Back to Search
Start Over
Defining care products to finance health care in the Netherlands
- Source :
- The European Journal of Health Economics
- Publication Year :
- 2011
- Publisher :
- Springer-Verlag, 2011.
-
Abstract
- A case-mix project started in the Netherlands with the primary goal to define a complete set of health care products for hospitals. The definition of the product structure was completed 4 years later. The results are currently being used for billing purposes. This paper focuses on the methodology and techniques that were developed and applied in order to define the casemix product structure. The central research question was how to develop a manageable product structure, i.e., a limited set of hospital products, with acceptable cost homogeneity. For this purpose, a data warehouse with approximately 1.5 million patient records from 27 hospitals was build up over a period of 3 years. The data associated with each patient consist of a large number of a priori independent parameters describing the resource utilization in different stages of the treatment process, e.g., activities in the operating theatre, the lab and the radiology department. Because of the complexity of the database, it was necessary to apply advanced data analysis techniques. The full analyses process that starts from the database and ends up with a product definition consists of four basic analyses steps. Each of these steps has revealed interesting insights. This paper describes each step in some detail and presents the major results of each step. The result consists of 687 product groups for 24 medical specialties used for billing purposes.
- Subjects :
- Process management
Databases, Factual
Medical Records Systems, Computerized
National Health Programs
Process (engineering)
Economics, Econometrics and Finance (miscellaneous)
Data analysis
Hospital Departments
Set (abstract data type)
Reimbursement Mechanisms
Statistical clustering
Health care
Medicine
Cluster Analysis
Humans
Operations management
Product (category theory)
Economics, Hospital
Research question
Casemix system
Diagnosis-Related Groups
Netherlands
Structure (mathematical logic)
Original Paper
business.industry
Health Policy
Decision Trees
Hospital Records
Data warehouse
Hospitals
Economics, Medical
DRG
Health Care Reform
Medical Records Department, Hospital
Hospital reimbursement
DBC
Health care reform
business
Subjects
Details
- Language :
- English
- ISSN :
- 16187601 and 16187598
- Volume :
- 13
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The European Journal of Health Economics
- Accession number :
- edsair.doi.dedup.....d863475fdc327ea7e2436a619af72ee5