Drg Information System, Healthcare Reforms and Innovation of Management in the Western Countries during the 90s: Where Are the Key Success Factors ?

Introduction: The history of case mix implementation in most of western countries during the 90s has been associated with several healthcare reforms, information technology development and managerial innovation in very different ways. Material and Method: We analyse the links between 4 different points in 10 countries: Australia, Belgium, France, Germany, Hungary, Italy, Norway, Portugal, The Netherlands and USA, and address the role of state governments, healthcare professionals, insurance industry, IT industry and people information availability. Results: We stress the limits of the comparison and propose a casemix of the 10 national situations in order to extract the key success factors of casemix implementation as well as the most negative factors. Conclusion: We conclude on the time schedule needed to change the healthcare system in the 10 countries which can be helpful for any country planning such a change.