DRG systems and similar patient classification systems in Europe

Conrad Kobel (1) , Josselin Thuilliez (2) , Martine Bellanger (3) , Karl-Peter Pfeiffer (1)

1 IMU - Innsbruck Medical University = Medizinische Universität Innsbruck
2 CES - Centre d'économie de la Sorbonne
3 EHESP - École des Hautes Études en Santé Publique [EHESP]

This chapter describes the historical origins of DRG-like PCSs in the countries included in this book. It provides an overview of some of the main characteristics of these systems and compares major diagnostic categories (MDCs) or similar categories that play an important role in most systems across the countries concerned. It presents the coding systems for diagnoses and procedures that form the basis of all PCSs. It describes the classification algorithms of the systems and looks in more detail at the specific classification variables used. Last, current trends in European DRG-like PCSs are described and a discussion of the opportunities and requirements for the harmonization of DRG-like PCSs in Europe is provided.

Mots clés: Diagnosis-Related Groups; Patient classification systems; Europe

Domaines: Economies et finances

Conrad Kobel, Josselin Thuilliez, Martine Bellanger, Karl-Peter Pfeiffer. DRG systems and similar patient classification systems in Europe. Reinhard Busse, Alexander Geissler, Wilm Quentin, Miriam Wiley. Diagnosis-Related Groups in Europe: moving towards transparency, efficiency and quality in hospitals, Mc Graw Hill Open University Press, pp.37-58, 2011, European Observatory on Health Systems and Policies Series, 978-0335245574. ⟨halshs-00643049⟩