All Patient Refined-Diagnosis Related Group Classification for Hospitalized Patients With COVID-19

Ali, Kiran; Rao, Sanjana; Yarbrough, Shannon; Nugent, Kenneth

doi:10.1016/j.amjms.2021.02.005

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…The All Patient‐Refined Diagnosis‐Related Groups (APR‐DRGs) classification is currently used for reimbursement in some European countries such as Belgium, Spain, Portugal and Italy, some Arab countries, and more than 30 states in the United States. 9 Germany's DRGs are regulated under the Australian DRGs under the name G‐DRGS, 10 although DRGs are the primary means of reimbursement hospitals. However, it may jeopardize the main goals of hospital services, including the usual motivation set by DRGs to shorten a patient's stay in certain specialties, such as intensive care, which is high risk.…”

Section: Introductionmentioning

confidence: 99%

“…The main structure of DRGs was then modified by considering four levels of severity of illness, which refers to the degree of loss of function or physiologic decompensation of an organ system and risk of mortality. The All Patient‐Refined Diagnosis‐Related Groups (APR‐DRGs) classification is currently used for reimbursement in some European countries such as Belgium, Spain, Portugal and Italy, some Arab countries, and more than 30 states in the United States 9 . Germany's DRGs are regulated under the Australian DRGs under the name G‐DRGS, 10 although DRGs are the primary means of reimbursement hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Challenges of implementing diagnostic‐related groups and healthcare promotion in Iran: A strategic applied research

Asadi

Sabahi

Ramezanghorbani

et al. 2023

Health Science Reports

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Background and Aim Implementing the diagnostic‐related groups (DRGs) promotes the efficiency of healthcare. Therefore, the present study aimed to identify the challenges facing implementing the DRGs in Iran. Methods The present study is a strategic applied research conducted in two phases. In the first phase, the challenges facing DRGs were extracted through a literature review. Then the collected data is entered into a checklist consisting of five sections including technological, cultural, organizational, strategic, and natural challenges. In the second phase, data were collected by purposive sampling and semistructured interviews with 10 managers of the Medical Services Organization of Tehran, Iran. Data analysis was performed by conventional content analysis using MAXQDA software and descriptive using SPSS software version 19. Results The challenges facing the implementing DGRs from the experts' perspective included technological, organizational, nature, strategic, and cultural in order of priority. The three main fundamental challenges were reported; lack of integrating the DGRs with health information system (70%), frequent changes of management (70%), reducing the quality of care following early patient discharge (60%). Conclusion The results of the present study showed that the DRG system faced with challenges and healthcare officials should apply policies and guidelines to reform the system before changing the reimbursement system in Iran. By considering the leading countries experiences in the nationalizing the DRG system field, the problems and solutions of the system can be identified and aid in the more successful implementation of these systems.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Challenges of implementing diagnostic‐related groups and healthcare promotion in Iran: A strategic applied research

Asadi

Sabahi

Ramezanghorbani

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…To measure the overall admission severity due to COVID-19, we used four subclasses of severity of illness and four subclasses of risk of mortality. Risk of mortality and severity of illness measures were derived from the All-Patient Diagnosis Related Group (APR-DRG) algorithm [23]. Severity of illness is defined as the extent to which organ systems lose function or have physiologic decomposition, classified as minor, moderate, major, and extreme.…”

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confidence: 99%

Onset of Mental Disorders Following Hospitalization for COVID-19: A 6-Month Follow-Up Study

Chamorro

De-Antonio

Porras-Segovia

et al. 2023

COVID

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(1) Background: The present study aimed to investigate the onset of mental disorders in the six months following hospitalization for COVID-19 in people without a previous psychiatric history. (2) Methods: This was a longitudinal study carried out among adults who had been hospitalized due to COVID-19 infection. Six months after discharge, a series of questionnaires were administered (the World Health Organization Well-being Index (WHO-5), the Patient Health Questionnaire-9, the General Anxiety Disorder Questionnaire-7, and the Drug Abuse Screen Test, among others). Based on these scores, a compound Yes/No variable that indicated the presence of common mental disorders was calculated. A multivariate logistic regression was built to explore the factors associated with the presence of common mental disorders. (3) Results: One hundred and sixty-eight patients (57.34%) developed a common mental disorder in the 6 months following hospital discharge after COVID-19 infection. Three variables were independently associated with the presence of common mental disorders after hospitalization for COVID-19, and the WHO-5 duration of hospitalization), and severity of illness. (4) Conclusions: Among people with no previous psychiatric history, we observed a high incidence of mental disorders after COVID-19 hospitalization. A moderate (1–2 weeks) duration of hospitalization may pose a higher risk of post-COVID-19 onset of a mental health condition than longer or shorter durations of medical hospitalization. Further research is needed to better understand the mechanisms underlying the psychopathological consequences of COVID-19 and their predictors.

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All Patient Refined-Diagnosis Related Group Classification for Hospitalized Patients With COVID-19

Cited by 2 publications

References 3 publications

Challenges of implementing diagnostic‐related groups and healthcare promotion in Iran: A strategic applied research

Challenges of implementing diagnostic‐related groups and healthcare promotion in Iran: A strategic applied research

Onset of Mental Disorders Following Hospitalization for COVID-19: A 6-Month Follow-Up Study

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