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Diagnosis Related Groups and variations in resource use for child delivery across 10 European countries


  • Zeynep Or

    (IRDES - Institut de Recherche et Documentation en Economie de la Santé - Institut de la Recherche et Documentation en Economie de la Santé)

  • Thomas Renaud

    (IRDES - Institut de Recherche et Documentation en Economie de la Santé - Institut de la Recherche et Documentation en Economie de la Santé)

  • Josselin Thuilliez

    () (CES - Centre d'économie de la Sorbonne - UP1 - Université Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique)

  • Cora Lebreton

    (EHESP - École des Hautes Études en Santé Publique [EHESP])


Childbirth is one of the main causes of hospitalisation for women, accounting for about 5% of hospital activity in most Organisation for Economic Co-operation and Development countries. We analysed the factors that explain variations in resource use for child delivery in ten European countries. We compared the performance of three models for explaining the variations in resource use (log cost or length of inpatient stay) at patient and hospital level. The first model used only the DRGs to which child deliveries were coded (MD), the second used a set of 'patient-level' and delivery specific explanatory variables (MP), and the third model combined both sets of variables (MF). Countries vary both in the number of DRGs and the criteria used to classify cases of child delivery (range: 3-8) and in the percentage of deliveries classified as 'delivery without complication' (range: 53-90%). The capacity of DRGs and patient level variables to explain cost variation for child birth ranges from 48% in Sweden to over 70% in Spain. There is room for improving current DRG classification in most countries, but this does not necessary imply multiplying the groups and/or complicating criteria. Countries with a higher number of DRGs do not always perform better.

Suggested Citation

  • Zeynep Or & Thomas Renaud & Josselin Thuilliez & Cora Lebreton, 2012. "Diagnosis Related Groups and variations in resource use for child delivery across 10 European countries," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-00719782, HAL.
  • Handle: RePEc:hal:cesptp:halshs-00719782
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    Cited by:

    1. repec:eee:socmed:v:183:y:2017:i:c:p:116-125 is not listed on IDEAS
    2. James Gaughan & Anne Mason & Andrew Street & Padraic Ward, 2012. "English Hospitals Can Improve Their Use of Resources: An Analysis of Costs and Length of Stay for Ten Treatments," Working Papers 078cherp, Centre for Health Economics, University of York.


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