Head-to-head comparison of length of stay, patients' outcome and satisfaction in Switzerland before and after SwissDRG-implementation in 2012: An observational study in two tertiary University Centres

Swiss Medical Weekly

Volumn 144, Issue , 2014, Pages

  Thommen, Désirée ^a   Weissenberger, Noemi ^a   Schuetz, Philipp ^b   Mueller, Beat ^b   Reemts, Christoph ^b   Hollerc, Thomas ^b   Schifferli, Juerg A ^a   Gerber, Martin ^a   Hug, Balthasar L ^a  

^a UNIVERSITY HOSPITAL BASEL   (Switzerland)

^b CANTONAL HOSPITAL AARAU   (Switzerland)

Author keywords

Basel University; Basel University Hospital; Cantonal Hospital Aarau; DRG; Fee for service; Internal medicine; Length of stay; Outcome; Quality of care; Surgery; SwissDRG

Indexed keywords

ACUTE HEART FAILURE; AGED; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; COMMUNITY ACQUIRED PNEUMONIA; COMPARATIVE STUDY; DISEASE EXACERBATION; FEMALE; HEALTH CARE PLANNING; HIP FRACTURE; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; KNOWLEDGE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PATIENT SATISFACTION; PROSPECTIVE STUDY; QUESTIONNAIRE; SWITZERLAND; UNIVERSITY HOSPITAL; COMMUNITY-ACQUIRED INFECTIONS; DIAGNOSIS RELATED GROUP; HEART FAILURE; HIP FRACTURES; HOSPITAL READMISSION; ORGANIZATION AND MANAGEMENT; PNEUMONIA; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; STATISTICS AND NUMERICAL DATA; TERTIARY CARE CENTER; TREATMENT OUTCOME; TRENDS; VERY ELDERLY;

AGED; AGED, 80 AND OVER; COMMUNITY-ACQUIRED INFECTIONS; DIAGNOSIS-RELATED GROUPS; FEMALE; HEART FAILURE; HIP FRACTURES; HOSPITALS, UNIVERSITY; HUMANS; LENGTH OF STAY; MALE; PATIENT READMISSION; PATIENT SATISFACTION; PNEUMONIA; PROSPECTIVE STUDIES; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUESTIONNAIRES; SWITZERLAND; TERTIARY CARE CENTERS; TREATMENT OUTCOME;

EID: 84903752749     PISSN: 14247860     EISSN: 14243997     Source Type: Journal    
DOI: 10.4414/smw.2014.13972     Document Type: Article

References (14)

1. Donaldson C, Magnussen J. DRGs: the road to hospital efficiency. Health Policy. 1992;21(1):47-64.
2. Davis C, Rhodes DJ. The impact of DRGs on the cost and quality of health care in the United States. Health Policy. 1988;9(2):117-31.
3. Busato A, von Below G. The implementation of DRG-based hospital reimbursement in Switzerland: A population-based perspective. Health Res Policy Syst. 2010;8:31.
4. Schuetz P, Albrich WC, Suter I,Hug BL,Christ-Crain M, Holler T, et al. Quality of care delivered by fee-for-service and DRG hospitals in Switzerland in patients with community-acquired pneumonia. Swiss Med Wkly. 2011;141:w13228.
5. Rosenthal MB. Beyond pay for performance - emerging models of provider-payment reform. N Engl J Med. 2008;359(12):1197-200.
6. Rosenthal MB. What works in market-oriented health policy? N Engl J Med. 2009;360(21):2157-60.
7. SwissDRG-AG. Fallpauschalen in Schweizer Spitälern: Basisinformationen für Gesundheitsfachleute. Available from: http://www.swissdrg.org/assets/pdf/de/Broschuere-SwissDRG-d-A4.pdf.
8. Fischer Wolfram. Die DRG Familie. 2008; Available from: http://www.fischer-zim.ch/textk-pcs-pdf/DRG-Familie-0801.pdf.
9. Busse R, Geissler A, Aaviksoo A, Cots F, Hakkinen U, Kobel C, et al. Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals? BMJ. 2013;346:f3197.
10. Bartkowski R. Length of hospital stay due to DRG reimbursement. Ther Umsch. 2012;69(1):15-21.
11. Weissenberger N, Thommen D, Schuetz P, Mueller B, Reemts C, Holler T, et al. Head-to-head comparison of fee-for-service and diagnosis related groups in two tertiary referral hospitals in Switzerland: an observational study. Swiss Med Wkly. 2013;143:w13790.
12. Manning WG, Basu A, Mullahy J. Generalized modeling approaches to risk adjustment of skewed outcomes data. J Health Econ. 2005;24(3):465-88. (Pubitemid 40461909)
13. BFS, B.f.S. Todesfälle: Anzahl, Entwicklung und Ursachen. 2013; Available from: http://www.bfs.admin.ch/bfs/portal/de/index/themen/14/02/04/key/ 01.html.
14. BFS, B.f.S. Durchschnittliche Spitalaufenthaltsdauer. Available from: http://www.bfs.admin.ch/bfs/portal/de/index/themen/14/01/keyw.html.