[Critical review of the financing system of Prospective Payment/ Diagnosis Related Groups, based on experience in the United States of America].
The authors survey the causes and results of introduction of DRG system. The main cause for the introduction of this system was the sudden rise of costs experienced in the early 80ties. The introduction was followed by a manifest slowing down of cost rise, then again it started to increase a little. The internal efficiency of the institutions improved, the most outstanding example for that was the shortening of the average nursing time, the increase of the rate of outpatient consultations. The absolute value of costs did not decrease in spite of that because on the one hand medical technics are continuously developing and getting more expensive, on the other hand health care cannot as well be independent from the general processes of economy. Summarized it can be stated that the introduction of the DRG system in the USA did achieve its goal because it was able to slow down the rise of costs without serious operation disorders.
Fábián
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Mathematica Incorporation, Princeton.
Kincses
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G
D014487:Centers for Medicare and Medicaid Services, U.S.; D003695:Delivery of Health Care; D003953:Diagnosis-Related Groups / Q000191:economics; D005380:Financing, Government; D017048:Health Care Costs; D006285:Health Planning; D006801:Humans; D006814:Hungary; D006278:Medicare; D011787:Quality of Health Care; D014481:United States