Reith H B
Chirurgische Klinik und Poliklinik, Universität Würzburg, Germany.
Zentralbl Chir. 2002 Aug;127(8):651-5. doi: 10.1055/s-2002-33569.
With the planned introduction of Diagnosis related groups (DRG) in the German in-patient reimbursement system an economic brake will be put on the hospitals. The upcoming expected growth of the older German population and the ongoing process of better diagnostic and therapeutic procedures leads to a gap between costs and resources in the established health care system. With the introduction of the DRGs starts a process of one payment for one main diagnosis in hospital care. This requires a better resource control and leads to a tightrope walk between medical and economic aspects. The short time consequences result in great efforts of correct coding of diagnoses and procedures, as a survival strategy for surgical departments. More or less are new structures necessary, the development of "clinical pathways" and the increase or decrease of capacities will become the main tasks in the next years.
随着德国住院报销系统计划引入诊断相关分组（DRG），医院将面临经济限制。预计德国老年人口即将增长，以及诊断和治疗程序不断优化，这导致现有医疗体系中成本与资源之间出现差距。随着DRG的引入，医院护理中针对一个主要诊断进行一次付费的流程开始了。这需要更好地控制资源，并导致在医疗和经济方面走钢丝。短期内的后果是诊断和程序的正确编码需要付出巨大努力，这是外科部门的生存策略。或多或少需要新的结构，“临床路径”的开发以及能力的增加或减少将成为未来几年的主要任务。
