What is DRG / PPS ?
نویسنده
چکیده
A trial project to introduce a Japanese version of the diagnostic related group/prospective payment system (DRG/PPS) was conducted at ten national hospitals from November 1998. However, many problems have surfaced—foremost among them were incomplete DRG classifications, inadequate reviews of payment amounts that simply reflected the past performance of the hospitals, and incomplete databases that lacked information on complications and other key components. In Japan, where documentation of patient data including discharge summaries is inadequate, one means of improving the existing situation is to emulate Europe, where the DRG is used as an indicator to help determine the budget for hospitals. However, even in such cases it should be limited to tertiary hospitals where database development and medical record audits are more easily achieved.
منابع مشابه
Charting a path forward: policy analysis of China's evolved DRG-based hospital payment system
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