An Evaluation of Diagnosis-Related Group (DRG) Implementation Focused on Cancer DRGs in Greek Public Hospitals
An Evaluation of Diagnosis-Related Group (DRG) Implementation Focused on Cancer DRGs in Greek Public Hospitals (Springer).
The main aims of this study were to evaluate the Greek version of the diagnosis-related group reimbursement system (KEN-DRG) and to compare the KEN-DRG prices with the average actual cost of each group of study cases. Along with other aspects, the differences
between the KEN-DRG average length of stay (ALOS) and the actual ALOS was evaluated in selected cases.
The KEN-DRG payment system that was implemented in Greece for the first time in
2012 needs redesigning in terms of the true cost of hospital services and the
actual cost of each patient’s treatment. With regard to the existing KEN-DRG
reimbursement system, the current study suggested the use of a DRG price
calculation model that consists of a relative weight factor and a base price,
based on a real cost calculation process on an annual basis. Moreover, it
should be stressed that the present study, as well as other related studies,
make it possible to know the actual cost of hospitalization, and can contribute
to the creation of a cost database over time at the level of hospitals or
specific clinical departments.
Key Points for Decision Makers
The evaluation of cancer diagnosis-related groups (DRGs) revealed significant
payment disparities between the actual costs of hospitalization and the
hospital reimbursement amount.
The use of a new DRG price calculation model is proposed that consists of a
relative weighting factor and a base price, based on a real cost calculation
process on an annual basis.
The launch of the Greek DRG system triggered the need for further research in
order for the DRG model to fulfill its promise.
Quelle: Springer, 20.05.2019