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EuroDRG – Diagnosis-Related Groups in Europe: towards Efficiency and Quality

EuroDRG – Diagnosis-Related Groups in Europe: towards Efficiency and Quality

Objective

Payment systems are fundamental to any health care system, introducing powerful incentives and fierce technical design complexities. DRG-systems aim at fairly assessing the costs of patient treatment, taking into account measurable patient characteristics such as diagnosis or comorbidity – but to a varying degree also interventions chosen. Using a representative sample of inpatient data on 10-12 “care episodes” (representing different medical specialties, diagnostic/ therapeutic procedures, usage of innovative devices & drugs) from hospitals in 10 EU countries (AUT, ENG, EST, FIN, FRA, GER, NET, POL, SPA, SWE), the EuroDRG Project aims at studying the importance of structural factors such as wage levels vis-à-vis established patient variables and “medical decision variables” (procedures or using new and emerging technologies) to explain variation in costs within and between European countries. This will allow fair efficiency comparisons among EU hospitals to ensure that DRG-systems provide the intended incentives. A second objective is to investigate the role the quality of care plays to explain costs, an area with practically no European studies but potentially important policy implications. To achieve its objectives, the project is organised in phases: 1. Analysis of national DRG-systems and development of a methodology for trans-national analysis; 2. Trans-national DRG issues - hospital cost functions, efficiency and quality; 3. Translation into practice, synthesis and recommendation. To achieve a high scientific quality and a high policy impact, the strategy involves (based on the successful FP6 HealthBASKET project): encouraging partners to publish in peer-reviewed journals; using excellent links to major international organisations; establishing an EU-wide hospital “benchmarking club”; organising seminars at major conferences; a final conference with invited experts; involving representatives from countries with emerging DRG-systems (Bulgaria, China, India).
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Coordinator

TECHNISCHE UNIVERSITAT BERLIN

Address

Strasse Des 17 Juni 135
10623 Berlin

Germany

Activity type

Higher or Secondary Education Establishments

EU Contribution

€ 1 059 280

Administrative Contact

Simone Ludwig (Ms.)

Participants (12)

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UNIVERSITY OF YORK

United Kingdom

EU Contribution

€ 320 544

SOCIALSTYRELSEN

Sweden

EU Contribution

€ 138 600

ECOLE DES HAUTES ETUDES EN SANTE PUBLIQUE

France

EU Contribution

€ 85 200

ERASMUS UNIVERSITAIR MEDISCH CENTRUM ROTTERDAM

Netherlands

EU Contribution

€ 21 136,80

INSTITUT DE RECHERCHE ET DOCUMENTATION EN ECONOMIE DE LA SANTE ASSOCIOATION

France

EU Contribution

€ 124 440

MEDIZINISCHE UNIVERSITAT INNSBRUCK

Austria

EU Contribution

€ 129 456

NARODOWY FUNDUSZ ZDROWIA

Poland

EU Contribution

€ 70 560

SIHTASUTUS POLIITIKAUURINGUTE KESKUS PRAXIS

Estonia

EU Contribution

€ 63 000

TERVEYDEN JA HYVINVOINNIN LAITOS

Finland

EU Contribution

€ 400 332

CONSORCIO MAR PARC DE SALUT DE BARCELONA

Spain

EU Contribution

€ 168 000

ERASMUS UNIVERSITEIT ROTTERDAM

Netherlands

EU Contribution

€ 178 783,20

EUROPEAN HEALTH MANAGEMENT ASSOCIATION LIMITED

Ireland

EU Contribution

€ 50 400

Project information

Grant agreement ID: 223300

Status

Closed project

  • Start date

    1 January 2009

  • End date

    31 December 2011

Funded under:

FP7-HEALTH

  • Overall budget:

    € 3 700 051,01

  • EU contribution

    € 2 809 732

Coordinated by:

TECHNISCHE UNIVERSITAT BERLIN

Germany

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