Reforming reimbursement of public hospitals in Greece during the economic crisis

dc.contributor.author	Πολύζος, Νικόλαος	el
dc.contributor.author	Καρανίκας, Χαράλαμπος	el
dc.contributor.author	Θηραίος, Ελευθέριος	el
dc.contributor.author	Καστανιώτη, Κατερίνα	el
dc.contributor.author	Κοντοδημόπουλος, Νίκος	el
dc.date.accessioned	2015-06-16T17:46:06Z
dc.date.available	2015-06-16T17:46:06Z
dc.date.issued	2015-06-16
dc.identifier.uri	http://hdl.handle.net/11400/16224
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.sciencedirect.com	en
dc.subject	Δημόσια υγεία
dc.subject	Public health
dc.subject	Computers
dc.subject	Υπολογιστές
dc.subject	Νοσοκομεία
dc.subject	Οικονομική κρίση
dc.subject	Ελλάδα
dc.title	Reforming reimbursement of public hospitals in Greece during the economic crisis	en
heal.type	journalArticle
heal.secondaryTitle	implementation of a DRG system	en
heal.classification	Technology
heal.classification	Health
heal.classification	Τεχνολογία
heal.classification	Υγεία
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85133147
heal.classificationURI	http://skos.um.es/unescothes/C01771
heal.classificationURI	N/A-Τεχνολογία
heal.classificationURI	N/A-Υγεία
heal.identifier.secondary	doi:10.1016/j.healthpol.2012.09.011
heal.language	en
heal.access	campus
heal.publicationDate	2013-01
heal.bibliographicCitation	Polyzos, N., Karanikas, H., Thireos, E., Kastanioti, C. and Kontodimopoulos, N. (2013) Reforming reimbursement of public hospitals in Greece during the economic crisis: Implementation of a DRG system. "Health Policy", 109 (1), p.14–22	en
heal.abstract	Objectives Until recently, in-patient NHS hospital care in Greece was reimbursed via an anachronistic and under-priced retrospective per diem system, which has been held primarily responsible for continuous budget deficits. The purpose of this paper is to present the efforts of the Ministry of Health (MoH) to implement a new DRG-based payment system. Methods As in many countries, the decision was to adopt a patient classification from abroad and to refine it for use in Greece with national data. Pricing was achieved with a combination of activity-based costing with data from selected Greek hospitals, and “imported” cost weights. Data collection, IT support and monitoring are provided via ESY.net, a web-based facility developed and implemented by the MoH. Results After an initial pilot testing of the classification in 20 hospitals, complete DRG reimbursement data was reported by 113 hospitals (85% of total) for the fourth quarter of 2011. The recorded monthly increase in patient discharges billed with the new system and in revenue implies increasing adaptability by the hospitals. However, the unfavorable inlier vs. outlier distribution of discharges and revenue observed in some health regions signifies the need for corrective actions. Conclusions The importance of this reimbursement reform is discussed in light of the current crisis faced by the Greek economy. There is yet much to be done and many projects are currently in progress to support this effort; however the first cost containment results are encouraging.	en
heal.publisher	Elsevier	el
heal.journalName	Health Policy	el
heal.journalType	peer-reviewed
heal.fullTextAvailability	true