Spiegel A D, Kavaler F
J Community Health. 1985 Summer;10(2):81-92. doi: 10.1007/BF01326513.
With the advent of the Prospective Payment System (PPS) using Diagnosis Related Groups (DRGs) as a classification method, the pros and cons of that mechanism have been sharply debated. Grouping the comments into categories related to administration/management, DRG system and quality of care, a review of relevant literature highlights the pertinent attitudes and views of professionals and organizations. Points constantly argued include data utilization, meaningful medical classifications, resource use, gaming, profit centers, patient homogeneity, severity of illness, length of stay, technology limitations and the erosion of standards.
随着采用诊断相关分组（DRG）作为分类方法的前瞻性支付系统（PPS）的出现，该机制的利弊引发了激烈辩论。将评论分为与行政管理、DRG系统和医疗质量相关的类别，对相关文献的回顾凸显了专业人士和组织的相关态度及观点。持续争论的要点包括数据利用、有意义的医学分类、资源使用、博弈行为、利润中心、患者同质性、疾病严重程度、住院时间、技术限制以及标准的侵蚀。
