English, Article edition: Diagnosis Related Group Costs in a Regulated Environment: A Note About Their Economic Interpretation Claude Le Pen; Gilles Berdeaux

User activity

Share to:
 
Bookmark: http://trove.nla.gov.au/version/93941
Physical Description
  • article
Language
  • English

Edition details

Title
  • Diagnosis Related Group Costs in a Regulated Environment: A Note About Their Economic Interpretation
Author
  • Claude Le Pen
  • Gilles Berdeaux
Physical Description
  • article
Notes
  • The availability of the Diagnosis Related Group (DRG) system for determining hospital costs in some European countries has encouraged its use in pharmacoeconomic evaluations. The DRG system was developed in the US to provide data for prospective payments for hospitals. However, the financing of hospitals in some European countries is still based on the so-called `global budget' approach. Therefore, results of pharmacoeconomic studies involving hospitals financed by the `global-budget' approach in which DRG costs have been used require careful consideration. The main points to consider are: 1. that most of the cost components constituting the DRGs are in fact charges fixed by the government. This cost-charge ratio varies significantly across different DRGs, altering economic consequences when cost-shifting between DRGs; 2. that there is rarely a perfect concordance between attributable cost (as proposed by the DRGs) and the definition of variable cost (as defined in economic evaluations); 3. from the Sickness Fund's point of view, the way DRGs could be interpreted is rather unclear: financing or bench-marking?; and 4. the perspective of DRG cost is a mixed patient-hospital perspective which is neither the societal nor the health insurance perspective generally used in pharmacoeconomic evaluations. In conclusion, the use of DRG costs is a major improvement for pharmacoeconomic evaluation. However, many hypotheses still need to be made in these studies, depending on the economic perspective of the study. Therefore, the results of pharmacoeconomic studies should be considered and discussed in line with the national financing system of the hospitals involved.
  • Hospitalisation, Pharmacoeconomics
  • RePEc:wkh:phecon:v:17:y:2000:i:2:p:115-120
Language
  • English
Contributed by
OAIster

Get this edition

  • Set up My libraries

    How do I set up "My libraries"?

    In order to set up a list of libraries that you have access to, you must first login or sign up. Then set up a personal list of libraries from your profile page by clicking on your user name at the top right of any screen.

  • All (1)
  • Unknown (1)
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.

User activity


e.g. test cricket, Perth (WA), "Parkes, Henry"

Separate different tags with a comma. To include a comma in your tag, surround the tag with double quotes.

Be the first to add a tag for this edition

Be the first to add this to a list

Comments and reviews

What are comments? Add a comment

No user comments or reviews for this version

Add a comment