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This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.

Case-Mix --- Costing --- Diagnostic Related Groups --- Fee for Service --- Global Budget --- Health Financing --- Health System --- Hospital --- Patients --- Provider Payment --- Sustainability

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Diagnosis related groups --- Hospitalization insurance --- Hospitals --- Costs and Cost Analysis --- Economics, Hospital --- Patients --- Reimbursement Mechanisms --- Mechanism, Reimbursement --- Mechanisms, Reimbursement --- Reimbursement Mechanism --- Hospital Economics --- Economic, Hospital --- Hospital Economic --- Benevolent institutions --- Infirmaries --- Health facilities --- Case mix --- Casemix --- Clinical coding --- Diagnostic related groups --- DRGs (Medical care) --- Groups, Diagnosis related --- Hospital patients --- Cost control --- methods --- classification --- economics --- Classification --- Prospective payment --- Social welfare methods

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Case mix --- Quality of Health Care --- Hospital Administration --- Diagnosis related groups --- Hospitals --- Prospective payment --- Diagnosis-Related Groups. --- Disease --- classification. --- Diagnosis-Related Groups --- Case Mixes --- DRGs --- Diagnostic-Related Group --- Group, Diagnostic-Related --- Groups, Diagnostic-Related --- Case Mix --- DRG --- Diagnosis Related Groups --- Diagnosis-Related Group --- Diagnostic Related Group --- Diagnostic-Related Groups --- Group, Diagnosis-Related --- Group, Diagnostic Related --- Groups, Diagnosis-Related --- Groups, Diagnostic Related --- Hospital prospective payment --- Hospital prospective reimbursement --- Medicare hospital prospective payment --- Payment, Hospital prospective --- PPS (Medical care) --- Prospective payment, Hospital --- Prospective pricing, Hospital --- Prospective reimbursement, Hospital --- Reimbursement, Hospital prospective --- Hospitalization insurance --- Casemix --- Clinical coding --- Diagnostic related groups --- DRGs (Medical care) --- Groups, Diagnosis related --- Hospital patients --- classification --- Prospective reimbursement --- Rates --- Classification --- Diagnosis Related Group --- Group, Diagnosis Related --- Groups, Diagnosis Related --- Related Group, Diagnosis --- Related Groups, Diagnosis --- Diagnosis related groups - Cross-cultural studies --- Hospitals - Prospective payment

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Inhoudsopgave 1 Bepaling aantal verpleegkundigen op korte en lange termijn 2 Definitie en doel verpleegkundige patiëntenclassificatie 3 IJking van patiëntenclassificatiesystemen 4 Evaluatie van patiëntenclassificatiesystemen 5 Gebruik patiëntenclassificatiesystemen voor bepaling inzet van verpleegkundig personeel 6 Gebruik patiëntenclassificatie voor bepaling kosten verpleegkundige zorg 7 Voorbeelden van patiëntenclassificatiesystemen 8 San Joaquin-patiëntenclassificatiesysteem 9 Taaklijstsystemen voor algemene diensten 10 TISS (Therapeutic intervention scoring system) 11 Patiëntenclassificatiesystemen voor de geriatrische zorg 12 Patiëntenclassificatiesystemen voor gespecialiseerde diensten 13 Psychiatrische patiëntenclassificatiesystemen 14 Nabeschouwingen 15 Literatuuroverzicht gespecialiseerde patiëntenclassificatiesystemen

Hospitalisation --- Nursing --- Verpleegkunde --- Ziekenhuisopname --- Nursing Assessment. --- Nursing Care --- Diagnosis-Related Groups. --- Patients --- Nursing Staff, Hospital. --- Patient Care Planning. --- Academic collection --- 613.44 --- TISS(Therapeutic intervention scoring system) --- evaluatie --- geriatrie --- gezondheidszorg --- ijking --- kostprijs --- patiëntenclassificatie --- personeelsbeleid --- psychiatrie --- verpleegkunde --- Goals of Care --- Plans, Nursing Care --- Nursing Care Plans --- Care Goal --- Care Goals --- Care Plan, Nursing --- Care Planning, Patient --- Care Plans, Nursing --- Nursing Care Plan --- Plan, Nursing Care --- Planning, Patient Care --- Clinical Protocols --- Hospital Nursing Staffs --- Nursing Staffs, Hospital --- Staff, Hospital Nursing --- Staffs, Hospital Nursing --- Hospital Nursing Staff --- Assessment, Nursing --- Protocols, Nursing --- Nursing Protocols --- Assessments, Nursing --- Nursing Assessments --- Nursing Protocol --- Protocol, Nursing --- classification. --- Interne organisatie --- Patiëntenclassificatie --- Ziekenhuisverpleegkundigen --- Ziekenhuizen --- beleid --- Patiëntenclassificatie. --- Ziekenhuisverpleegkundigen. --- beleid. --- Case Mixes --- DRGs --- Diagnostic-Related Group --- Group, Diagnostic-Related --- Groups, Diagnostic-Related --- Case Mix --- DRG --- Diagnosis Related Groups --- Diagnosis-Related Group --- Diagnostic Related Group --- Diagnostic-Related Groups --- Group, Diagnosis-Related --- Group, Diagnostic Related --- Groups, Diagnosis-Related --- Groups, Diagnostic Related --- Nursing Assessment --- Diagnosis-Related Groups --- Nursing Staff, Hospital --- Patient Care Planning --- classification --- Diagnosis Related Group --- Group, Diagnosis Related --- Groups, Diagnosis Related --- Related Group, Diagnosis --- Related Groups, Diagnosis