Научно-практический журнал Медицинские технологии. Оценка и выбор
  • Русский
  • English

Algorithm of Hospital Cases Classification in the Russian Model of Diagnostic Related Groups: Need for Improvement

Issue № 32 | 2018 (2)

DOI: https://doi.org/10.31556/2219-0678.2018.32.2.024-033 meta

Abstract

The classification algorithm is one of the key elements of the provider-payment system based on diagnostic related groups (DRG). Current version of the algorithm in Russian DRG system is described in a manual approved by the Federal Fund of Compulsory Medical Insurance. The algorithm determines the steps of computerized assignment of each hospital case to the DRG. Each region of Russia creates its own information system for classification of cases based on the approved algorithm. The article provides a brief analysis of the case-mix classification criteria and the classification algorithms in the Russian DRG model. The problems of the current algorithm are underlined and illustrated by the examples. Finally, the authors propose the ways for improving the algorithm.

Keywords

provider-payment methods in healthcare, diagnostic related groups (DRG), classification algorithm.

For citations

Fedyaev D. V., Akimov O. V., Zuev A. V. Algorithm of Hospital Cases Classification in the Russian Model of Diagnostic Related Groups: Need for Improvement. Medical Technologies. Assessment and Choice. 2018; 2(32): 24–33.

mt_32_2018-2_24-33