IDEAS home Printed from https://ideas.repec.org/a/nms/nozgug/10.5771-2701-4193-2023-4-441.html
   My bibliography  Save this article

Complexity, interface management and unintended consequences of planned interventions illustrated by the DRG financing of Austrian hospitals

Author

Listed:
  • Sommersguter-Reichmann, Margit
  • Rauner, Marion S.
  • Behrens, Doris A.

Abstract

This study explores scientific evidence on the repercussions of Diagnosis Related Groups (DRG) funding, a large-scale public healthcare intervention implemented in Austria's public hospital inpatient sector in the late 1990s. We investigate past and ongoing adjustments to fix unintended consequences prompted by intervention-induced staff and patient behaviour changes. The paper shows that the incentives inherent in Austrian DRG financing set off a cascade of ongoing adjustments. These seemed necessary as the behavioural patterns that emerged to bend and bypass the rules of DRG financing would have nullified the intended effects of the intervention.

Suggested Citation

  • Sommersguter-Reichmann, Margit & Rauner, Marion S. & Behrens, Doris A., 2023. "Complexity, interface management and unintended consequences of planned interventions illustrated by the DRG financing of Austrian hospitals," Z'GuG Zeitschrift für Gemeinwirtschaft und Gemeinwohl, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 46(4), pages 441-471.
    • Handle: RePEc:nms:nozgug:10.5771/2701-4193-2023-4-441
    DOI: 10.5771/2701-4193-2023-4-441
    as

    Download full text from publisher

    File URL: https://www.nomos-elibrary.de/10.5771/2701-4193-2023-4-441
    Download Restriction: no
    File URL: https://libkey.io/10.5771/2701-4193-2023-4-441?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:nms:nozgug:10.5771/2701-4193-2023-4-441. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Nomos Verlagsgesellschaft mbH & Co. KG (email available below). General contact details of provider: http://www.nomos.de/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.