Head-to-head comparison of fee-for-service and diagnosis related groups in two tertiary referral hospitals in Switzerland: an observational study
| Autor: | Philipp Schuetz, Noemi Weissenberger, Juerg A. Schifferli, Balthasar L. Hug, Christoph Reemts, Beat Mueller, Martin Gerber, Désirée Thommen, Thomas Holler |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Exacerbation Referral Patient Readmission Cohort Studies Tertiary Care Centers Pulmonary Disease Chronic Obstructive Patient satisfaction Quality of life Surveys and Questionnaires medicine Humans Prospective Studies Prospective cohort study Diagnosis-Related Groups Aged Aged 80 and over Heart Failure Hip fracture business.industry Hip Fractures Fee-for-Service Plans General Medicine Pneumonia Length of Stay Middle Aged medicine.disease Patient Discharge Community-Acquired Infections Self Care Patient Satisfaction Cohort Disease Progression Quality of Life Female business Switzerland Cohort study |
| Popis: | * Contributed equally. Summary BACKGROUND: Reimbursement for inpatients in Switzerland differed among states until 2012. Some hospitals used diagnosis related groups (DRG) and others used fee-for-service (FFS). We compared length of hospital stay (LOS), patient satisfaction and quality of life between the two systems before a nation-wide implementation of DRG. METHODS: In a prospective, two-centre observational cohort study, we identified all patients with a main diagnosis of either community-acquired pneumonia, exacerbation of chronic pulmonary obstructive disease, acute heart failure or hip fracture from January to June 2011 and performed a systematic questionnaire survey 2‐4 months after hospital discharge. RESULTS: Of 1,093 inpatients, 450 were included. Mean age was 71.1 (±SD 19.5) years (48% male). Patients in the FFS hospital were older (mean age 74.8 vs. 65.2 years; p |
| Databáze: | OpenAIRE |
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