Cost assessment and price setting of inpatient care in the Netherlands. The DBC case-mix system

被引:53
作者
Oostenbrink J.B. [1 ]
Rutten F.F.H. [1 ]
机构
[1] Institute for Health Policy and Management, Erasmus MC, 3000 DR Rotterdam
关键词
Case-mix; Diagnosis related groups; Diagnosis treatment combinations; Hospital reimbursement; Unit cost calculation;
D O I
10.1007/s10729-006-9096-y
中图分类号
学科分类号
摘要
In February 2005, a case-mix system based on 'diagnosis treatment combinations' (DBCs) was introduced in the Netherlands for the registration and reimbursement of hospital and medical specialist care. This paper describes the characteristics of the DBC system and how it is used for the reimbursement of hospitals. Prices for reimbursement are either based on fixed tariffs ('list A') or negotiated between health insurers and hospitals ('list B') and are partly based on information about unit costs of health care services. Because the DBC system is still under development we will describe the current situation (March 2006), but also focus on the most likely future developments. © Springer Science + Business Media, LLC 2006.
引用
收藏
页码:287 / 294
页数:7
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