The development of patient groupings for more effective management of health care. A comment

Hofdijk, Jacob

doi:10.1093/eurpub/7.2.215

Cited by 3 publications

(3 citation statements)

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“…The use of hospital admission data to perform utilization review (UR) as a means for cost-containment has been widely explored since the late 1970s, firstly in the US by the Centers of Medicare and Medicaid Services (CMS), and subsequently in European and other nations [4]. Early efforts focused on reducing the number of inpatient admissions and eliminating unnecessary hospital days.…”

Section: Discussionmentioning

confidence: 99%

Observations on the Ministry of Public Health Program of Support to the Hospitalization of Patients in Lebanon

Kronfol¹,

Khalife

Romanos³

et al. 2014

LMJ

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Lebanon has a highly fragmented health care system. The Lebanese population receives its health care services through a system dominated by the private sector that is dependent to a large extent on public sector financing. Lebanon spends about 8.3% of its Gross Domestic Product (GDP) on health. This study consists of observations on the utilization of the Ministry of Public Health (MOH) program of hospital care provision. The study population included all patients admitted for hospitalization in any of the 126 hospitals contracted with the MOH, between August 2008 and July 2009 (one full year). This review is limited to medical admissions only. The surgical admissions have been excluded since they are covered under a 'flat fee' reimbursement. Findings reveal that a significant proportion of the hospital admissions under this program are for conditions that may not need hospitalization. Moreover, most of these admissions receive care in relatively small and peripheral hospitals. The findings ought to lead to a further scrutiny of the ministry program of support to the hospitalization of its nationals. Measures may be indicated to improve the efficiency and effectiveness of hospital utilization, avoid waste and possibly fraud, and reconsider the role of small and peripheral hospitals within the health care system of the country.

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Section: Discussionmentioning

confidence: 99%

Observations on the Ministry of Public Health Program of Support to the Hospitalization of Patients in Lebanon

Kronfol¹,

Khalife

Romanos³

et al. 2014

LMJ

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“…1999, Mueller 2000). It is possible to analyse and use these comprehensive information sources in the planning and production of health care, as well as evaluating its productivity (Hofdijk 1997, Sanderson & Mountney 1997).…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, patient classification systems have been developed in a new way due to improved information systems that facilitate the receiving of complete information relating to patients, wards and hospitals (Levenstam & Bergbom Engberg 1997, Bjö rkgren et al 1999, Mueller 2000. It is possible to analyse and use these comprehensive information sources in the planning and production of health care, as well as evaluating its productivity (Hofdijk 1997, Sanderson & Mountney 1997.…”

Section: Introductionmentioning

confidence: 99%

Assessment of nursing management and utilization of nursing resources with the RAFAELA patient classification system – case study from the general wards of one central hospital

MSc¹,

Öhinmaa²

2005

Journal of Clinical Nursing

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An experience of utilization review in Europe: sequel to a BIOMED project

Lorenzo

Beech²,

Lang³

et al. 1999

International Journal for Quality in Health Care

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Development of utilization review in Europe has been carried out mostly on a voluntary basis and the main objective was not control. The experience varies widely: from France, where utilization review is still developing and research has been implemented by local teams, to Portugal, where utilization review programmes have been initiated by government authorities. At this point different initiatives in quality improvement, and more specifically in utilization review, are being developed within the European context.

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The development of patient groupings for more effective management of health care. A comment

Cited by 3 publications

References 0 publications

Observations on the Ministry of Public Health Program of Support to the Hospitalization of Patients in Lebanon

Observations on the Ministry of Public Health Program of Support to the Hospitalization of Patients in Lebanon

Assessment of nursing management and utilization of nursing resources with the RAFAELA patient classification system – case study from the general wards of one central hospital

An experience of utilization review in Europe: sequel to a BIOMED project

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