Based on the report of the Central Social Insurance Medical Council concerning the 2002 Revision of the Medical Service Fee Schedule, a new inclusive payment system was introduced in 82 special functioning hospitals (university hospitals, National Cancer Center, National Cardiovascular Center) in Japan in April 2003. Beginning in April 2004, the system was gradually extended to general hospital...

Hedgehog (Hh) signal transduction is directly required in zebrafish DRG precursors for proper development of DRG neurons. Zebrafish mutations in the Hh signaling pathway result in the absence of DRG neurons and the loss of expression of neurogenin1 (ngn1), a gene required for determination of DRG precursors. Cell transplantation experiments demonstrate that Hh acts directly on DRG neuron precur...

As desordens relacionadas ao glúten (DRG) afetam de 1% a 6% da população, com complicações e alto risco morbimortalidade em curto longo prazos. Desde 2009, o Brasil possui um Protocolo Clínico Diretrizes Terapêuticas para Doença Celíaca, entretanto, são comuns as queixas das pessoas DRG respeito falta conhecimento dos profissionais saúde nessa temática dificuldades cuidado relação tanto diagnós...

BACKGROUND Since 2012, Swiss inpatient dermatology is funded through a flat rate payment system based on diagnosis-related groups (DRGs). OBJECTIVE To analyze the reimbursement of nonsurgically treated severe disorders of the skin under the system called SwissDRG. METHODS Three retrospective, cross-sectional cohort studies were performed. Data sets were received from the Swiss Federal Offic...

Introduction Australia is currently undergoing a change in the Casemix payment environment. This is the result of an agreement to move to a more nationally-consistent approach to activity-based funding (ABF) for services provided in public hospitals. ABF for acute inpatients will be based on the Australian Refined DRG Casemix system, which is derived from the coded clinical data from each hospi...

This study was conducted to evaluate the ability of AN-DRG version 3.1 to predict variation in patients' length of stay in hospital (LOS) and identify other factors that can influence the LOS by using routinely collected hospital morbidity data. A total of 18 DRGs that comprised 4,589 episodes were analysed. Multiple regression was used to model length of stay as a function of a number of indep...

Despite the continuous implementation of government’s policy to strengthen NHI coverage, health insurance coverage rate is still relatively low compared other OECD countries. The increase in use non-essential non-covered medical services known be main cause, and cataract surgery receiving attention recently as a representative example.</br>A DRG payment system has covered surgery, ophthal...

Introduction In the last few years, the use of DRG in the model adopted to finance Portuguese hospitals has been subject to an extensive debate. In order to decide on the best method to achieve the desired efficiency goals, players in the healthcare system have carried out a wide debate to identify whether or not efficiency incentives exist in the adopted model. This discussion, in an effort to...