Skip to main content
Log in

Fallgruppensystem der "diagnosis related groups" in Deutschland

Prinzipien und Relevanz eines pauschalierenden Vergütungssystems für die Psychosomatische und Psychotherapeutische Medizin

  • Psychotherapie aktuell
  • Published:
Psychotherapeut Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  • Ashcraft ML, Fries BE, Nerenz DR et al. (1989) A psychiatric patient classification system. An alternative to diagnosis-related groups. Med Care 27:543–557

    Google Scholar 

  • Ben Tovim DI, Elzinga RH (1994) Making casemix work for psychiatry. Med J Aust 161 [Suppl]: 33–36

    Google Scholar 

  • Burgess P, Piris J, Buckingham W, Eagar K, Solomon S (1999) Developing a casemix classification for specialist mental health services. Casemix Quarterly 1:4-20

    Google Scholar 

  • Burgmer M, Freyberger HJ (2002) DRGs in der Psychiatrie und Psychotherapeutischen Medizin—Zur Bedeutung eines pauschalierenden Vergütungssystems. Psychiatr Prax 29:240–244

    Google Scholar 

  • Burgmer M, Heuft G, Freyberger HJ, Roeder N (2003) DRGs in der Psychiatrie und Psychotherapeutischen Medizin—Überblick über die Entwicklung alternativer Klassifikationen. Nervenarzt 74:204–210

    Google Scholar 

  • Coffey RM (1999) Casemix information in the United States: 15 years of management and clinical experience. Casemix Quarterly 1:7-16

    Google Scholar 

  • Cording C, Gaebel W, Spengler A et al. (1995) Die neue psychiatrische Basisdokumentation. Eine Empfehlung der DGPPN zur Qualitätssicherung im (teil-)stationären Bereich. Spektrum 1:3–41

    Google Scholar 

  • Dada M, White WD, Stokes HH, Kurzeja P (1992) Prospective payment for psychiatric services. J Health Polit Policy Law 17:483–508

    Google Scholar 

  • Department of Health and Aged Care (1998) Australian hospital morbidity data. Commonwealth of Australia

  • Deutsche Gesellschaft für Psychotherapeutische Medizin (DGPM) (2001) Die Einführung der DRG's in der Psychosomatik und Psychotherapie. 52. DKPM-Arbeitstagung, Bad Honnef

  • English JT, Sharfstein SS, Scherl DJ, Astrachan B, Muszynski IL (1986) Diagnosis-related groups and general hospital psychiatry: the APA Study. Am J Psychiatry 143:131–139

    Google Scholar 

  • Essock SM, Norquist GS (1988) Toward a fairer prospective payment system. Arch Gen Psychiatry 45:1041–1044

    Google Scholar 

  • Fetter RB, Shin Y, Freeman JL, Averill RF, Thompson JD (1980) Case mix definition by diagnosis-related groups. Med Care 18:1-53

    Google Scholar 

  • Forgione DA, D'Annunzio CM (1999) The use of DRGs in health care payment systems around the world. J Health Care Finance 26:66–78

    Google Scholar 

  • Frank RG, Lave JR (1985) The psychiatric DRGs. Are they different? Med Care 23:1148–1155

  • Freiman MP, Mitchell JB, Rosenbach ML (1987) An analysis of DRG-based reimbursement for psychiatric admissions to general hospitals. Am J Psychiatry 144:603–609

    Google Scholar 

  • Freiman MP, Ellis RP, McGuire TG (1989) Provider response to Medicare's PPS: reductions in length of stay for psychiatric patients treated in scatter beds. Inquiry 26:192–201

    Google Scholar 

  • Frick U, Barta W, Binder H (2001) Fallpauschalen in der stationär-psychiatrischen Versorgung. Empirische Evaluation im Land Salzburg. Psychiatr Prax 28 [Suppl 1]: S55–S62

  • Fritze J, Sass H, Moller HJ (1999) GKV-Gesundheitsreform 2000—Kabinettsentwurf des Gesetzes. Gemeinsame Stellungnahme der Deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN) und der Arbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie (AGNP). Nervenarzt 70:766–771

  • Health Care Financing Administration (1998) Procedure coding system. Deutsches Institut für Medizinische Dokumentation und Statistik, Cologne

  • Heuft G, Senf W, Wagener R, Pintelon C, Lorenzen J (1996) Individuelle Therapieziele: Zur Ergebnisdokumentation stationärer Psychotherapie aus Patienten- und Therapeutensicht. Z Klin Psychol Psychiatr Psychother 44:186–199

    Google Scholar 

  • Heuft G, Eich W, Henningsen P et al. (2002) Psychosomatic and psychotherapeutic medicine goes DRG—Prozeduren-Katalog OPS-301 2.1 als erster Schritt. Z Psychosom Med Psychother 48:90–103

    Google Scholar 

  • Horn SD, Chambers AF, Sharkey PD, Horn RA (1989) Psychiatric severity of illness. A case mix study. Med Care 27:69–84

    Google Scholar 

  • Kruckenberg P, Wolfersdorf M, Bauer M, Kunze H, Fritze J, Schmauss M (2001) Vergütung psychiatrischer Leistungen im Krankenhaus-Entgeltsystem (DRG-System)—Stellungnahme gegenüber der Deutschen Krankenhausgesellschaft (DKG). Nervenarzt 72:894–896

    Google Scholar 

  • Mason JC, Louks J, Backus F (1985) Patient-predicted length of stay and diagnosis-related-group reimbursement. Am J Psychiatry 142:369–371

    Google Scholar 

  • Maylath E (2000) DRGs in der psychiatrischen Krankenhausfinanzierung am Beispiel Ungarns. Ein Modell für Deutschland? Gesundheitswesen 62:633–645

  • McGuire TG, Dickey B, Shively GE, Strumwasser I (1987) Differences in resource use and cost among facilities treating alcohol, drug abuse, and mental disorders: implications for design of a prospective payment system. Am J Psychiatry 144:616–620

    Google Scholar 

  • Mitchell JB, Dickey B, Liptzin B, Sederer LI (1987) Bringing psychiatric patients into the Medicare prospective payment system: alternatives to DRGs. Am J Psychiatry 144:610–615

    Google Scholar 

  • Müller-Fahrnow W, Sakidalski B, Sommerhammer B, Wittkopf S (1993) Die Klassifikation therapeutischer Leistung (KTL) für den Bereich der medizinischen Rehabilitation. Prax Klin Verhaltensmed Rehabil 6:254–263

    Google Scholar 

  • Phelan M, McCrone P (1995) Effectiveness of diagnosis-related groups in predicting psychiatric resource utilization in the U.K. Psychiatr Serv 46:547–549

    Google Scholar 

  • Richter D (1999) Krankenhausbetriebsvergleich für psychiatrische Kliniken—Wie sinnvoll ist ein Vergleich der Behandlungsdauern nach Diagnose und Alter? Gesundheitswesen 61:227–233

    Google Scholar 

  • Rochell B, Roeder N (2000a) Australian refined-diagnosis related groups (AR-DRGs)—Ein Überblick. Krankenhaus 8: Sonderbeilage

  • Rochell B, Roeder N (2000b) Starthilfe DRGs. Die notwendige Vorbereitung im Krankenhaus. Krankenhaus, Sonderausgabe zur MEDICA: 1–24

  • Roeder N, Rochell B (2001) Adaptation des AR-DRG-Systems an die deutsche Behandlungswirklichkeit. Krankenhaus 12:1081–1092

    Google Scholar 

  • Rosenheck R, Massari L (1991) Psychiatric inpatient care in the VA: before, during, and after DRG-based budgeting. Am J Psychiatry 148:888–891

    Google Scholar 

  • Rupp A, Steinwachs DM, Salkever DS (1985) Hospital payment effects on acute inpatient care for mental disorders. Arch Gen Psychiatry 42:552–555

    Google Scholar 

  • Sargant SC, Scherl DJ, Muszynski IL (1988) The New Jersey experience with diagnosis-related groups. In: Scherl DJ, English JT, Sharfstein SS (eds) Prospective payment and psychiatric care. American Psychiatric Association, Washington, DC

  • Stoskopf C, Horn SD (1991) The Computerized Psychiatric Severity Index as a predictor of inpatient length of stay for psychoses. Med Care 29:179–195

    Google Scholar 

  • Taube C, Lee ES, Forthofer RN (1984a) Diagnosis-related groups for mental disorders, alcoholism, and drug abuse: evaluation and alternatives. Hosp Community Psychiatry 35:452–455

    Google Scholar 

  • Taube C, Lee ES, Forthofer RN (1984b) DRGs in psychiatry. An empirical evaluation. Med Care 22:597–610

    Google Scholar 

  • Taube CA, Thompson JW, Burns BJ, Widem P, Prevost C (1985) Prospective payment and psychiatric discharges from general hospitals with and without psychiatric units. Hosp Community Psychiatry 36:754–760

    Google Scholar 

  • Taube CA, Goldman HH, Lee ES (1988) Use of specialty psychiatric settings in constructing DRGs. Arch Gen Psychiatry 45:1037–1040

    Google Scholar 

  • Wallen J (1985) Use of short-term general hospitals by patients with psychiatric diagnosis: DHHS Publication PHS 86–3395. National Center for Health Services Research and Health Care Technology Assessment, Washington, DC

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Markus Burgmer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Burgmer, M., Roeder, N. & Heuft, G. Fallgruppensystem der "diagnosis related groups" in Deutschland. Psychotherapeut 48, 369–372 (2003). https://doi.org/10.1007/s00278-003-0329-y

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00278-003-0329-y

Navigation