The Globalization of Managerial Innovation in Health Care

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In 1983, the first patient classification system to be used on a national basis, the Diagnosis Related Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them to adopt these systems? What similarities and differences were there among their experiences in implementing these systems? What can we learn about introducing change into national health systems by comparing their experiences?
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Product Details

  • ISBN-13: 9780521885003
  • Publisher: Cambridge University Press
  • Publication date: 1/12/2009
  • Pages: 379
  • Product dimensions: 6.80 (w) x 9.80 (h) x 0.90 (d)

Meet the Author

John R. Kimberly is the Henry Bower Professor of Entrepreneurial Studies and Professor of Management, Health Care Systems, and Sociology at The Wharton School, University of Pennsylvania. He is also Executive Director of the Wharton/INSEAD Alliance.

GĂ©rard de Pouvourville is Professor and Chair of Health Economics and Management at the ESSEC Business School and Research Director of the National Centre for Scientific Research, Paris.

Thomas d'Aunno is the Novartis Chaired Professor of Healthcare Management and Professor of Organisational Behaviour at INSEAD. He is also the Director of INSEAD's Healthcare Management Initiative.

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Table of Contents

List of figures vii

List of tables ix

List of contributors xi

Acknowledgements xiv

Introduction 1

1 Origins of DRGs in the United States: A technical, political and cultural story Jon Chilingerian 4

2 Casemix in the United Kingdom: From development to plans Steve Sutch 34

3 Casemix implementation in Portugal Ceu Mateus 34

4 From naive hope to realistic conviction: DRGs in Sweden Rikard Lindqvist 73

5 Casemix in Denmark Annette Soberg Roed Hanne Sjuneson 92

6 DRGs in France Xaviere Michelot Jean Mane Rodrigues 116

7 Introduction and use of DRGs in Belgium Marie Christine Closon Francis H. Roger France Julian Perelman 144

8 DRGs in Germany: Introduction of a comprehensive, prospective DRG payment system by 2009 Gunter Neubauer Florian Pfister 153

9 Casemix in Switzerland Herve Guillain 176

10 The first decade of casemix in Italy Paolo Tedeschi 189

11 Casemix development and implementation in Australia Stephen J. Duckett 231

12 Diagnosis procedure combination: The Japanese approach to casemix Shinya Matsuda 254

13 Casemix in Singapore Chien Eam Lee Eng Kok Lim 272

14 Experiences with the application of the DRG principle in Hungary Julia Nagy Csaba Dozsa Imre Boncz 284

15 Casemix systems - past, present, and future: The Canadian experience Sandra Mitchell Andre Lalonde 320

16 Conclusions: The global diffusion of casemix Thomas D'Aunno John R. Kimberly Gerard de Pouvourville 346

Index 373

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