MEDLINE Journals

    The debate over diagnosis related groups.

    Authors
    Spiegel AD, Kavaler F 
    Source
    J Community Health 1985; 10(2) :81-92.
    Abstract

    With the advent of the Prospective Payment System (PPS) using Diagnosis Related Groups (DRGs) as a classification method, the pros and cons of that mechanism have been sharply debated. Grouping the comments into categories related to administration/management, DRG system and quality of care, a review of relevant literature highlights the pertinent attitudes and views of professionals and organizations. Points constantly argued include data utilization, meaningful medical classifications, resource use, gaming, profit centers, patient homogeneity, severity of illness, length of stay, technology limitations and the erosion of standards.

    Mesh
    Attitude of Health Personnel
    Diagnosis-Related Groups
    Evaluation Studies as Topic
    Financial Management
    Financial Management, Hospital
    Humans
    Medicare
    Prospective Payment System
    Quality of Health Care
    Reimbursement Mechanisms
    United States
    Language

    eng

    Pub Type(s)
    Journal Article
    PubMed ID

    3934232

    Content Manager
    Related Content

    PPS and quality care: can they coexist?

    DRGs: the counterrevolution in financing health care.

    DRG winners and losers affect profits under prospective payment.

    Measuring the effect of illness severity on revenue under DRGs.

    The impact of DRGs on the cost and quality of health care in the United States.

    Diagnosis related group prospective payment: implications for health care and medical technology.

    Cost containment, DRGs, and the ethics of health care. Ethical perspectives on prospective payment.

    The impact of DRG-based prospective payment on clinical decision making.