Title:

Diagnosis-related group prospective payment system in Poland – costs versus tariffs: the case of inguinal hernia

Group publication title:

Financial Sciences. Nauki o Finansach

Title in english:

Prospektywny system finansowania w Polsce oparty na jednorodnych grupach pacjentów – koszty versus przychody: przykład przepukliny pachwinowej

Creator:

Macuda, Małgorzata

Subject and Keywords:

DRG ; Diagnosis-Related Groups ; prospective payment system ; hospitals ; costs ; JGP ; jednorodne grupy pacjentów ; prospektywny system finansowania ; szpitale ; koszty

Description:

Financial Sciences. Nauki o Finansach, 2018, vol. 23, no. 3, s. 102-110

Abstrakt:

In the last 20 years many OECD countries have adopted some form of diagnosis-related group (DRG) prospective payment system to reimburse hospitals. In Poland, hospitals are also paid fixed prices, imposed by Narodowy Fundusz Zdrowia (NFZ) according to DRG, for patients treated. The aim of this paper is to calculate, analyze and compare the costs of patient conditions within the same DRG (F72 – inguinal hernia), collate these costs and the reimbursement from NFZ with the purpose of determining the net profit and then check if it matches bigger research samples. In order to realize the aim of the paper, a comparative and a content analysis of medicals documents and financial data were adopted, and Student’s t-test was performed. The Shapiro-Wilk test was applied to confirm the correctness of the research sample. The results revealed that the reimbursement for costs related to inguinal hernia treatment covers the costs of 90% of patient conditions from the research sample

Publisher:

Wydawnictwo Uniwersytetu Ekonomicznego we Wrocławiu

Place of publication:

Wrocław

Date:

2018

Resource Type:

artykuł

Format:

application/pdf

Resource Identifier:

doi:10.15611/fins.2018.3.08

Language:

eng

Relation:

Financial Sciences. Nauki o Finansach, 2018, vol. 23, no. 3

Rights:

Pewne prawa zastrzeżone na rzecz Autorów i Wydawcy

Access Rights:

Dla wszystkich zgodnie z licencją

License:

CC BY-NC-ND 3.0 PL

Location:

Uniwersytet Ekonomiczny we Wrocławiu