How is intensive care reimbursed? a review of eight European countries.

Martin-Immanuel Bittner 1, * Maria Donnelly 2 Arthur Van Zanten 3 Jakob Andersen 4 Bertrand Guidet 5, 6 Jose Trujillano Cabello 7 Shane Gardiner 2 Gerard Fitzpatrick 2 Bob Winter 8 Michael Joannidis 9 Axel Schmutz 1
* Auteur correspondant
1 Department of Anaesthesiology and Intensive Care Medicine
2 Department of Anaesthesia and Intensive Care
3 Intensive & Medium Care
4 Intensive Care Unit
5 Service des Soins Intensifs [CHU Saint-Antoine]
6 DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins
7 Medical ICU
8 Adult Intensive Care Unit
9 Division of Intensive Care and Emergency Medicine
Abstract : : Reimbursement schemes in intensive care are more complex than in other areas of healthcare, due to special procedures and high care needs. Knowledge regarding the principles of functioning in other countries can lead to increased understanding and awareness of potential for improvement. This can be achieved through mutual exchange of solutions found in other countries. In this review, experts from eight European countries explain their respective intensive care unit reimbursement schemes. Important conclusions include the apparent differences in the countries' reimbursement schemes---despite all of them originating from a DRG system, the high degree of complexity found, and the difficulties faced in several countries when collecting the data for this collaborative work. This review has been designed to help the intensivist clinician and researcher to understanding neighbouring countries' approaches to clinical life and to putting research into the context of a European perspective. In addition, steering committees and decision makers might find this a valuable source to compare different reimbursement schemes.
keyword : Intensive care unit Intensive care economics Reimbursement DRG system
Type de document :
Article dans une revue
Annals of Intensive Care, BioMed Central, 2013, 3 (1), pp.37. 〈10.1186/2110-5820-3-37〉
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Martin-Immanuel Bittner, Maria Donnelly, Arthur Van Zanten, Jakob Andersen, Bertrand Guidet, et al.. How is intensive care reimbursed? a review of eight European countries.. Annals of Intensive Care, BioMed Central, 2013, 3 (1), pp.37. 〈10.1186/2110-5820-3-37〉. 〈inserm-00907849〉

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