 48, no. 5 (September 1, 2003): 369–72. http://dx.doi.org/10.1007/s00278-003-0329-y.

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50

Mang, H., and M. Bauer. "German Refined - Diagnosis Related Groups, Version 2007." Der Anaesthesist 56, no. 2 (February 2007): 158–68. http://dx.doi.org/10.1007/s00101-007-1131-y.

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