Hospital Performance Evaluation In Romania Through The "Diagnosis Related Groups" System

This study analyses the impact of using the Diagnosis Related Groups (DRG) system in public hospitals in Romania, looking at the main hospital performance indicators: average length of stay, bed occupancy rate, weighted case tariff (WCT) and case complexity index (CCI). The data analysed show a steady decline in the average length of hospital stay, associated with the development of day hospitalisation and outpatient services, as well as investments in infrastructure and modern medical equipment. Bed occupancy rates have varied significantly, but with a general upward trend, reflecting more efficient patient flow management and the adaptation of hospital structures to the real needs of the community. The increase in this indicator indicates both a more rational use of available resources and a better capacity to respond to complex medical demands. The WCR and CCI indicators showed an upward trend, reflecting improvements in the quality of medical care, diversification of services offered and optimisation of resource use. The evolution of these parameters demonstrates that the DRG system can stimulate medical and financial performance when supported by coherent health policies and consistent investment. The results highlight the importance of the DRG system as a management and financing tool capable of aligning the allocation of funds with the complexity and real needs of the patients treated. The study also highlights the need for continuous training of healthcare units to respond effectively to both the current demands of patients and the challenges posed by exceptional situations, such as the COVID-19 pandemic.