Diagnoses Related Groups

Comparative information on health care systems has certainly improved in the last years. The Organisation for Economic Cooperation and Development (OECD), the World Health Organisation (WHO), the European Observatory on Health Systems and Policies and the European Commission worked a lot on it. HOPE tried to fill with its resources some gaps of knowledge in the field of financing. One of these is the use of Diagnoses Related Groups (DRGs) and more precisely the financial use of DRGs. In 2006, HOPE has found an opportunity to structure a first comprehensive study aimed at understanding and describing the use of the DRG system in Europe. Results were based on a questionnaire and provided HOPE members with comparative elements on the topic. With almost all EU countries answering the questionnaire, diversity is certainly the most obvious result of this work.

Determinants of diversity can be found in the classical distinction “tax based system/insurance system” but it is worth emphasizing upon the importance of decentralisation of European healthcare systems. The different level of investment in resources to develop DRGs and the political will behind it are major factors explaining this. Besides this complexity it is also clear that differences are increasing, making communication between systems more difficult. However, a common denominator is that the role of DRGs is never limited to financing. It becomes clear that in general the first goal of its introduction was transparency and that the financial use arrived second. Learn more in HOPE report “DRGs as a financing tool”.

EU Projects

Diagnosis-Related Groups in Europe: Towards Efficiency and Quality

Support creation of pilot network of hospitals related to payment of care for cross border patients