INSEAD Library

Includes bibliographical references and index

In 1983, the first patient classification system to be used on a national basis, the Diagnosis Relate Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them to adopt these systems? What similarities and differences were there among their experiences in implementing these systems? What can we learn about introducing change into national health systems by comparing their experiences? The Globalization of Managerial Innovation in Health Care answers these and other questions by examining patient classification systems in fifteen different countries throughout the world. The result is a remarkable collection of case studies of how change can be introduced effectively into national health systems as well as a careful synthesis of what can be learned from them.

Digitized

The Globalization of Managerial Innovation in Health Care Contents List of figures List of tables List of contributors Acknowledgements Introduction 1 Origins of DRGs in the United States: A technical, political and cultural story Jon Chilingerian 2 Casemix in the United Kingdom: From development to plans Steve Sutch Casemix implementation in Portugal Céu Mateus 4 From naïve hope to realistic conviction: DRGs in Sweden Rikard Lindqvist Casemix in Denmark Annette Søberg Roed and Hanne Sjuneson DRGs in France Xavière Michelot and Jean Marie Rodrigues Introduction and use of DRGs in Belgium Marie Christine Closon, Francis H. Roger France, and Julian Perelman page vii ix xi xiv 1 4 34 3 51 73 5 92 6 116 7 144 8 DRGs in Germany: Introduction of a comprehensive, prospective DRG payment system by 2009 Günter Neubauer and Florian Pfister 153 9 Casemix in Switzerland Hervé Guillain The first decade of casemix in Italy Paolo Tedeschi Casemix development and implementation in Australia Stephen J. Duckett Diagnosis procedure combination: The Japanese approach to casemix Shinya Matsuda 176 10 189 11 231 12 254 13 Casemix in Singapore Chien Earn Lee and Eng Kok Lim Experiences with the application of the DRG principle in Hungary Julia Nagy, Csaba Dózsa, and Imre Boncz Casemix systems -- past, present, and future: The Canadian experience Sandra Mitchell and André Lalonde 272 14 284 15 320 16 Conclusions: The global diffusion of casemix Thomas D'Aunno, John R. Kimberly, and Gérard de Pouvourville Index 346 373