[Interventional radiology and the medical applications of information systems: what consequences for the radiology department?].
The French health care system reform has introduced some changes in the distribution of hospital budgets according to the distribution of admitted patients in diagnosis related groups (DRGs). This new model of budget allocation does not take into account the more technical nature of some medical procedures and services and does not promote the implementation of new technologies. Using four simulated clinical cases, we studied the length of stay in different DRGs and the number of associated points (points d'indice synthétique d'activité, ISA). The addition of the interventional radiologic procedures did not modify the DRG (which remained unchanged from the initial DRG). In order to achieve recognition of the specific nature of interventional radiology procedures, a database should be created and an economical evaluation conducted.
Vergnenègre
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Unité Fonctionnelle d'Information Médicale, Hôpital Universitaire du Cluzeau, Limoges.
Druet-Cabanac
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Rymer
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D000367:Age Factors; D001649:Bile Duct Diseases / Q000175:diagnosis / Q000628:therapy; D002017:Budgets; D003933:Diagnosis; D003953:Diagnosis-Related Groups / Q000191:economics / Q000458:organization & administration; D004194:Disease / Q000145:classification; D004469:Economics, Hospital; D005260:Female; D005602:France; D015276:Health Care Rationing; D018166:Health Care Reform; D006751:Hospital Information Systems / Q000191:economics / Q000458:organization & administration; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy; D007902:Length of Stay / Q000191:economics; D011644:Puerperal Disorders / Q000175:diagnosis / Q000628:therapy; D011872:Radiology Department, Hospital / Q000191:economics / Q000458:organization & administration; D015642:Radiology, Interventional / Q000191:economics / Q000458:organization & administration; D013514:Surgical Procedures, Operative; D013812:Therapeutics; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000628:therapy
Radiologie interventionnelle et programme de médicalisation des systèmes d'information (PMSI): quelles conséquences pour un service de radiologie?