DRG system in Italy: Evaluation Of Different Reimbursements For Surgical Procedures At National, Regional And Hospital Level

Velleca, Maria; Petrarca, G.; Perrone, Fernanda

doi:10.1016/j.jval.2013.03.1246

Cited by 1 publication

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The LEA determined and ensured by the national government. However, since the decentralization of the Italian HS, the LEA has been delivered both in publicly and privately accredited hospitals by the Regional Health Service (RHS) and local health authorities [ 37 , 70 ]. Under this organisation, since 1995 reimbursement schemes have been based on DRGs (diagnosis-related groups).…”

Section: Resultsmentioning

confidence: 99%

“…Under this organisation, since 1995 reimbursement schemes have been based on DRGs (diagnosis-related groups). A system that classifies patients discharged by NHS hospitals in homogenous reimbursement groups [ 70 ]. Here, a CS is generally reimbursed at a higher value (€ 2092/2782, per procedure with/without complications) than a VD (€ 1272/1619 , per procedure with/without complications) [ 10 ].…”

Section: Resultsmentioning

confidence: 99%

“…2005 [ 69 ] Guidelines 3 4 3 3 3 2 3 4 25 (63%) Medium Velleca al. 2013 [ 70 ] Quantitative: retrospective cohort 4 4 3 4 3 3 3 4 28 (70%) High Cavalieri al. 2014 [ 71 ] Quantitative: retrospective cohort 3 5 5 3 3 2 5 2 28 (70%) High Contandrio- poulos al.2013 [ 72 ] Quantitative: economic data analysis 2 4 3 2 4 1 3 2 21 (53%) Medium Gruber al.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

“An unnecessary cut?” multilevel health systems analysis of drivers of caesarean sections rates in Italy: a systematic review

Longo

Odjidja

Beia

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Improvements in medical technologies have seen over-medicalization of childbirth. Caesarean section (CS) is a lifesaving procedure proven effective in reducing maternal and perinatal mortality across the globe. However, as with any medical procedure, the CS intrinsically carries some risk to its beneficiaries. In recent years, CS rates have risen alarmingly in high-income countries. Many exceeding the World Health Organisation (WHO) recommendation of a 10 to 15% annual CS rate. While this situation poses an increased risk to women and their children, it also represents an excess human and financial burden on health systems. Therefore, from a health system perspective this study systematically summarizes existing evidence relevant to the factors driving the phenomenon of increasing CS rates using Italy as a case study. Methods Employing the WHO Health System Framework (WHOHSF), this systematic review used the PRISMA guidelines to report findings. PubMed, SCOPUS, MEDLINE, Cochrane Library and Google Scholar databases were searched up until April 1, 2020. Findings were organised through the six dimensions of the WHOHSF framework: service delivery, health workforce, health system information; medical products vaccine and technologies, financing; and leadership and governance. Results CS rates in Italy are affected by complex interactions among several stakeholder groups and contextual factors such as the hyper-medicalisation of delivery, differences in policy and practice across units and the national context, issues pertaining to the legal and social environment, and women’s attitudes towards pregnancy and childbirth. Conclusion Mitigating the high rates of CS will require a synergistic multi-stakeholder intervention. Specifically, with processes able to attract the official endorsement of policy makers, encourage concensus between regional authorities and local governments and guide the systematic compliance of delivery units with its clinical guidelines.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%