[G-dRG version 2005: relevant aspects for dermatology].
One year after the obligatory implementation of a new hospital funding system based on Diagnosis Related Groups (DRG) the third version of a German DRG-system has been published. It differs significantly from the previous version. Modifications in the classification system and the introduction of further procedure-based payments contribute to a better depiction of specialized clinical services. A number of acknowledged problems which caused great discussion in 2004 have been solved, yielding a more appropriate mapping of clinical services. The algorithms of the major diagnostic categories have been modified and complications, comorbidities and/or multiple procedures will be considered more precisely in selecting a group. However, some inconsistencies concerning highly specialized medical procedures and special features of impatient dermatological care remain. Nevertheless, a great improvement over the previous versions is apparent. The crucial aspects of the G-DRG version 2005 and the accompanying rules and regulations of payment are reviewed in detail with special relevance to dermatology.
Hensen
Peter
P
Klinik und Poliklinik für Hautkrankheiten, Universitätsklinikum Münster. hensenp@mednet.uni-muenster.de
Fürstenberg
Torsten
T
Schiller
Meinhard
M
Luger
Thomas A
TA
Rompel
Rainer
R
Roeder
Norbert
N
D000465:Algorithms; D003695:Delivery of Health Care / Q000191:economics*; D003880:Dermatology / Q000191:economics*; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics; D004469:Economics, Hospital; D005858:Germany; D006801:Humans; D011445:Prospective Payment System / Q000191:economics*; D012871:Skin Diseases / Q000145:classification* / Q000191:economics*