Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) : a potential model for monitoring and evaluating healthcare reform.

Détails

Ressource 1Télécharger: BIB_AA2BB53FF698.P001.pdf (461.82 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_AA2BB53FF698
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) : a potential model for monitoring and evaluating healthcare reform.
Périodique
Swiss Medical Weekly
Auteur(s)
Wild V., Carina F., Frouzakis R., Clarinval C., Fässler M., Elger B., Gächter T., Leu A., Spirig R., Kleinknecht M., Radovanovic D., Mouton Dorey C., Burnand B., Vader J.P., Januel J.M., Biller-Andorno N.
Collaborateur(s)
The IDoC Group
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
145
Pages
w14034
Langue
anglais
Notes
Publication types: Journal Article Publication Status: epublish. - IUMSP2015/02
Résumé
QUESTIONS UNDER STUDY: The starting point of the interdisciplinary project "Assessing the impact of diagnosis related groups (DRGs) on patient care and professional practice" (IDoC) was the lack of a systematic ethical assessment for the introduction of cost containment measures in healthcare. Our aim was to contribute to the methodological and empirical basis of such an assessment.
METHODS: Five sub-groups conducted separate but related research within the fields of biomedical ethics, law, nursing sciences and health services, applying a number of complementary methodological approaches. The individual research projects were framed within an overall ethical matrix. Workshops and bilateral meetings were held to identify and elaborate joint research themes.
RESULTS: Four common, ethically relevant themes emerged in the results of the studies across sub-groups: (1.) the quality and safety of patient care, (2.) the state of professional practice of physicians and nurses, (3.) changes in incentives structure, (4.) vulnerable groups and access to healthcare services. Furthermore, much-needed data for future comparative research has been collected and some early insights into the potential impact of DRGs are outlined.
CONCLUSIONS: Based on the joint results we developed preliminary recommendations related to conceptual analysis, methodological refinement, monitoring and implementation.
Mots-clé
Diagnosis related groups (DRG), cost containment, ethics, interdisciplinary research, healthcare reform, Switzerland
Pubmed
Web of science
Open Access
Oui
Création de la notice
12/02/2015 15:27
Dernière modification de la notice
20/08/2019 15:14
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