[Prospective payment in medical rehabilitation].
After introducing DRGs (Diagnosis-Related Groups) in the prospective payment system for German hospitals, the use of per-case reimbursement for medical rehabilitation as well is being discussed. In particular two systems have already been tested internationally. FIM-FRG were especially developed for a prospective payment system for inpatient rehabilitation facilities. RUG-III are used for reimbursing long-term care in nursing homes and are based on a per-day payment. It is recommended to test the FIM-FRG or one of the refined systems in Germany in a pilot project.
Lüngen
M
M
Institut für Gesundheitsökonomie und Klinische Epidemiologie der Universität zu Köln, Cologne. Luengen@igke.de
Lauterbach
K W
KW
D000203:Activities of Daily Living / Q000145:classification; D003365:Costs and Cost Analysis / Q000145:classification / Q000191:economics; D003431:Cross-Cultural Comparison; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics*; D005858:Germany; D006801:Humans; D009313:National Health Programs / Q000191:economics*; D010343:Patient Admission / Q000191:economics*; D011445:Prospective Payment System / Q000191:economics*; D012046:Rehabilitation / Q000145:classification / Q000191:economics*; D012047:Rehabilitation Centers / Q000191:economics; D012866:Skilled Nursing Facilities / Q000191:economics; D014481:United States