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Modelling of Healthcare Expenditures on Management of Patients with Diabetes Mellitus for Reimbursement under Diagnosis-Related Groups

Issue № 4 | 2018 (34)

DOI: https://doi.org/10.31556/2219-0678.2018.34.4.056-062 meta

Abstract

To improve the management of patients with diabetes mellitus (DM), a change to the current system of reimbursement for completed case treatment of this group of patients, followed-up in the outpatient departments of the hospitals, based upon obligatory health insurance fund was introduced. A new Diagnosis-Related Group (DRG) «Follow-up of patients» was proposed and proved to be listed in the medical register. Calculations based on the model of a patient with DM, who needs to be followed up and potentially has been diagnosed with complications of the disease. The model includes a patient’s stay in an outpatient department of the hospital for three days to be diagnosed and treated.

Keywords

diabetes mellitus, management and follow-up of patients, medical register, reimbursement for completed case treatment, diagnosis-related group.

For citations

Shestakova M. V., Zelenova O. V., Yarek-Martynova I. Ya., Abramov S. I., Vikulova O. K., Karpov O. I. Modelling of Healthcare Expenditures on Management of Patients with Diabetes Mellitus for Reimbursement under Diagnosis-Related Groups. Medical Technologies. Assessment and Choice. 2018; 4(34): 56–62.

mt_34_2018-4_56-62