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Minimal data requirements for a continuous monitoring of the quality of care using the DRG classification

Information supplémentaire minimale nécessaire pour permettre un contrôle de la qualité des soins à l'aide de la classification par DRG

Mindestanforderungen an Daten zur kontinuierlichen Überwachung der Qualität der Spitalpflege mittels der DRG-Klassifikation

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Sozial- und Präventivmedizin/Social and Preventive Medicine

Summary

The DRG classification provides a useful tool for the evaluation of hospital care. Indicators such as readmissions and mortality rates adjusted for the hospital Casemix could be adopted in Switzerland at the price of minor additions to the hospital discharge record. The additional information required to build patients histories and to identify the deaths occurring after hospital discharge is detailed.

Résumé

La classification par DRG représente un instrument utile pour l'évaluation des soins hospitaliers. Des indicateurs tels que les taux de réadmissions ou de mortalité ajustés pour le Casemix de l'hôpital pourraient être adoptés en Suisse au prix d'adjonctions mineures au résumé de sortie. L'information minimale supplémentaire requise pour reconstruire l'histoire des patients et pour identifier les décès après sortie de l'hôpital est détaillée.

Zusammenfassung

Die DRG-Klassifikation ist ein nützliches Instrument zur Evaluation der Spitalbetreuung. In der Schweiz könnten Indikatoren — wie für die Patientenzusammensetzung standardisierte Wiedereinweisungsziffern oder Sterbeziffern—durch kleine Aenderungen der Spitalentlassungsformulare für eine solche Evaluation gewonnen werden. Der Artikel zeigt, welche zusätzlichen Informationen mindestens benötigt werden, um Krankengeschichten so zu ergänzen, dass Todesfälle auch nach der Spitalentlassung identifiziert werden können.

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Authors and Affiliations

  1. Institut universitaire de médecine sociale et préventive, Lausanne

    Brigitte Santos-Eggimann & Fred Paccaud

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  1. Brigitte Santos-Eggimann
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  2. Fred Paccaud
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Santos-Eggimann, B., Paccaud, F. Minimal data requirements for a continuous monitoring of the quality of care using the DRG classification. Soz Präventivmed 34, 188–191 (1989). https://doi.org/10.1007/BF02080410

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  • DOI: https://doi.org/10.1007/BF02080410

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