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

Abstract

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.

Implementation of Healthcare Financing Based on Diagnosis-related Group in Three WHO Regions; Western Pacific, South East Asia and Eastern Mediterranean: A Systematic Review

“…For pilot testing, some preliminary check points are essential to consider. These may include the generation and implementation of the standard classification system for morbidity and mortality data, development of hospital costing system, awareness of the importance of case-mix systems among clinicians, and the government’s willingness to make regulatory changes to adapt this system (Rahimi et al, 2012; Wisaijohn et al, 2010). The case-mix system implementation also requires a structured and computerised system with well-trained and well-oriented personnel; otherwise, the system would fail.…”

“…Philippines, Vietnam, South Korea and Thailand have planned to replace the ‘Fee for Services’ system with case base or prospective payment systems (Gool, 2012; Institute of Medicine, 1995; Jeon et al, 2019; Moon, 2015; Pannarunothai, 2012; Wisaijohn et al, 2010; World Health Organization, 2015). In the Philippines since 2011 government introduced the DRG/case-mix to change the provider payment mechanism from ‘fee for service’ to ‘case rates’.…”

“…They can either develop a new DRG system or adopt one of the existing DRG systems and refine it. The first option requires a well-developed health administration and health information system, while the latter is often expensive and bring issues related to intellectual property rights (Wisaijohn et al, 2010).…”

Az arc-, állcsont-szájsebészeti aktív fekvőbetegosztályok teljesítménymutatói

“…A négy egyetemi klinika közül a Semmelweis Egyetem rendelkezik a legmagasabb ágyszám-mal (26), ezt követi a Debreceni Egyetem (18), majd a Szegedi Egyetem (11), és legkevesebb ágy a Pécsi Tudományegyetem klinikáján található (10).…”

“…Szakmai szempontból viszont ez a szakterület rendkívül összetett és számos társszakma alapos ismeretét igényli. A fogá-szattal való szoros kapcsolatát is jól mutatja, hogy szá-mos országban a fej-, nyaksebészet művelőinek az általá-nos orvosi diploma mellett fogorvosival is rendelkezniük kell [9][10][11][12][13].…”