| Z I M | January 2008 |
Short Info: DBC (Netherlands) |
Wolfram Fischer
Zentrum für Informatik und wirtschaftliche Medizin
CH-9116 Wolfertswil SG
(Switzerland)
http://www.fischer-zim.ch/
Kapitel
H.2 aus:
The DRG Family
State of affairs: 2007
|
|
|
|
|
| |||||||||||||||||||||||||||||||
H.2 |
DBC – Diagnose-Behandeling-Combinaties (Netherlands) |
1 |
|||
1 For information on development and architecture of DBCs see: Westerdijk et al. [DBC structures, 2003] or Westerdijk/Ludwig [DBC structures, 2002]. – A comparative analysis with "conventional" DRG systems, and especially with the IR-DRG system can be found in: Welvaarts et al. [DBC, 2003]. |
A DBC describes a treatment episode from the first contact with the patient and formulation of his/her chief complaint ("zorgvraag" in Dutch) until the last check-up (including those related to rehabilitation services). This trans-sectoral approach thus comprises not only stationary, but also ambulatory (outpatient) care. A patient can be treated within several DBCs at the same time.1 |
2 | |||
2 HOPE [DRGs in EU, 2006]: 34. |
The decision to introduce DBCs was taken in the year 2000; as of 2005-01-01 complete data has been consistently collected and used for financing purposes.2 |
3 | |||
3 HOPE [DRGs in EU, 2006]: 30. For 2007, the website http://dbconderhoud.nl indicated around 29,000 DBCs. |
By 2006, about 29,000 DBCs had been defined and classified within 600 homogenous cost groups.3 |
4 | |||
4 HOPE [DRGs in EU, 2006]: 42+64. |
There are two DBC lists. DBCs on list "A" have fixed prices. For DBCs contained in list "B", prices can be negotiated, bearing in mind that maximum production have to be agreed upon.4 |
5 | |||
|
|||||
|
|||||
|
References |
||||
| European Hospital and Healthcare Federation. DRGs as a financing tool. 2006: 93 pp. Internet: http:// www.hope.be / 05eventsandpublications / docpublications / 77 _ drg _ report / 77 _ drg _ report _ 2006.pdf. | 6 | ||||
| Welvaarts R, Ludwig M, Hodijk J. Issues in Comparing the DBC and th IR-DRG Patient Classification Systems. In: Proceedings of the 19th PCS/E International Case Mix Conference, Washington 2003: 234–253. | 7 | ||||
| Westerdijk M, Ludwig M. Product Specification by Finding Homogeneous Groups of Care Episodes in Hospital Data. In: Proceedings of the 18th PCS/E International Case Mix Conference, Innsbruck 2002: 510–521. | 8 | ||||
| Westerdijk M, Ludwig M, Prins S, Misere B. Building the DBC Product Structure. In: Proceedings of the 19th PCS/E International Case Mix Conference, Washington 2003: 366–376. | 9 | ||||
Z I M
-
Zentrum für Informatik und wirtschaftliche Medizin
|
| Previous Chapter: | Tables of Contents: | Next Chapter: |
| Short Info: HBG (UK) | DRG Family | Short Info: Appendix |
| Navigations-Tabellen | ||
| Z I M - Hauptseite |
© Z I M
Source =
http://www.fischer-zim.ch/textk-pcs-en/t-H2-drg-fam-DBC-en-0801.htm
( latest compilation:
28.06.2013
)
![[print]](../PIC/e-div/print.gif)
![[pdf icon]](../PIC/e-div/pdf.gif)
Whole Text as pdf file
Kurz-Info: DBC (Niederlande)