Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-25T17:01:03.900Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnosis-related groups: implications for psychiatry

Published online by Cambridge University Press:  02 January 2018

Femi Oyebode ,
Stuart Cumella ,
Gillian Garden  and
Sharon Binyon
Femi Oyebode*
Affiliation:
John Conolly Hospital, Birmingham B45 9BD
Stuart Cumella
Affiliation:
John Conolly Hospital, Birmingham B45 9BD
Gillian Garden
Affiliation:
John Conolly Hospital, Birmingham B45 9BD
Sharon Binyon
Affiliation:
John Conolly Hospital, Birmingham B45 9BD
*
Correspondence
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The escalating cost of medical care in most industrial countries has given impetus to several different strategies designed to impose limitations on cost and introduce efficiency into health care systems. In the United States of America, legislation was passed in 1983 to introduce a system of prospective payment for Medicare hospital expenditures. This change was a departure from the previous cost based reimbursement method and was based upon a categorisation of medical conditions into discrete groups termed diagnosis-related groups (DRGs). The intention of the American Congress in passing the legislation was to encourage hospitals to reduce cost without sacrificing quality of care.

Type
Articles
Information
Psychiatric Bulletin , Volume 14 , Issue 1 , January 1990 , pp. 1 - 3
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1990

References

Anon (1986) Psychiatry, medicare, and prospective payment. American Journal of Psychiatry, 143, 198–199.CrossRefGoogle Scholar
Coles, J. (1986) The myths and realities of DRGs in the NHS. Hospital and Health Services Review, 82, 28–31.Google ScholarPubMed
Dorwart, R. A. & Chartock, L. R. (1988) Psychiatry and the resource-based relative value scale. American Journal of Psychiatry, 145, 1237–1242.Google ScholarPubMed
English, J. T., Sharfstein, S. S., Scherl, D. J., Astrachan, B. & Muszynski, I. L. (1986) Diagnosis-related groups and general hospital psychiatry: The APA Study. American Journal of Psychiatry, 143, 131–139.Google ScholarPubMed
Fetter, R. B., Shin, Y., Freeman, J. L., Averill, R. F. & Thompson, J. D. (1980) Case mix definition by diagnosis related groups. Medical Care, 18 (Supplement), 1–53.Google ScholarPubMed
Garden, G., Oyebode, F. & Cumella, S. (1989) Audit in psychiatry. Psychiatric Bulletin, 13, 278–281.CrossRefGoogle Scholar
Ham, C. & Hunter, D. J. (1988) Managing Clinical Activity in the NHS. London: King's Fund Institute.Google Scholar
Mitchell, J. B., Dickey, B., Liptzin, B. & Sederer, L. I. (1987) Bringing psychiatric patients into the Medicare Prospective Payment System: Alternatives to DRGs. American Journal of Psychiatry, 144, 610–615.Google ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.