Contract-program evaluation: impact of the DRG classification system on hospitals' outputs

Detalhes bibliográficos
Autor(a) principal: Alves, Helder António Pereira Gomes
Data de Publicação: 2010
Tipo de documento: Dissertação
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/9867
Resumo: A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics
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spelling Contract-program evaluation: impact of the DRG classification system on hospitals' outputsContract-programDRG classification systemOutpatient incentivesUpcodingA Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and EconomicsThe present work project aims at evaluating the impact of contract-program implementation in 2003 and of incentives created in 2007 on hospital output, under the DRG inpatient classification system. A sample of five Portuguese acute public district hospitals was chosen as sample, between 2002 and 2007. Results of hypothesis testing shows positive significant effects on decreasing average lengths of stay, despite significant average age and case-mix increases verified after 2002. Increasing rates of elective outpatient surgeries were also proved significant. Effects of the introduction of 25 new medical outpatient DRG prices in 2007 were proven significant, even if a clear trend was not observable in terms of increases on outpatient discharges, exception made for DRG 410 (chemotherapy). Regression analysis, aiming at detecting upcoding effects in 109 DRG pairs, showed sensitiveness of fraction of the most complicated DRG on each pair to positive changes in DRG prices, for 3 out of 5 hospitals. However, average negative price changes verified for the considered timeframe cancelled expected upcoding effects.NSBE - UNLBarros, Pedro PitaRUNAlves, Helder António Pereira Gomes2013-06-11T14:31:07Z2010-012010-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10362/9867enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T03:43:14Zoai:run.unl.pt:10362/9867Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:19:05.590222Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
title Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
spellingShingle Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
Alves, Helder António Pereira Gomes
Contract-program
DRG classification system
Outpatient incentives
Upcoding
title_short Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
title_full Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
title_fullStr Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
title_full_unstemmed Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
title_sort Contract-program evaluation: impact of the DRG classification system on hospitals' outputs
author Alves, Helder António Pereira Gomes
author_facet Alves, Helder António Pereira Gomes
author_role author
dc.contributor.none.fl_str_mv Barros, Pedro Pita
RUN
dc.contributor.author.fl_str_mv Alves, Helder António Pereira Gomes
dc.subject.por.fl_str_mv Contract-program
DRG classification system
Outpatient incentives
Upcoding
topic Contract-program
DRG classification system
Outpatient incentives
Upcoding
description A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics
publishDate 2010
dc.date.none.fl_str_mv 2010-01
2010-01-01T00:00:00Z
2013-06-11T14:31:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/9867
url http://hdl.handle.net/10362/9867
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv NSBE - UNL
publisher.none.fl_str_mv NSBE - UNL
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799137835117182976

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