Explore
Marketisation, Ethics and Healthcare
Therese Feiler and Andrew Papanikitas
2018
0 Ungluers have
Faved this Work
Login to Fave
This chapter will take as an example a particular change in healthcare financing at the meso-level: Diagnosis-Related Groups. DRGs marked a shift in the way hospitals were oriented and were the means to operationalise the market-logic in healthcare. The DRG system is a case classification system: each hospital case is related to a ‘pre-standardised product’ of treatment. Depending on how a patient’s case is encoded, the hospital is reimbursed for the services provided. In this way, hospital care can be matched with pre-calculated resources. Case volumes can be predetermined according to the profit needs of a hospital and an economy’s ‘healthcare sector’ as a whole. Developed in the early 1980s by Robert B. Fetter and John D. Thompson, a management and a public health scholar at Yale, DRGs were first introduced in New Jersey, and have become the key accounting system throughout Western and increasingly LMI countries’ healthcare systems. (Mathauer and Wittenbecher 2013) Here I will particularly draw on examples from Germany, Switzerland and Scandinavia, but also to the NHS in England
This book is included in DOAB.
Why read this book? Have your say.
You must be logged in to comment.
Rights Information
Are you the author or publisher of this work? If so, you can claim it as yours by registering as an Unglue.it rights holder.Downloads
This work has been downloaded 67 times via unglue.it ebook links.
- 67 - pdf (CC BY-NC-ND) at OAPEN Library.
Keywords
- financing
- Health & Social Care
- Healthcare
- Medical
- MEDICAL / Health Care Delivery
- meso-level
- Religion
- Religion / Ethics
Links
web: https://www.routledge.com/Marketisation-Ethics-and-Healthcare-Policy-Practice-and-Moral-Formation/Feiler-Hordern-Papanikitas/p/book/9781138735736Editions