Diagnosis Related Groups and variations in resource use for child delivery across 10 European countries

Zeynep Or, Thomas Renaud, Josselin Thuilliez and Cora Lebreton
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Thomas Renaud: IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres
Cora Lebreton: EHESP - École des Hautes Études en Santé Publique [EHESP]

Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) from HAL

Abstract: Childbirth is one of the main causes of hospitalisation for women, accounting for about 5% of hospital activity in most Organisation for Economic Co-operation and Development countries. We analysed the factors that explain variations in resource use for child delivery in ten European countries. We compared the performance of three models for explaining the variations in resource use (log cost or length of inpatient stay) at patient and hospital level. The first model used only the DRGs to which child deliveries were coded (MD), the second used a set of 'patient-level' and delivery specific explanatory variables (MP), and the third model combined both sets of variables (MF). Countries vary both in the number of DRGs and the criteria used to classify cases of child delivery (range: 3-8) and in the percentage of deliveries classified as 'delivery without complication' (range: 53-90%). The capacity of DRGs and patient level variables to explain cost variation for child birth ranges from 48% in Sweden to over 70% in Spain. There is room for improving current DRG classification in most countries, but this does not necessary imply multiplying the groups and/or complicating criteria. Countries with a higher number of DRGs do not always perform better.

Keywords: Diagnosis-related groups; cost; length of stay; childbirth; child delivery (search for similar items in EconPapers)
Date: 2012-08
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Published in Health Economics, 2012, 21 (Issue Supplement S2), pp.55-65. ⟨10.1002/hec.2835⟩

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Related works:
Journal Article: DIAGNOSIS RELATED GROUPS AND VARIATIONS IN RESOURCE USE FOR CHILD DELIVERY ACROSS 10 EUROPEAN COUNTRIES (2012)
Working Paper: Diagnosis Related Groups and variations in resource use for child delivery across 10 European countries (2012)
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Persistent link: https://EconPapers.repec.org/RePEc:hal:cesptp:halshs-00719782

DOI: 10.1002/hec.2835

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