Comparing EU hospital efficiency using diagnosis-related groups

Rhodes, Grant; Wiley, Miriam; Tomàs, Rosa; Casas, Mercè; Leidl, Reiner

doi:10.1093/eurpub/7.suppl_3.42

Cited by 17 publications

(5 citation statements)

References 9 publications

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“…Extensive use of casemix also has been undertaken to measure the characteristics of patients treated in each healthcare organization when relative ef®ciency, cost function, benchmarking and outcomes studies are undertaken (Rhodes et al, 1997;Sanderson and Mountney, 1997). The creation of a national schedule of prices based on HRGs in the British National Health Service for performance assessment and purchasing is the latest manifestation of the increasing importance of casemix internationally in these applications (UK Department of Health, 1997).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the performance of diagnosis-related groups and similar casemix systems: methodological issues

Palmer

Reid

2001

Health Serv Manage Res

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With the increasing recognition and application of casemix for managing and financing healthcare resources, the evaluation of alternative versions of systems such as diagnosis-related groups (DRGs) has been afforded high priority by governments and researchers in many countries. Outside the United States, an important issue has been the perceived need to produce local versions, and to establish whether or not these perform more effectively than the US-based classifications. A discussion of casemix evaluation criteria highlights the large number of measures that may be used, the rationale and assumptions underlying each measure, and the problems in interpreting the results. A review of recent evaluation studies from a number of countries indicates that considerable emphasis has been placed on the predictive validity criterion, as measured by the R2 statistic. However, the interpretation of the findings has been affected greatly by the methods used, especially the treatment and definition of outlier cases. Furthermore, the extent to which other evaluation criteria have been addressed has varied widely. In the absence of minimum evaluation standards, it is not possible to draw clear-cut conclusions about the superiority of one version of a casemix system over another, the need for a local adaptation, or the further development of an existing version. Without the evidence provided by properly designed studies, policy-makers and managers may place undue reliance on subjective judgments and the views of the most influential, but not necessarily best informed, healthcare interest groups.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the performance of diagnosis-related groups and similar casemix systems: methodological issues

Palmer

Reid

2001

Health Serv Manage Res

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“…For example, both Postma and colleagues 65 and Rhodes and colleagues 66 found variations in average length of stay when an identical treatment was implemented in similar populations in several countries simultaneously. In part, this variation is a result of other factors discussed in this section such as clinical practice variations.…”

mentioning

confidence: 99%

Generalisability in economic evaluation studies in healthcare: a review and case studies

Sculpher

Fs²,

Manca³

et al. 2004

Health Technol Assess

319

297

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“…Within the scope of proceeding globalization of health care services, local and regional situations could lead to exploitation of price differences and finally to equalization [21]. Assimilations already exist in some EU countries with common borders, which are mostly facilitated by low monetary and non-monetary transaction costs (short distance, language, information advantage) [22]. Furthermore, transparency of health services within the EU is of growing interest.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis-Related Groups in Hand Surgery – a comparison of six European countries

Lotter

Amr²,

Chiarello³

et al. 2012

GMS German Medical Science; 10:Doc08; ISSN 1612-3174

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Comparing EU hospital efficiency using diagnosis-related groups

Cited by 17 publications

References 9 publications

Evaluation of the performance of diagnosis-related groups and similar casemix systems: methodological issues

Evaluation of the performance of diagnosis-related groups and similar casemix systems: methodological issues

Generalisability in economic evaluation studies in healthcare: a review and case studies

Diagnosis-Related Groups in Hand Surgery – a comparison of six European countries

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