Lüngen M, Lauterbach K W
Institut für Gesundheitsökonomie und Klinische Epidemiologie der Universität zu Köln, Cologne.
Rehabilitation (Stuttg). 2003 Jun;42(3):136-42. doi: 10.1055/s-2003-40096.
After introducing DRGs (Diagnosis-Related Groups) in the prospective payment system for German hospitals, the use of per-case reimbursement for medical rehabilitation as well is being discussed. In particular two systems have already been tested internationally. FIM-FRG were especially developed for a prospective payment system for inpatient rehabilitation facilities. RUG-III are used for reimbursing long-term care in nursing homes and are based on a per-day payment. It is recommended to test the FIM-FRG or one of the refined systems in Germany in a pilot project.
在德国医院的前瞻性支付系统中引入诊断相关分组(DRGs)之后,针对医疗康复按病例报销的使用也在进行讨论。特别是有两种系统已经在国际上进行了测试。功能独立性测量-功能相关组(FIM-FRG)是专门为住院康复机构的前瞻性支付系统开发的。资源利用组-第三版(RUG-III)用于养老院长期护理的报销,基于每日支付。建议在德国通过一个试点项目来测试FIM-FRG或其中一种改进后的系统。