[Information on the use of the DRG system in health care in Bosnia-Herzegovina].

Improvement of the efficiency and effectivity of health care system is a task of high priority for social system because it is one of its crucial components. Health care system spends significantly great part of social budget. That is why its quality--directly or indirectly--influences other segments of social system. After five years of either total or partial destruction of health care capacities, facilities, resources, lack of human resources, as well due to total collapse of the economy in our country, the consequences of the aggression on Bosnia and Herzegovina require radical changes in respect of the organisation and structure of the health care system in Bosnia and Herzegovina. Concerning the fact that hospital system in Bosnia and Herzegovina is one of the most expensive segments of health care system, future reforms in health care system should be implemented primarily in this field. These reforms should consist of establishing of DRG system for control, evaluation, updating, financing and management of health care system to desired direction and way of development. In that regard, it is necessary to: improve actual computer capacities by application of new technologies; develop DRG and CASEMIX classification systems, following experiences of highly developed countries, and adapt it to our health care system; change financing system by following CASEMIX, and adapt CASEMIX step-by-step to implementation i.e.: department by department; hospital by hospital; in the last phase-to connect CASEMIX with network of integral information system of Sarajevo Canton and, later, with network of all other cantons in BiH. to educate medical staff about the implementation and use of DRG and CASEMIX in practice.