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Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information

Functioning information constitutes a relevant component for determining patients’ service needs and respective resource use. Diagnosis-Related Group (DRG) systems can be optimized by integrating functioning information. First steps toward accounting for functioning information in the German DRG (G-...

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Autores principales: Hopfe, Maren, Stucki, Gerold, Bickenbach, Jerome E, Prodinger, Birgit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122243/
https://www.ncbi.nlm.nih.gov/pubmed/30202209
http://dx.doi.org/10.1177/1178632918796776
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author Hopfe, Maren
Stucki, Gerold
Bickenbach, Jerome E
Prodinger, Birgit
author_facet Hopfe, Maren
Stucki, Gerold
Bickenbach, Jerome E
Prodinger, Birgit
author_sort Hopfe, Maren
collection PubMed
description Functioning information constitutes a relevant component for determining patients’ service needs and respective resource use. Diagnosis-Related Group (DRG) systems can be optimized by integrating functioning information. First steps toward accounting for functioning information in the German DRG (G-DRG) system have been made; yet, there is no systematic integration of functioning information. The G-DRG system is part of the health system; it is embedded in and as such dependent on various stakeholders and vested interests. This study explores the stakeholder’s perspective on integrating functioning information in the G-DRG system. A qualitative interview study was conducted with national stakeholders in 4 groups of the G-DRG system (health policy, administration, development, and consultations). Interviews were analyzed using inductive thematic analysis. In total, 14 interviews were conducted (4 administration and 10 consultation group). Three main themes were identified: (1) functioning information in the G-DRG system: opportunities and obstacles, (2) general aspects concerning optimizing G-DRG systems by integrating additional information, and (3) ideas and requirements on how to proceed. The study offers insights into the opportunities and obstacles of integrating functioning information in the G-DRG system. The relevance of functioning information was evident. However, the value of functioning information for the G-DRG system was seen critically. Integrating functioning information alone does not seem to be sufficient and a systems approach is needed.
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spelling pubmed-61222432018-09-10 Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information Hopfe, Maren Stucki, Gerold Bickenbach, Jerome E Prodinger, Birgit Health Serv Insights Original Research Functioning information constitutes a relevant component for determining patients’ service needs and respective resource use. Diagnosis-Related Group (DRG) systems can be optimized by integrating functioning information. First steps toward accounting for functioning information in the German DRG (G-DRG) system have been made; yet, there is no systematic integration of functioning information. The G-DRG system is part of the health system; it is embedded in and as such dependent on various stakeholders and vested interests. This study explores the stakeholder’s perspective on integrating functioning information in the G-DRG system. A qualitative interview study was conducted with national stakeholders in 4 groups of the G-DRG system (health policy, administration, development, and consultations). Interviews were analyzed using inductive thematic analysis. In total, 14 interviews were conducted (4 administration and 10 consultation group). Three main themes were identified: (1) functioning information in the G-DRG system: opportunities and obstacles, (2) general aspects concerning optimizing G-DRG systems by integrating additional information, and (3) ideas and requirements on how to proceed. The study offers insights into the opportunities and obstacles of integrating functioning information in the G-DRG system. The relevance of functioning information was evident. However, the value of functioning information for the G-DRG system was seen critically. Integrating functioning information alone does not seem to be sufficient and a systems approach is needed. SAGE Publications 2018-09-03 /pmc/articles/PMC6122243/ /pubmed/30202209 http://dx.doi.org/10.1177/1178632918796776 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Hopfe, Maren
Stucki, Gerold
Bickenbach, Jerome E
Prodinger, Birgit
Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information
title Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information
title_full Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information
title_fullStr Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information
title_full_unstemmed Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information
title_short Accounting for What Matters to Patients in the G-DRG System: A Stakeholder’s Perspective on Integrating Functioning Information
title_sort accounting for what matters to patients in the g-drg system: a stakeholder’s perspective on integrating functioning information
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122243/
https://www.ncbi.nlm.nih.gov/pubmed/30202209
http://dx.doi.org/10.1177/1178632918796776
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