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Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) - a potential model for monitoring and evaluating healthcare reform
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 3401808
Author(s) IDoC group,; Wild, Verina; Carina, Fourie; Frouzakis, Regula; Clarinval, Caroline; Fässler, Margrit; Elger, Bernice; Gächter, Thomas; Leu, Agnes; Spirig, Rebecca; Kleinknecht, Michael; Radovanovic, Dragana; Mouton Dorey, Corine; Burnand, Bernard; Vader, John-Paul; Januel, Jean-Marie; Biller-Andorno, Nikola
Author(s) at UniBasel Elger, Bernice Simone
Spirig, Rebecca
Leu, Agnes
Year 2015
Title Assessing the impact of DRGs on patient care and professional practice in Switzerland (IDoC) - a potential model for monitoring and evaluating healthcare reform
Journal Swiss Medical Weekly
Volume 145
Pages / Article-Number w14034
Keywords diagnosis related groups (DRG), cost containment, ethics, interdisciplinary research, healthcare reform, Switzerland
Mesh terms Algorithms; Cost Control; Diagnosis-Related Groups, economics; Ethics, Medical; Health Care Reform; Humans; Models, Organizational; Program Evaluation, methods; Quality of Health Care; Surveys and Questionnaires; Switzerland
Abstract The starting point of the interdisciplinary project "Assessing the impact of diagnosis related groups (DRGs) on patient care and professional practice" (IDoC) was the lack of a systematic ethical assessment for the introduction of cost containment measures in healthcare. Our aim was to contribute to the methodological and empirical basis of such an assessment.; Five sub-groups conducted separate but related research within the fields of biomedical ethics, law, nursing sciences and health services, applying a number of complementary methodological approaches. The individual research projects were framed within an overall ethical matrix. Workshops and bilateral meetings were held to identify and elaborate joint research themes.; Four common, ethically relevant themes emerged in the results of the studies across sub-groups: (1.) the quality and safety of patient care, (2.) the state of professional practice of physicians and nurses, (3.) changes in incentives structure, (4.) vulnerable groups and access to healthcare services. Furthermore, much-needed data for future comparative research has been collected and some early insights into the potential impact of DRGs are outlined.; Based on the joint results we developed preliminary recommendations related to conceptual analysis, methodological refinement, monitoring and implementation.
Publisher EMH Schweizerischer Arzteverlag
ISSN/ISBN 1424-7860 ; 1424-3997
Full Text on edoc Available
Digital Object Identifier DOI 10.4414/smw.2015.14034
PubMed ID
Document type (ISI) Journal Article

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