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Has the caveat of case-mix based payment influenced the quality of inpatient hospital care in Portugal?

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  • C. E. Dismuke
  • P. Guimaraes

Abstract

Portugal was the first country with a national health system to incorporate diagnosis related group (DRG) case-mix adjustment in formulating hospital budgets on a nation-wide basis. Most of the case-mix payment-outcomes literature comes from the USA where the quality of data is superior to that of many other countries. The purpose of this article is to assess the initial impact of case-mix financing on the quality of inpatient care in Portuguese hospitals using a methodology that may be appropriate for health care systems whose information is not as complete as that of the USA. Estimating a count data model at the hospital level with inpatient mortality as a quality indicator, the authors find no evidence that case-mix based payment has had adverse consequences on inpatient mortality for the most frequent non-obstetric DRG during the three year time period under study.

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Bibliographic Info

Article provided by Taylor & Francis Journals in its journal Applied Economics.

Volume (Year): 34 (2002)
Issue (Month): 10 ()
Pages: 1301-1307

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Handle: RePEc:taf:applec:v:34:y:2002:i:10:p:1301-1307

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Cited by:
  1. Hamada, Hironori & Sekimoto, Miho & Imanaka, Yuichi, 2012. "Effects of the per diem prospective payment system with DRG-like grouping system (DPC/PDPS) on resource usage and healthcare quality in Japan," Health Policy, Elsevier, vol. 107(2), pages 194-201.
  2. Moreno-Serra, Rodrigo & Wagstaff, Adam, 2009. "System-wide impacts of hospital payment reforms : evidence from central and eastern Europe and central Asia," Policy Research Working Paper Series 4987, The World Bank.

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