The debate over Diagnosis Related Groups
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With the advent of the Prospective Payment System (PPS) using Diagnosis Related Groups (DRGs) as a classification method, the pros and cons of that mechanism have been sharply debated. Grouping the comments into categories related to administration/management, DRG system and quality of care, a review of relevant literature highlights the pertinent attitudes and views of professionals and organizations. Points constantly argued include data utilization, meaningful medical classifications, resource use, gaming, profit centers, patient homogenieity, severity of illness, length of stay, technology limitations and the erosion of standards.
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- Wallace AG, Ellenbogen PS: DRGs: A Positive Side of the Ledger.North Carolina Medical Journal.45(4):232–233, 1984.
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- Beth Israel Hospital, Newark, N.J. Outline notes for address on DRGs. Undated.
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- Doremus HD: DRGs May Be Raising False Expectations.Hospitals.54(15):47–51 (August 1), 1980.
- Healthcare Financial Management Association. Analysis of Department of Health and Human Services Prospective Payment Proposal. Washington, D.C., January 14, 1983.
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- Ernst, Whinney:The Revised DRGs. Their Importance in Medicare Payments to Hospitals. E&W No. J58442. May 1983, p. 3.
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- Alper PR: Moderating Hospital Costs.Medical World News.25(10):76 (May 28), 1984.
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- American Medical News. DRGs Raise Questions for Medicine, Council Says.26(18):32 (May 13), 1983.
- The debate over Diagnosis Related Groups
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Volume 10, Issue 2 , pp 81-92
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