Franz D, Roeder N, Hörmann K, Alberty J
DRG-Research-Group, Universitätsklinikum Münster, Domagkstrasse 20, 48129, Münster, Deutschland.
HNO. 2008 Sep;56(9):874-80. doi: 10.1007/s00106-008-1761-7.
Further developments in the German DRG system have been incorporated into the 2008 version. For ENT medicine and head and neck surgery significant changes concerning coding of diagnoses, medical procedures and concerning the DRG-structure were made.
Analysis of relevant diagnoses, medical procedures and G-DRGs in the versions 2007 and 2008 based on the publications of the German DRG institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI).
Changes for 2008 focussed on the development of DRG structure, DRG validation and codes for medical procedures. The outcome of these changes for German hospitals may vary depending on the range of activities.
The G-DRG system has gained in complexity again. High demands are made on correct and complete coding of complex ENT and head and neck surgery cases. Quality of case allocation within the G-DRG system has been improved. For standard cases quality of case allocation is adequate. Nevertheless, further adjustments of the G-DRG system especially for cases with complex neck surgery are necessary.
德国疾病诊断相关分组（DRG）系统的进一步发展已纳入2008版。在耳鼻喉科医学以及头颈外科领域，诊断编码、医疗程序编码以及DRG结构方面都有重大变化。
基于德国DRG协会（InEK）和德国医学文献与信息研究所（DIMDI）的出版物，对2007版和2008版中的相关诊断、医疗程序和G-DRG进行分析。
2008年的变化集中在DRG结构的发展、DRG验证以及医疗程序编码方面。这些变化对德国医院的影响可能因活动范围而异。
G-DRG系统再次变得更加复杂。对于复杂的耳鼻喉科和头颈外科病例，要求正确且完整的编码。G-DRG系统内病例分配的质量有所提高。对于标准病例，病例分配质量是足够的。然而，G-DRG系统仍需进一步调整，特别是对于复杂颈部手术的病例。
