Casemix adjustment for outpatient service: a tool for resource allocation of social security population in Thailand

Upakdee, Nilawan; Pannarunothai, Supasit; Sakunphanit, Thaworn; Preechachard, Rangsima

doi:10.1186/1472-6963-7-s1-a3

Cited by 2 publications

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“…In Thailand, the initial DRG was implemented in 1999 and several successive versions have been developed. Pannarunothai's studies on DRG development in Thailand recommended that casemix systems should be used in the budget allocation for the healthcare service system [ 11 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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New Casemix Classification as an Alternative Method for Budget Allocation in Thai Oral Healthcare Service: A Pilot Study

Wisaijohn

Pimkhaokham

Lapying

et al. 2010

International Journal of Dentistry

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This study aimed to develop a new casemix classification system as an alternative method for the budget allocation of oral healthcare service (OHCS). Initially, the International Statistical of Diseases and Related Health Problem, 10th revision, Thai Modification (ICD-10-TM) related to OHCS was used for developing the software “Grouper”. This model was designed to allow the translation of dental procedures into eight-digit codes. Multiple regression analysis was used to analyze the relationship between the factors used for developing the model and the resource consumption. Furthermore, the coefficient of variance, reduction in variance, and relative weight (RW) were applied to test the validity. The results demonstrated that 1,624 OHCS classifications, according to the diagnoses and the procedures performed, showed high homogeneity within groups and heterogeneity between groups. Moreover, the RW of the OHCS could be used to predict and control the production costs. In conclusion, this new OHCS casemix classification has a potential use in a global decision making.

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Section: Introductionmentioning

confidence: 99%

“…However, the DRG system has limitations in reflecting the OHCS cost. The future development of the appropriate inpatient and outpatient casemix for OHCS is important and necessary for economic healthcare management [ 17 ].…”

Section: Introductionmentioning

confidence: 99%