Evaluation of Health Care activities in Pediatric Cardiology and Cardiosurgery Departments - The evaluation of Health Care activities, particulalarly of those concerning hospitals, is one of the most important tools of the National Health Service to obtain a "Fair" resource allocation. In the recent past, a great bulk of research has been focused on methods for patient classificatione according to resource needs. Diagnosis Related Groups (DRG) is one of the most important patient classification system related to resource allocation which has been developed in the U.S. Medicare Program (HCFA-DRGs) in the eighties and more recently adopted all over Europe. Italy included.The DRG system has proved to be valid but has also showed its limits, mostly concerning applicability outside U.S., identification of specific patient subgroups (like the pediatric patient population) and capability to distinguish between patients whit apparently similar resource needs, but different clinical severity conditions. In order to overcome such limits, DRGs Have been resource needs, but different clinical severity conditions. In order to overcome such limits, DRGS have been subjected to some important modifications. All patient DRG (AP-DRG)is a system payng more attention to some patient subgroups, such as pediatric one. Research is still looking for methods - easily extensible to the wohole hospital informative system- for distinguishing between patients whose conditions present diferent degrees of severity. In order to verifity the greater usfulness in a pediatric population of AP-DRG whith respect to HCFA-DRG and find further indexes for complexity and/or severity characterization of the Hospital case-mix, a work group was instituted ehith the coordination for the Organizational Unit the CREAS-CNR hospital in Pisa and the active participation of Pediatric Cardiosurgeons working in three National Pediatric Hospitals provided whith Cardiology and Cardiosurgery Departments: The ItalianSociety of Pediatric Cardiology as also represented in the Work Group.One of the most important activities promoted by the Work Group is a survey concerning the monitoring of impatients for one year starting from July 1st,1996. A first rough analysis is sheduled at six months of monitoring in order to early provide the Ministry of Health whith important parameters concerning typology of assistance and protocols. This pape describes the protocol of the survey.
Indagine per la valutazione dell'attività di Ricovero nei reparti di cardiologia e cardiochirurgia infantile
BALDACCI, SILVIA
1996
Abstract
Evaluation of Health Care activities in Pediatric Cardiology and Cardiosurgery Departments - The evaluation of Health Care activities, particulalarly of those concerning hospitals, is one of the most important tools of the National Health Service to obtain a "Fair" resource allocation. In the recent past, a great bulk of research has been focused on methods for patient classificatione according to resource needs. Diagnosis Related Groups (DRG) is one of the most important patient classification system related to resource allocation which has been developed in the U.S. Medicare Program (HCFA-DRGs) in the eighties and more recently adopted all over Europe. Italy included.The DRG system has proved to be valid but has also showed its limits, mostly concerning applicability outside U.S., identification of specific patient subgroups (like the pediatric patient population) and capability to distinguish between patients whit apparently similar resource needs, but different clinical severity conditions. In order to overcome such limits, DRGs Have been resource needs, but different clinical severity conditions. In order to overcome such limits, DRGS have been subjected to some important modifications. All patient DRG (AP-DRG)is a system payng more attention to some patient subgroups, such as pediatric one. Research is still looking for methods - easily extensible to the wohole hospital informative system- for distinguishing between patients whose conditions present diferent degrees of severity. In order to verifity the greater usfulness in a pediatric population of AP-DRG whith respect to HCFA-DRG and find further indexes for complexity and/or severity characterization of the Hospital case-mix, a work group was instituted ehith the coordination for the Organizational Unit the CREAS-CNR hospital in Pisa and the active participation of Pediatric Cardiosurgeons working in three National Pediatric Hospitals provided whith Cardiology and Cardiosurgery Departments: The ItalianSociety of Pediatric Cardiology as also represented in the Work Group.One of the most important activities promoted by the Work Group is a survey concerning the monitoring of impatients for one year starting from July 1st,1996. A first rough analysis is sheduled at six months of monitoring in order to early provide the Ministry of Health whith important parameters concerning typology of assistance and protocols. This pape describes the protocol of the survey.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
