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[绿激光治疗良性前列腺增生症:疾病诊断相关分组(DRG)系统中的医保报销困境]

[GreenLight laser therapy for benign prostatic hyperplasia: dilemma of reimbursement in the DRG system].

作者信息

Petschl S, Finter F, Gust K, Volkmer B G

机构信息

Urologische Universitätsklinik, Universität Ulm, Prittwitzstrasse 43, 89075, Ulm, Deutschland.

出版信息

Urologe A. 2009 Feb;48(2):177-82. doi: 10.1007/s00120-008-1885-0.

Abstract

KTP or GreenLight laser vaporization of the prostate has increasingly become an established approach in the last 5 years. Since the additional costs for this treatment were initially not included in the DRG system, there was an extra possibility in 2000-2007 for billing these services as so-called new methods of examination and treatment. Since 2008 there is a new DRG (M11Z) for this procedure, but it does not cover the costs incurred. The reasons for this are to be found in the inhomogeneous assignment of costs by the clinics conducting the calculations. An improved cost reflection can only be expected by concerted action on the part of those hospitals designated as calculators that administer GreenLight laser therapy.

摘要

在过去五年中,KTP或绿激光前列腺汽化术已日益成为一种既定的治疗方法。由于这种治疗的额外费用最初未包含在疾病诊断相关分组(DRG)系统中,在2000年至2007年期间存在将这些服务作为所谓新的检查和治疗方法计费的额外可能性。自2008年起,该手术有了新的DRG(M11Z),但它并未涵盖所产生的费用。原因在于进行计算的诊所成本分配不均。只有指定管理绿激光治疗的计算医院共同采取行动,才有望实现成本的更好反映。

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