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Systemimmanente Anreize im Pauschalierenden Entgeltsystem Psychiatrie und Psychosomatik (PEPP)

Systemimmanente Anreize im Pauschalierenden Entgeltsystem Psychiatrie und Psychosomatik (PEPP)

Hannes Horter / Martin Driessen / Winfried Zapp

48,71 €
IVA incluido
Disponible
Editorial:
Springer Nature B.V.
Año de edición:
2016
Materia
Administración y gestión médicas
ISBN:
9783658126575
48,71 €
IVA incluido
Disponible

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Dieses Fachbuch analysiert die Probleme, Risiken und Anreize des PEPP-Systems (Version 2015) anhand der Behandlung der Alkoholabhängigkeit. Dafür wurden  über 1.300 Fälle des Evangelischen Krankenhauses Bielefeld aus dem Jahr 2014 verwendet. Zunächst wurden Fallgruppen erstellt für die Gruppen dann Parameter wie Verweildauer (VWD), PEPP-Kodierung, Erlöseinbußen durch Fallzusammenführungen und Fallerlöse ausgewertet. Ergänzend zu diesen Daten wurden Veränderungen der VWD, der Kodierung und zusätzliche Verlegungen zwischen G-DRG- und PEPP-System simuliert. So konnten Anreize zur Verkürzung der VWD bei paralleler Fallzahlsteigerung nachgewiesen werden. Patienten mit einem hohen pflegerischen Betreuungsaufwand sind „unlukrativ', während stationäre psychotherapeutische Behandlungen positive Deckungsbeiträge ermöglichen. Komplizierte Fälle werden benachteiligt. Daneben konnten Anreize zur gezielten Verlegung zwischen G-DRG- und PEPP-System dargestellt werden.

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