Inpatient Treatment for Severe Nonsurgical Dermatological Disorders: Prevalence, Care Infrastructure and Reimbursement in Switzerland.
Details
Serval ID
serval:BIB_93DA4B6ABDD9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Inpatient Treatment for Severe Nonsurgical Dermatological Disorders: Prevalence, Care Infrastructure and Reimbursement in Switzerland.
Journal
Dermatology
ISSN
1421-9832 (Electronic)
ISSN-L
1018-8665
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
231
Number
3
Pages
260-268
Language
english
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Publication Status: ppublish
Abstract
Since 2012, Swiss inpatient dermatology is funded through a flat rate payment system based on diagnosis-related groups (DRGs).
To analyze the reimbursement of nonsurgically treated severe disorders of the skin under the system called SwissDRG.
Three retrospective, cross-sectional cohort studies were performed. Data sets were received from the Swiss Federal Office of Statistics (1,285,685 retained records), the five Swiss university hospitals (370,964 retained records) and our center (72,211 retained records).
Cases accounted for 0.04% of all hospitalizations nationwide, with 43.7% treated at university hospitals. Treatment at university hospitals produced a mean loss of USD 3,711 per case. Lyell syndrome cases were especially underfunded (mean loss USD 31,906). Extra-county admissions and direct referrals were significant predictors of total inpatient costs (p = 0.019 and p < 0.001, respectively).
We suggest grouping Lyell syndrome cases into burn DRGs and evaluating extra-county admissions and direct inpatient referrals as DRG split criteria.
To analyze the reimbursement of nonsurgically treated severe disorders of the skin under the system called SwissDRG.
Three retrospective, cross-sectional cohort studies were performed. Data sets were received from the Swiss Federal Office of Statistics (1,285,685 retained records), the five Swiss university hospitals (370,964 retained records) and our center (72,211 retained records).
Cases accounted for 0.04% of all hospitalizations nationwide, with 43.7% treated at university hospitals. Treatment at university hospitals produced a mean loss of USD 3,711 per case. Lyell syndrome cases were especially underfunded (mean loss USD 31,906). Extra-county admissions and direct referrals were significant predictors of total inpatient costs (p = 0.019 and p < 0.001, respectively).
We suggest grouping Lyell syndrome cases into burn DRGs and evaluating extra-county admissions and direct inpatient referrals as DRG split criteria.
Keywords
Adult, Aged, Aged, 80 and over, Cost of Illness, Cross-Sectional Studies, Dermatology/economics, Dermatology/methods, Female, Humans, Inpatients, Male, Middle Aged, Prevalence, Reimbursement Mechanisms/economics, Retrospective Studies, Skin Diseases/economics, Skin Diseases/epidemiology, Skin Diseases/therapy, Switzerland/epidemiology, Young Adult
Pubmed
Web of science
Publisher's website
Create date
27/08/2020 13:59
Last modification date
18/05/2022 5:36
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