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

Margit Sommersguter-Reichmann, Marion S. Rauner and Doris A. Behrens

Z'GuG Zeitschrift für Gemeinwirtschaft und Gemeinwohl, 2023, vol. 46, issue 4, 441-471

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.

Date: 2023
References: Add references at CitEc
Citations:

Downloads: (external link)
https://www.nomos-elibrary.de/10.5771/2701-4193-2023-4-441 (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:nms:nozgug:10.5771/2701-4193-2023-4-441

Ordering information: This journal article can be ordered from
Nomos Verlagsgesellschaft mbH & Co. KG, Waldseestraße 3-5, 76530 Baden-Baden, Germany
https://www.nomos-sh ... emeinwohl-id-114293/

DOI: 10.5771/2701-4193-2023-4-441

Access Statistics for this article

Z'GuG Zeitschrift für Gemeinwirtschaft und Gemeinwohl is currently edited by Prof. Dr. Susanne Elsen, Prof. Dr. Markus Gmür, Prof. Dr. Dorothea Greiling, Silke Helfrich, Prof. Dr. Winfried Kluth, Prof. Dr. Remi Maier-Rigaud, Prof. Dr. Ulf Papenfuß, Barbara Sak, Prof. Dr. Christina Schaefer, Prof. Dr. Michaela-Maria Schaffhauser-Linzatti, Prof. Dr. Frank Schulz-Nieswandt and Prof. Dr. Dieter K. Tscheulin

More articles in Z'GuG Zeitschrift für Gemeinwirtschaft und Gemeinwohl from Nomos Verlagsgesellschaft mbH & Co. KG
Bibliographic data for series maintained by Nomos Verlagsgesellschaft mbH & Co. KG ().