German DRG system 2009. The perspectives for vascular surgery

被引：1

作者：

Wenke, A. ^{[1
]}

Franz, D. ^{[1
]}

Billing, A. ^{[2
]}

Schuetz, K. ^{[2
]}

Roeder, N. ^{[1
]}

机构：

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

[2] Klinikum Offenbach GmbH, Chirurg Klin Gefasschirurg 4, Offenbach, Germany

来源：

GEFASSCHIRURGIE | 2009年 / 14卷 / 04期

关键词：

Diagnosis related groups; Case allocation; Health economics;

D O I：

10.1007/s00772-009-0692-2

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Background. The German DRG (G-DRG) system was also further developed into version 2009 and changes concerning coding of diagnoses, medical procedures and the DRG structure were made which have a significant effect on vascular surgery. Methods. An analysis of the changes in relevant diagnoses, medical procedures and G-DRGs between the versions 2008 and 2009 was carried out based on the publications of the German DRG Institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI). Results. 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 on the range of activities of individual clinics. Conclusion. The restructuring of the G-DRG system for 2009 has led to another increase in complexity. High demands are made on correct and complete coding of complex vascular surgery cases. Quality of case allocation within the G-DRG system was improved. Despite many improvements further adjustments for the future of the G-DRG system are necessary, especially for cases with bilateral surgery and therapy of multiple drug-resistant infections.

引用

页码：275 / +

页数：8

共 50 条

[21] G-DRG system 2009
Fiori, W.
Liedtke-Dyong, A.
Lakomek, H. -J.
Buscham, K.
Lehmann, H.
Liman, W.
Fuchs, A. -K.
Bessler, F.
Roeder, N.
ZEITSCHRIFT FUR RHEUMATOLOGIE, 2009, 68 (06): : 498 - 509
[22] Cardiac and vascular surgery services in the 2011 version of the G-DRG system
Helling, H. E.
Roeder, N.
ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE, 2011, 25 (05): : 286 - 291
[23] Quality of case allocation of orthopedics and trauma surgery in the 2004 and 2014 versions of the German DRG system. An interim assessment of the development process
Franz, D.
Schemmann, F.
Selter, D. D.
Auhuber, T.
Gehweiler, D.
Roeder, N.
Siebert, H.
Mahlke, L.
UNFALLCHIRURG, 2014, 117 (10): : 946 - 956
[24] Depiction of heart surgery in the German DRG system 2019-current developments
Wenke, A.
Roeder, N.
Franz, D.
ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE, 2019, 33 (03): : 204 - 215
[25] How Does the German DRG System Differentiate and Reimburse Vitreoretinal Surgery in Diabetic Patients?
Krause, M.
Goldschmidt, A. J.
Berg, M.
Kropf, S.
Sachs, A.
Gatzioufas, Z.
Brueckner, K.
Seitz, B.
KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 2008, 225 (10) : 880 - 887
[26] Depiction of cardiac surgery in the modified German DRG system 2020-current developments
Wenke, A.
Roeder, N.
Franz, D.
ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE, 2020, 34 (03): : 184 - 193
[27] The German DRG system 2008 from the perspective of oncology and haematooncology
Franz, D.
Thalheimer, M.
Krych, M.
Ostermann, H.
Krause, S.
Haag, C.
Roeder, N.
ONKOLOGE, 2008, 14 (03): : 291 - 297
[28] Comparison of Hand Surgery in the German and Italian DRG Systems
Lotter, O.
Dolderer, J.
Stahl, S.
Atzei, A.
Haerle, M.
Schaller, H. E.
GESUNDHEITSWESEN, 2011, 73 (12) : 843 - 848
[29] HNO-Heilkunde, Kopf- und Hals-Chirurgie im G-DRG-System 2007ENT and head and neck surgery in the German DRG system 2007
D. Franz
N. Roeder
K. Hörmann
J. Alberty
HNO, 2007, 55 (7) : 532 - 537
[30] Abbildung der Herzchirurgie im G‑DRG-System 2019 – aktuelle EntwicklungenDepiction of heart surgery in the German DRG system 2019—current developments
A. Wenke
N. Roeder
D. Franz
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie, 2019, 33 : 204 - 215

← 1 2 3 4 5 →