Erfahrungen der umsetzung von Diagnosis Related Groups (DRG) in der ungarischen augenheilkunde

Z. Lampé, A. Sebestyén, A. Berta, I. Boncz

Research output: Article

2 Citations (Scopus)

Abstract

Objective: The aim of our investigation is to analyse the effect of the introduction of the DRG (Diagnosis Related Groups) principle on the financing of ophthalmology care including the analysis of market share of ophthalmology. Data and Methods: Data of the study derive from the financial database of the Hungarian National Health Insurance Fund Administration (OEP) containing the monthly activity reports of health care providers. The financing of acute hospital care in Hungary is based on a case-mix system called Homogeneous Disease Groups (Homogén Betegségcsoportok, HBCS). The analysis covers the period between 1995 and 2003. We used the following indicators in order to analyse the market share of ophthalmology: financial cases (patients), DRG costweights and nursing days (length of stay). Results: From the DRG costweights - serving as a base value for financing - the market share of ophthalmology was 3.3-3.5% in 1995 -1996, but decreased to 2.6-2.7% in 1997-1998, and after a gradual increase since 1999 it went up to 3.4% in 2002-2003. The market share of ophthalmology from financial cases (patients) increased from 3.1-3.2% in 1995-1996 to 3.8 - 3.9% in 2002-2003. From the total number of nursing days ophthalmology had a market share of 2.4-2.6% in 1995-1996, which showed a further decrease to 2.2 -2.3% in 2002-2003. The average length of stay in ophthalmology decreased from 8 days (1995) to 4 days (2003). Conclusion: The frequent changes of the Hungarian DRG system had a significant effect on the financing of Hungarian ophthalmology care. The continuous changes in the regulation of financing and reimbursement represent a big challenge for ophthalmology.

Original languageGerman
Pages (from-to)575-579
Number of pages5
JournalKlinische Monatsblatter fur Augenheilkunde
Volume224
Issue number7
DOIs
Publication statusPublished - júl. 2007

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Diagnosis-Related Groups
Ophthalmology
Length of Stay
Nursing
Hungary
National Health Programs
Health Personnel
Demography
Databases

ASJC Scopus subject areas

  • Ophthalmology

Cite this

@article{cc4d0409b5b34eb8b080cba8d526ef7d,
title = "Erfahrungen der umsetzung von Diagnosis Related Groups (DRG) in der ungarischen augenheilkunde",
abstract = "Objective: The aim of our investigation is to analyse the effect of the introduction of the DRG (Diagnosis Related Groups) principle on the financing of ophthalmology care including the analysis of market share of ophthalmology. Data and Methods: Data of the study derive from the financial database of the Hungarian National Health Insurance Fund Administration (OEP) containing the monthly activity reports of health care providers. The financing of acute hospital care in Hungary is based on a case-mix system called Homogeneous Disease Groups (Homog{\'e}n Betegs{\'e}gcsoportok, HBCS). The analysis covers the period between 1995 and 2003. We used the following indicators in order to analyse the market share of ophthalmology: financial cases (patients), DRG costweights and nursing days (length of stay). Results: From the DRG costweights - serving as a base value for financing - the market share of ophthalmology was 3.3-3.5{\%} in 1995 -1996, but decreased to 2.6-2.7{\%} in 1997-1998, and after a gradual increase since 1999 it went up to 3.4{\%} in 2002-2003. The market share of ophthalmology from financial cases (patients) increased from 3.1-3.2{\%} in 1995-1996 to 3.8 - 3.9{\%} in 2002-2003. From the total number of nursing days ophthalmology had a market share of 2.4-2.6{\%} in 1995-1996, which showed a further decrease to 2.2 -2.3{\%} in 2002-2003. The average length of stay in ophthalmology decreased from 8 days (1995) to 4 days (2003). Conclusion: The frequent changes of the Hungarian DRG system had a significant effect on the financing of Hungarian ophthalmology care. The continuous changes in the regulation of financing and reimbursement represent a big challenge for ophthalmology.",
keywords = "Diagnosis Related Groups, Health care reform, Hospital financing, Hungary, Ophthalmology",
author = "Z. Lamp{\'e} and A. Sebesty{\'e}n and A. Berta and I. Boncz",
year = "2007",
month = "7",
doi = "10.1055/s-2006-927217",
language = "German",
volume = "224",
pages = "575--579",
journal = "Klinische Monatsblatter fur Augenheilkunde",
issn = "0023-2165",
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number = "7",

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T1 - Erfahrungen der umsetzung von Diagnosis Related Groups (DRG) in der ungarischen augenheilkunde

AU - Lampé, Z.

AU - Sebestyén, A.

AU - Berta, A.

AU - Boncz, I.

PY - 2007/7

Y1 - 2007/7

N2 - Objective: The aim of our investigation is to analyse the effect of the introduction of the DRG (Diagnosis Related Groups) principle on the financing of ophthalmology care including the analysis of market share of ophthalmology. Data and Methods: Data of the study derive from the financial database of the Hungarian National Health Insurance Fund Administration (OEP) containing the monthly activity reports of health care providers. The financing of acute hospital care in Hungary is based on a case-mix system called Homogeneous Disease Groups (Homogén Betegségcsoportok, HBCS). The analysis covers the period between 1995 and 2003. We used the following indicators in order to analyse the market share of ophthalmology: financial cases (patients), DRG costweights and nursing days (length of stay). Results: From the DRG costweights - serving as a base value for financing - the market share of ophthalmology was 3.3-3.5% in 1995 -1996, but decreased to 2.6-2.7% in 1997-1998, and after a gradual increase since 1999 it went up to 3.4% in 2002-2003. The market share of ophthalmology from financial cases (patients) increased from 3.1-3.2% in 1995-1996 to 3.8 - 3.9% in 2002-2003. From the total number of nursing days ophthalmology had a market share of 2.4-2.6% in 1995-1996, which showed a further decrease to 2.2 -2.3% in 2002-2003. The average length of stay in ophthalmology decreased from 8 days (1995) to 4 days (2003). Conclusion: The frequent changes of the Hungarian DRG system had a significant effect on the financing of Hungarian ophthalmology care. The continuous changes in the regulation of financing and reimbursement represent a big challenge for ophthalmology.

AB - Objective: The aim of our investigation is to analyse the effect of the introduction of the DRG (Diagnosis Related Groups) principle on the financing of ophthalmology care including the analysis of market share of ophthalmology. Data and Methods: Data of the study derive from the financial database of the Hungarian National Health Insurance Fund Administration (OEP) containing the monthly activity reports of health care providers. The financing of acute hospital care in Hungary is based on a case-mix system called Homogeneous Disease Groups (Homogén Betegségcsoportok, HBCS). The analysis covers the period between 1995 and 2003. We used the following indicators in order to analyse the market share of ophthalmology: financial cases (patients), DRG costweights and nursing days (length of stay). Results: From the DRG costweights - serving as a base value for financing - the market share of ophthalmology was 3.3-3.5% in 1995 -1996, but decreased to 2.6-2.7% in 1997-1998, and after a gradual increase since 1999 it went up to 3.4% in 2002-2003. The market share of ophthalmology from financial cases (patients) increased from 3.1-3.2% in 1995-1996 to 3.8 - 3.9% in 2002-2003. From the total number of nursing days ophthalmology had a market share of 2.4-2.6% in 1995-1996, which showed a further decrease to 2.2 -2.3% in 2002-2003. The average length of stay in ophthalmology decreased from 8 days (1995) to 4 days (2003). Conclusion: The frequent changes of the Hungarian DRG system had a significant effect on the financing of Hungarian ophthalmology care. The continuous changes in the regulation of financing and reimbursement represent a big challenge for ophthalmology.

KW - Diagnosis Related Groups

KW - Health care reform

KW - Hospital financing

KW - Hungary

KW - Ophthalmology

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