Finanţarea DRG

DRG - diagnosis related groups este o metodă de finanţare utilizată pentru finanţarea spitalelor. Metoda a fost dezvoltată în SUA, ulterior fiind adoptată în mai multe ţări din lume, cu sau fără modificări, adaptări. în Europa prima ţară care a introdus această metodă a fost Ungaria, iar în zilele noastre majoritatea ţărilor europene utilizează deja această metodă pentru finanţarea spitalelor.

în România, după o perioadă de probă, metoda a fost introdusă în 2004, iniţial la spitalele mai mari, iar ulterior s-a extins la aproape toate spitalele care tratează cazuri acute. Azi aproape 300 spitale sunt finanţate după metoda DRG.

Iniţial s-a introdus o versiune a sistemului DRG din SUA, iar în 2007 s-a trecut pe varianta australiană de DRG. Aceasta este mai detaliată, şi mai atentă la consumurile de resurse datorate complicaţiilor şi / sau comorbidităţilor.

Din luna decembrie, 2010 s-a implementat sistemul de finantare Ro-DRG, o versiune DRG romanesc, bazat pe sistemul DRG australian, cu modificari minore.

Sistemul de finanţare DRG utilizat în România încă nu utilizează valori relative determinate pe baza măsurătorilor de costuri realizate în România. Această etapă importantă încă nu a fost parcursă, astfel, sistemul actual mai necesită îmbunătăţiri.

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