Trends and regional variation in rates of orthopaedic surgery in Germany: the impact of competition

Competition in hospital services has been fostered in an increasing number of OECD countries with the goal that hospitals improve quality and/or efficiency. With the same intention competition has been promoted in Germany when introducing a system of prospective payments based on diagnosis-related groups (DRGs) in 2003.[...]


Trends and regional variation in rates of orthopaedic surgery in Germany: the impact of competition (Springer).


DOI: 10.1007/s10198-018-0990-2