[The development of a case group concept for patients with mental diseases].
In the year 2000 the German legislative decided to implement a case-dependent reimbursement system in an acute inpatient setting beginning in 2003. The German-Diagnoses Related Group System (G-DRGs) will adopt the refined version of the Australian-Diagnoses Related Group System (AR-DRG, version 4.1). Based on empirical data and expertś panels the acute psychiatric hospitals have been exempted from the adoption of the case-based payment system. With regard to national and international experiences in the development of patient classification systems in psychiatry and medical rehabilitation this article illustrates the development of a case group concept for patients with mental disorders.
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf. sandreas@uke.uni-hamburg.de
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S
Andreas
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Dirmaier
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U
Koch
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H
Schulz
D001315:Australia; D019090:Case Management; D003953:Diagnosis-Related Groups / Q000639:trends*; D005858:Germany; D006801:Humans; D007883:Legislation, Medical / Q000639:trends*; D001523:Mental Disorders / Q000145:classification* / Q000534:rehabilitation; D011569:Psychiatric Status Rating Scales; D011570:Psychiatry / Q000331:legislation & jurisprudence* / Q000639:trends*; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence