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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

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Related Experiment Videos

[Health economic effects after DRG-implementation--a systematic overview].

T Reinhold1, K Thierfelder, F Müller-Riemenschneider

  • 1Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie - Charité Universitätsmedizin Berlin. thomas.reinhold@charite.de

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|March 17, 2009
PubMed
Summary

Germany

Related Experiment Videos

Area of Science:

  • Health economics
  • Hospital management
  • Public health policy

Context:

  • German hospitals transitioned to a prospective payment system based on diagnosis-related groups (DRGs) in 2004.
  • This reform aimed to control rising healthcare expenditures and shorten inpatient stays.
  • Previous reimbursement methods relied on daily rates, contributing to increased costs.

Purpose:

  • To analyze the health-economic consequences of implementing the DRG-based prospective payment system in Germany.
  • To evaluate the impact of DRGs on key financial and operational metrics within German hospitals.
  • To synthesize findings from existing literature on the German DRG system's economic effects.

Summary:

  • A systematic literature review identified 19 studies examining health-economic variables post-DRG implementation.
  • Key findings indicate a reduction in inpatient length of stay and hospital revenues, consistent with DRG objectives.
  • Analysis also covered case numbers, outpatient service proportions, diagnoses per case, and case group homogeneity, showing varied results.

Impact:

  • The introduction of DRGs in Germany has successfully reduced inpatient lengths of stay and hospital revenues.
  • The system's effects on other health-economic parameters remain inconsistent, necessitating further research.
  • Findings provide insights into the economic adjustments and challenges faced by hospitals under a DRG-based payment model.