PMID: 15374154Nov 1, 1996Paper

Hospital payment system based on diagnosis related groups in Italy: early effects on elderly patients with heart failure

Archives of Gerontology and Geriatrics
E BrizioliE Paciaroni

Abstract

Prospective payment systems (PPS) based on diagnosis related groups (DRG) has recently been introduced in Italy and has already changed certain practice patterns of medical staff. Treatment of chronic diseases and those which specifically address the elderly population, such as chronic heart failure (CHF), can be strongly conditioned by this kind of system. This paper concerns an overview of CHF patients within the DRG system, supported by age-related variables, re-admission rates and cost analysis. We analyzed a sample of four hospitals in Central Italy and 1987 patients were admitted for CHF. The results show that after DRG introduction, length of stay was shorter, but re-admission rate increased, especially where the elderly were concerned. Average costs of service provision decreased, mainly due to the reduction in length of stay. However, no reduction was reported in the quality of care in terms of available diagnostic and the rapeutic resources. These early data indicate a change in the practice patterns of medical staff, including the risk of untimely discharge of elderly patients suffering from chronic diseases, for whom a long term monitoring system of service quality would be necessary.

References

May 1, 1976·The Yale Journal of Biology and Medicine·R B FetterR E Mills
Jan 1, 1990·Social Science & Medicine·E G Gay, J J Kronenfeld
Jun 1, 1988·American Journal of Public Health·M W Rich, K E Freedland
Jan 1, 1986·Health Affairs·M J Kalison, R F Averill
Jun 25, 1981·The New England Journal of Medicine·D W Simborg
Sep 1, 1994·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·C ColinY Matillon
Aug 5, 1993·The New England Journal of Medicine·S WoolhandlerJ P Lewontin
Dec 11, 1985·Academy of Management Review·R B Fetter, J L Freeman
Jan 1, 1995·Archives of Gerontology and Geriatrics·L QuattriniE Paciaroni

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Citations

Oct 30, 2003·Aging Clinical and Experimental Research·Enrico BrizioliLuigi Ferrucci
Oct 12, 2010·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S ChhabraR Bawaskar

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