The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
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Author(s)Rastislav BriestenskyLink to ORCID Index: https://orcid.org/0000-0002-7842-9451
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Aleksandr KljučnikovLink to ORCID Index: https://orcid.org/0000-0003-0350-2658
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DOIhttp://dx.doi.org/10.21511/ppm.19(2).2021.22
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Article InfoVolume 19 2021, Issue #2, pp. 264-275
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The quality of healthcare management can have a significant impact on the healthcare results achieved. Results of hospital treatment are directly related to the patient’s health and quality of life, thus, it is necessary to examine the impact of different managerial approaches, including the ones related to financing, on indicators of healthcare provision. This article aims to determine whether there is a dependency between DRG-based (diagnosis-related groups) management of healthcare facilities and amenable mortality in the EU countries. Health expenditure per capita was measured in current international $, the number of doctors, nurses, and beds per 1,000 inhabitants were determined as the input factors, while amenable mortality was determined as the outcome factor. The order of the efficiency of the input-output ratio of individual countries was defined using DEA analysis. Subsequently, the countries with the own healthcare financing method were ranked versus the countries with DRG-based management and financing by the mean value between groups using the Mann-Whitney U-test, while no statistically significant dependence was found between them (p-value is 0.522-0.976 for 2012–2017). Thus, even though DRG-based hospital management has various expected benefits, such as better managerial efficiency and transparency of financing, this approach to healthcare financing and management does not significantly impact amenable mortality.
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JEL Classification (Paper profile tab)I11, I15, L32
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References54
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Tables2
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Figures2
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- Figure 1. ThetaOpt value in selected EU countries according to the selected model
- Figure 2. Amenable mortality (standardized death rate per 100 000 inhabitants) of selected countries
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- Table 1. ThetaOpt value for selected EU countries for 2012–2017
- Table 2. Mann-Whitney U-Test of the effectiveness of selected EU countries
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Personnel solutions for clinical risk management in hospitals: Evidence from the Czech Republic
Radka Prokešová
doi: http://dx.doi.org/10.21511/ppm.20(3).2022.08
Problems and Perspectives in Management Volume 20, 2022 Issue #3 pp. 95-104 Views: 424 Downloads: 180 TO CITE АНОТАЦІЯClinical risk management (CRM) is a specific form of risk management used in hospitals that focuses directly on clinical processes and indirectly on patient-related processes as well as on individuals, including their potential to make mistakes. The aim of this study was to describe and analyze the central CRM coordination in hospitals using the Czech version of the CRM monitoring tool developed for hospital environments. Quantitative research consisted of collecting and evaluating data using statistical methods. The research set consisted of responses from 53 participating hospitals recorded in the Czech version of the CRM monitoring tool. The results did not identify statistically significant differences among types of hospitals in terms of whether or not a person responsible for the central coordination of clinical risk management activities is designated in them. According to the findings, this fact does not affect the type of hospital or whether it is a public or private hospital. The paper also show that most hospitals have one person responsible for coordinating CRM who is often also employed as the hospital’s quality manager. In faculty hospitals, the person responsible for CRM is often a subordinate to the medical director or the deputy for medical care, etc. In city and other hospitals, they are usually directly subordinate to the director. The study showed that the person responsible for clinical risk management most often holds the quality manager position in hospitals.
Acknowledgment
This contribution was supported by the Faculty of Health and Social Sciences of the University of South Bohemia in České Budějovice as part of an individual internal research project of the ZSF USB entitled “Utilization of Clinical Risk Management in the Environment of Czech Hospitals” funded by the ZSF USB RVO.
