Orthopedic and trauma surgery in the German-DRG-System 2009

被引：7

作者：

Franz, D. ^{[1
]}

Windolf, J. ^{[2
]}

Siebert, C. H. ^{[3
]}

Roeder, N. ^{[1
]}

机构：

[1] Univ Klinikum Munster, Geschaftsbereich Med Management Med Controlling, DRG Res Grp, D-48129 Munster, Germany

[2] Univ Klinikum Dusseldorf, Klin Unfall & Handchirurg, Dusseldorf, Germany

[3] Diakoniekrankenhaus Annastift, Klin 1, Hannover, Germany

来源：

UNFALLCHIRURG | 2009年 / 112卷 / 01期

关键词：

Orthopedic; Trauma surgery; Diagnosis-related groups; Health economics;

D O I：

10.1007/s00113-008-1530-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The German DRG-System was advanced into version 2009. For orthopedic and trauma surgery significant changes concerning coding of diagnoses, medical procedures and concerning the DRG-structure were made. Analysis of relevant diagnoses, medical procedures and G-DRGs in the versions 2008 and 2009 based on the publications of the German DRG-institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI). Changes for 2009 focussed on the development of DRG-structure, DRG-validation and codes for medical procedures to be used for very complex cases. The outcome of these changes for German hospitals may vary depending in the range of activities. G-DRG-System gained complexity again. High demands are made on correct and complete coding of complex orthopedic and trauma surgery cases. Quality of case-allocation within the G-DRG-System was improved. Nevertheless, further adjustments of the G-DRG-System especially for cases with severe injuries are necessary.

引用

页码：84 / 90

页数：7

共 10 条

[1]

BARTKOWSKI R, 2007, BDC ONLINE

[2]

Flohé S, 2008, UNFALLCHIRURG, V111, P856, DOI 10.1007/s00113-008-1512-y

[3] Definition of polytrauma in the German DRG system 2006.: Up to 30% "incorrect classifications" [J].

Flohe, S. ;

Buschmann, C. ;

Nabring, J. ;

Merguet, R. ;

Luetkes, P. ;

Lefering, R. ;

Nast-Kolb, D. ;

Ruchholtz, S. .

UNFALLCHIRURG, 2007, 110 (07) :651-658

[4] Orthopedic and trauma surgery in the German DRG system 2008 [J].

Franz, D. ;

Kaufmann, M. ;

Siebert, C. H. ;

Windolf, J. ;

Roeder, N. .

UNFALLCHIRURG, 2008, 111 (04) :268-276

[5] Can intensive medicine in trauma surgery still be financed? A cost analysis [J].

Hebler, U. ;

Muether, M. ;

Muhr, G. ;

Gekle, C. .

TRAUMA UND BERUFSKRANKHEIT, 2007, 9 (03) :163-166

[6]

HEIMIG F, 2009, 3M HLTH CARE FORUM 2

[7]

*I ENTG KRANK GGMB, 2007, KOMM MIGR 2009

[8]

Roeder N., 2008, ANPASSUNGSBEDARF VER

[9]

SCHLOTTMANN N, 2008, ARZT KRANKENHAUS, V10, P300

[10]

2009, FALLPAUSCHALENKATALO

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