Diagnosis Related Groups (DRG) in Spanish General Hospitals: variability in average of lenght of stay and average of cost per case
Abstract
Objective:
DRG system groups patients with similar clinical characteristics and resource consumption. The main objective of this study is to examine the intra- and inter-DRG variability in average of length of stay and average of cost per case in general hospitals of the Spanish National Health System.Methodology:
A descriptive, retrospective, transversal, with inferential component study has been carried out on the management reports of 2009, about 46 general hospitals of the Spanish National Health System, comparing the data with those reported by the State Standard of DRG in 2008 (AP-DRG V23). The study has been carried out both for all hospitals and by regional health services.Results:
The descriptive study shows the existence of intra and inter-GRD variability, both for all hospitals, such as regional health services. Could not be demonstrated statistically the existence of intra-DRG variability, both for all hospitals, such regional health service.Conclusions:
It should further study the variability of inter and intra-GRD variability and factors affecting it. This system is not without variability, but to control should consider initiatives focused on DRGs for the study, control and prioritize decision making in both clinically and in management.Downloads
- Fórmula utilizada para el cálculo de la estancias totales (Español (España))
- Estimación del coste medio por proceso (Español (España))
- Criterios de inclusión y exclusión por servicios autonómicos de salud (Español (España))
- 11 GRD más representativos (Español (España))
- Variabilidad inter-GRD por servicios autonómicos de salud (Español (España))
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
