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„Diagnosis Related Groups“ (DRG) und kosteneffiziente Steuerungssysteme im Krankenhaus

Author

Listed:
  • Erich Frese

    (Universität zu Köln)

  • Michael Heberer

    (Universität Basel, Universitätsspital)

  • Thomas Hurlebaus

    (KGSt)

  • Patrick Lehmann

    (KGSt)

Abstract

Summary Most German hospitals are part of a health care system regulated by state agencies. Nevertheless, cost awareness and cost behaviour of physicians and hospital managers are influenced by market pressure whose impact depends on the structure of the payment system. The article investigates rationalization and margin effects by referring to the concept of the adequate plan of medical treatment. These effects are induced by the introduction of the concept of Diagnosis Related Groups (DRG), a case-based financing mechanism. Using a typology of alternative forms of payment which offers new insights into the economic incentives of hospital funding it is shown that fixed-fee DRG payments increase the pressure on costs. The tendencies in hospitals to control patient care costs through the adoption of more efficient control techniques, such as those commonly employed by manufacturing firms, are critically surveyed.

Suggested Citation

  • Erich Frese & Michael Heberer & Thomas Hurlebaus & Patrick Lehmann, 2004. "„Diagnosis Related Groups“ (DRG) und kosteneffiziente Steuerungssysteme im Krankenhaus," Schmalenbach Journal of Business Research, Springer, vol. 56(8), pages 737-759, December.
    • Handle: RePEc:spr:sjobre:v:56:y:2004:i:8:d:10.1007_bf03372757
    DOI: 10.1007/BF03372757
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    References listed on IDEAS

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    1. Jeffrey E. Harris, 1977. "The Internal Organization of Hospitals: Some Economic Implications," Bell Journal of Economics, The RAND Corporation, vol. 8(2), pages 467-482, Autumn.
    2. Wai Fong Chua & Alistair Preston, 1994. "Worrying about Accounting in Health Care," Accounting, Auditing & Accountability Journal, Emerald Group Publishing Limited, vol. 7(3), pages 4-17, September.
    3. repec:eme:aaaj00:09513579410064097 is not listed on IDEAS
    4. Thomas Johnson, H., 1978. "Management Accounting in an Early Multidivisional Organization: General Motors in the 1920s," Business History Review, Cambridge University Press, vol. 52(4), pages 490-517, January.
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    Cited by:

    1. Antonio Vera & Ludwig Kuntz, 2007. "Prozessorientierte Organisation und Effizienz im Krankenhaus," Schmalenbach Journal of Business Research, Springer, vol. 59(2), pages 173-197, March.

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    More about this item

    Keywords

    I18; L31; M41;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L31 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Nonprofit Institutions; NGOs; Social Entrepreneurship
    • M41 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Accounting - - - Accounting

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