Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) : a potential model for monitoring and evaluating healthcare reform.

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Version: author
Serval ID
serval:BIB_AA2BB53FF698
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) : a potential model for monitoring and evaluating healthcare reform.
Journal
Swiss Medical Weekly
Author(s)
Wild V., Carina F., Frouzakis R., Clarinval C., Fässler M., Elger B., Gächter T., Leu A., Spirig R., Kleinknecht M., Radovanovic D., Mouton Dorey C., Burnand B., Vader J.P., Januel J.M., Biller-Andorno N.
Working group(s)
The IDoC Group
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
145
Pages
w14034
Language
english
Notes
Publication types: Journal Article Publication Status: epublish. - IUMSP2015/02
Abstract
QUESTIONS UNDER STUDY: The starting point of the interdisciplinary project "Assessing the impact of diagnosis related groups (DRGs) on patient care and professional practice" (IDoC) was the lack of a systematic ethical assessment for the introduction of cost containment measures in healthcare. Our aim was to contribute to the methodological and empirical basis of such an assessment.
METHODS: Five sub-groups conducted separate but related research within the fields of biomedical ethics, law, nursing sciences and health services, applying a number of complementary methodological approaches. The individual research projects were framed within an overall ethical matrix. Workshops and bilateral meetings were held to identify and elaborate joint research themes.
RESULTS: Four common, ethically relevant themes emerged in the results of the studies across sub-groups: (1.) the quality and safety of patient care, (2.) the state of professional practice of physicians and nurses, (3.) changes in incentives structure, (4.) vulnerable groups and access to healthcare services. Furthermore, much-needed data for future comparative research has been collected and some early insights into the potential impact of DRGs are outlined.
CONCLUSIONS: Based on the joint results we developed preliminary recommendations related to conceptual analysis, methodological refinement, monitoring and implementation.
Keywords
Diagnosis related groups (DRG), cost containment, ethics, interdisciplinary research, healthcare reform, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
12/02/2015 15:27
Last modification date
20/08/2019 15:14
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