Fiori W, Lakomek H-J, Buscham K, Lehmann H, Liman W, Fuchs A-K, Hülsemann J L, Roeder N
DRG-Research-Group, Universitätsklinikum Münster, Domagkstrasse 20, 48129 Münster.
Z Rheumatol. 2008 May;67(3):241-51. doi: 10.1007/s00393-008-0280-y.
The G-DRG system 2008 once again brings many changes to rheumatological departments in Germany. The following article presents the main general and specific changes in the G-DRG system, as well as in the classification systems for diagnoses and procedures and in invoicing for 2008. Since the G-DRG system is only a tool for the redistribution of resources, every hospital needs to analyze the economic effects of the system by applying the G-DRG transition grouper to its own cases. Depending on their clinical focus, rheumatological departments may experience positive or negative effects from the system's application. The strain placed on hospitals by the inadequate funding of increased costs needs to be assessed separately from the effects of redistribution by the G-DRG system.
2008年的德国诊断相关分组(G-DRG)系统再次给德国的风湿病科带来了诸多变化。以下文章介绍了2008年G-DRG系统、诊断和治疗分类系统以及计费方面主要的一般变化和具体变化。由于G-DRG系统只是一种资源再分配工具,每家医院都需要通过将G-DRG转换分组器应用于自身病例来分析该系统的经济影响。根据各自的临床重点,风湿病科可能会因该系统的应用而产生正面或负面影响。成本增加但资金不足给医院带来的压力需要与G-DRG系统的再分配影响分开评估。