Assessing the performance of a method for case-mix adjustment in the Korean Diagnosis-Related Groups (KDRG) system and its policy implications myDRG Stellenmarkt Gesundheitswesen

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Assessing the performance of a method for case-mix adjustment in the Korean Diagnosis-Related Groups (KDRG) system and its policy implications

Assessing the performance of a method for case-mix adjustment in the Korean Diagnosis-Related Groups (KDRG) system and its policy implications (BMC).

To evaluate the performance of the patient clinical complexity level (PCCL) mechanism, which is the patient-level complexity adjustment factor within the Korean Diagnosis-Related Groups (KDRG) patient classification system, in explaining...

To evaluate the performance of the patient clinical complexity level (PCCL) mechanism, which is the patient-level complexity adjustment factor within the Korean Diagnosis-Related Groups (KDRG) patient classification system, in explaining the variation in resource
consumption within age adjacent diagnosis-related groups (AADRGs).
[...]

Conclusions
Adjustment using the PCCL in the KDRG classification system exhibited low
performance in explaining the variation in resource consumption within AADRGs.
As the KDRG classification system is used for reimbursement under the new
DRG-based prospective payment system (PPS) pilot project, with plans for
expansion, there should be an overall review of the validity of the complexity
and rationality of using the KDRG classification system.
[...]


Quelle: BMC, 29.06.2021

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erschienen am Mittwoch, 30.06.2021