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Effects of the Austrian performance-oriented inpatient reimbursement system on treatment patterns: illustrated on cases with knee-joint problems

  • Michaela-Maria Schaffhauser-Linzatti


  • Achim Zeileis


  • Marion Rauner


This paper analyzes changes in the treatment patterns of inpatients due to the effects of the new Austrian performance-oriented inpatient payment system (LKF-system) introduced in 1997. The primary variables of interest are the inpatients’ length of stay (LOS) and the associated reimbursement points (LKF-points). We applied regression models to investigate treatment patterns of inpatients with knee-joint problems in Austria between 2002 and 2006. For both non-surgical and surgical groups, the number of cases increased. We revealed the Federal State-specific reimbursement features together with Federal State-specific Big Ticket technologies such as magnetic resonance imaging (MRI) and the age of the inpatients as the main influencing factors on average LOS and average LKF-points. The average LOS decreased for surgical groups and also resulted in a decline in the average LKF-points from 2002 to 2006, while for the non-surgical group both average LOS and average LKF-points slightly decreased from 2003 to 2006. Copyright Springer-Verlag 2009

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Article provided by Springer in its journal Central European Journal of Operations Research.

Volume (Year): 17 (2009)
Issue (Month): 3 (September)
Pages: 293-314

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Handle: RePEc:spr:cejnor:v:17:y:2009:i:3:p:293-314
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  1. Stepan, Adolf & Sommersguter-Reichmann, Margit, 1999. "Priority setting in Austria," Health Policy, Elsevier, vol. 50(1-2), pages 91-104, December.
  2. Smith, Peter C. & Stepan, Adolf & Valdmanis, Vivian & Verheyen, Piet, 1997. "Principal-agent problems in health care systems: an international perspective," Health Policy, Elsevier, vol. 41(1), pages 37-60, July.
  3. Ludwig Kuntz & Stefan Scholtes & Antonio Vera, 2007. "Incorporating efficiency in hospital-capacity planning in Germany," The European Journal of Health Economics, Springer, vol. 8(3), pages 213-223, September.
  4. Ludwig Kuntz & Stefan Scholtes, 2000. "Measuring the Robustness of Empirical Efficiency Valuations," Management Science, INFORMS, vol. 46(6), pages 807-823, June.
  5. Donaldson, Cam & Magnussen, Jon, 1992. "DRGs: The road to hospital efficiency," Health Policy, Elsevier, vol. 21(1), pages 47-64, May.
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