This book looks at how an innovation in health care financing and administration, which originated in the United States, was greeted by numerous western European countries. In eleven original chapters, European experts offer in-depth examination of the rate, degree, and manner in which their countries adapted to Diagnosis-Related Groups (DRGs), an innovation adopted by the U.S. government to create incentives for increased hospital efficiency. Comparing and contrasting the varying levels of resources and activity committed to this innovation, this book provides a range of insights for those involved in managing and promoting innovation.In The Migration of Managerial Innovation, health care experts from Belgium, Denmark, England, France, Germany, Norway, Portugal, Switzerland, and Sweden offer brief descriptions of the way health care is organized and financedand a detailed examination of the fate of DRGswithin each of their countries.
About the Author
JOHN R. KIMBERLY is the Henry Bower Professor in the Departments of Management and Health Care Systems in the Wharton School at the University of Pennsylvania. His most recent book is Cases in Health Policy and Management (1985, with Robert Fetter and John Thompson). GERARD DE POUVOURVILLE is research director, Management Research Center, Ecole Polytechnique, Paris. He is editor of Sciences Sociales and Santea, a multidisciplinary journal devoted to social science applications in health.
Table of Contents
1. Managerial Innovation, Migration, and DRGs(John R. Kimberly, Gerard de Pouvourville)
2. England: Ten Years of Diffusion and Development(James M. Coles)
3. Belgium: Steady and Incremental Activity(Francis Roger France)
4. France: The Introduction of Case-based Hospital Management(Gerard de Pouvourville)
5. Sweden: A Health Care Model in Transition(Eric M. Paulson)
6. Switzerlaned: Diffusion and the Canton System(Bernhard J. Guntert, Fred Paccaud, Markus Sagmeister, Andreas Frei)
7. Portugal: National Commitment and the Implementation of DRGs(Joao Urbano, Margarida Bentes, James C. Vertrees)
8. Norway: Innovation and the Political AgAnda(Torbjorg Hogsnes)
9. Denmark: Continuing Development and Potential Alternative Directions(Anita Alban)
10. Germany: An Outsider in DRG Development(Gunter Neubauer)
11. DRGs in Western Europe: Lessons and Comparisons in Managerial Innovation(John R. Kimberly)