Journal of Community Health

, Volume 10, Issue 2, pp 81–92

The debate over Diagnosis Related Groups

  • Allen D. Spiegel
  • Florence Kavaler

DOI: 10.1007/BF01326513

Cite this article as:
Spiegel, A.D. & Kavaler, F. J Community Health (1985) 10: 81. doi:10.1007/BF01326513


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.

Copyright information

© Human Sciences Press 1985

Authors and Affiliations

  • Allen D. Spiegel
    • 1
  • Florence Kavaler
  1. 1.Department of Preventive Medicine and Community HealthDownstate Medical CenterBrooklyn