serval:BIB_AA2BB53FF698
Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) : a potential model for monitoring and evaluating healthcare reform.
10.4414/smw.2015.14034
000349783700001
25668028
Wild
V.
author
Carina
F.
author
Frouzakis
R.
author
Clarinval
C.
author
Fässler
M.
author
Elger
B.
author
Gächter
T.
author
Leu
A.
author
Spirig
R.
author
Kleinknecht
M.
author
Radovanovic
D.
author
Mouton Dorey
C.
author
Burnand
B.
author
Vader
J.P.
author
Januel
J.M.
author
Biller-Andorno
N.
author
The IDoC Group
contributor
article
2015
Swiss Medical Weekly
1424-3997
0036-7672
journal
145
w14034
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.
Diagnosis related groups (DRG), cost containment, ethics, interdisciplinary research, healthcare reform, Switzerland
eng
60_published
true
peer-reviewed
Publication types: Journal Article Publication Status: epublish. - IUMSP2015/02
University of Lausanne
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