DRG-Systeme in der Versorgung von Patienten mit psychischen Störungen: Zur Konzeption eines Klassifikationssystems für Fallgruppen

In the year 2000 the German legislative decided to implement a case-dependent reimbursement system in an acute inpatient setting beginning in 2003. The German-Diagnoses Related Group System (G-DRGs) will adopt the refined version of the Australian-Diagnoses Related Group System (AR-DRG, version 4.1). Based on empirical data and expertś panels the acute psychiatric hospitals have been exempted from the adoption of the case-based payment system. With regard to national and international experiences in the development of patient classification systems in psychiatry and medical rehabilitation this article illustrates the development of a case group concept for patients with mental disorders.

[1]  N. Roeder,et al.  DRGs in der Psychiatrie und Psychotherapeutischen Medizin , 2003, Der Nervenarzt.

[2]  U. Koch,et al.  Zur stationären psychosomatisch-psychotherapeutischen Versorgung in Norddeutschland , 2002 .

[3]  H. Haaf Gesundheitsökonomische Analyse der Vergütung mit Fallpauschalen in der medizinischen Rehabilitation , 2002 .

[4]  J. Fritze,et al.  Vergütung psychiatrischer Leistungen im neuen Krankenhaus-Entgeltsystem (DRG-System) Stellungnahme gegenüber der Deutschen Krankenhausgesellschaft (DKG) , 2001, Der Nervenarzt.

[5]  C. Mueller The RUG-III case mix classification system for long-term care nursing facilities: is it adequate for nurse staffing? , 2000, The Journal of nursing administration.

[6]  K. Eagar,et al.  Subacute and non‐acute casemix in Australia , 1998, The Medical journal of Australia.

[7]  C. Granger,et al.  Development of function-related groups version 2.0: a classification system for medical rehabilitation. , 1997, Health services research.

[8]  A. Jette,et al.  The Functional Independence Measure: tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories. , 1996, Archives of physical medicine and rehabilitation.

[9]  Sankey V. Williams,et al.  A Case‐Mix Classification System for Medical Rehabilitation , 1994, Medical care.

[10]  D. Nerenz,et al.  A Psychiatric Patient Classification System: An Alternative to Diagnosis-Related Groups , 1989, Medical care.

[11]  R. Horn,et al.  Psychiatric Severity of Illness: A Case Mix Study , 1989, Medical care.

[12]  R. Coffey CASEMIX INFORMATION IN THE UNITED STATES: FIFTEEN YEARS OF MANAGEMENT AND CLINICAL EXPERIENCE , 1999 .

[13]  J. Pirkis,et al.  Developing a Casemix Classification for Mental Health Services: Summary , 1998 .

[14]  N. Ikegami,et al.  RUG-III and resource allocation: comparing the relationship of direct care time with patient characteristics in five countries. , 1997, Age and ageing.

[15]  G. Carpenter,et al.  Casemix for the elderly inpatient: Resource Utilization Groups (RUGs) validation project. Casemix for the Elderly Inpatient Working Group. , 1995, Age and ageing.