The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union

The quality of healthcare management can have a significant impact on the healthcare results achieved. Results of hospital treatment are directly related to the patient’s health and quality of life, thus, it is necessary to examine the impact of different managerial approaches, including the ones re...

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Main Authors: Rastislav Briestensky, Aleksandr Ključnikov
Format: Article
Language:English
Published: LLC "CPC "Business Perspectives" 2021-06-01
Series:Problems and Perspectives in Management
Subjects:
Online Access:https://www.businessperspectives.org/images/pdf/applications/publishing/templates/article/assets/15117/PPM_2021_02_Briestensky.pdf
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author Rastislav Briestensky
Aleksandr Ključnikov
author_facet Rastislav Briestensky
Aleksandr Ključnikov
author_sort Rastislav Briestensky
collection DOAJ
description The quality of healthcare management can have a significant impact on the healthcare results achieved. Results of hospital treatment are directly related to the patient’s health and quality of life, thus, it is necessary to examine the impact of different managerial approaches, including the ones related to financing, on indicators of healthcare provision. This article aims to determine whether there is a dependency between DRG-based (diagnosis-related groups) management of healthcare facilities and amenable mortality in the EU countries. Health expenditure per capita was measured in current international $, the number of doctors, nurses, and beds per 1,000 inhabitants were determined as the input factors, while amenable mortality was determined as the outcome factor. The order of the efficiency of the input-output ratio of individual countries was defined using DEA analysis. Subsequently, the countries with the own healthcare financing method were ranked versus the countries with DRG-based management and financing by the mean value between groups using the Mann-Whitney U-test, while no statistically significant dependence was found between them (p-value is 0.522-0.976 for 2012–2017). Thus, even though DRG-based hospital management has various expected benefits, such as better managerial efficiency and transparency of financing, this approach to healthcare financing and management does not significantly impact amenable mortality.
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spelling doaj.art-3dd10ab1ba444f899bfa8e415c45801c2022-12-21T18:50:40ZengLLC "CPC "Business Perspectives"Problems and Perspectives in Management1727-70511810-54672021-06-0119226427510.21511/ppm.19(2).2021.2215117The impact of DRG-based management of healthcare facilities on amenable mortality in the European UnionRastislav Briestensky0https://orcid.org/0000-0002-7842-9451Aleksandr Ključnikov1https://orcid.org/0000-0003-0350-2658Ph.D. Student, Faculty of Economics and Business, Pan-European University, BratislavaDr., Rector, Institute of Entrepreneurship and Marketing, University of Entrepreneurship and Law, PragueThe quality of healthcare management can have a significant impact on the healthcare results achieved. Results of hospital treatment are directly related to the patient’s health and quality of life, thus, it is necessary to examine the impact of different managerial approaches, including the ones related to financing, on indicators of healthcare provision. This article aims to determine whether there is a dependency between DRG-based (diagnosis-related groups) management of healthcare facilities and amenable mortality in the EU countries. Health expenditure per capita was measured in current international $, the number of doctors, nurses, and beds per 1,000 inhabitants were determined as the input factors, while amenable mortality was determined as the outcome factor. The order of the efficiency of the input-output ratio of individual countries was defined using DEA analysis. Subsequently, the countries with the own healthcare financing method were ranked versus the countries with DRG-based management and financing by the mean value between groups using the Mann-Whitney U-test, while no statistically significant dependence was found between them (p-value is 0.522-0.976 for 2012–2017). Thus, even though DRG-based hospital management has various expected benefits, such as better managerial efficiency and transparency of financing, this approach to healthcare financing and management does not significantly impact amenable mortality.https://www.businessperspectives.org/images/pdf/applications/publishing/templates/article/assets/15117/PPM_2021_02_Briestensky.pdfamenable mortalityDRG-based managementfinancing of healthcarehospital management efficiencyhospitalsquality of healthcare
spellingShingle Rastislav Briestensky
Aleksandr Ključnikov
The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
Problems and Perspectives in Management
amenable mortality
DRG-based management
financing of healthcare
hospital management efficiency
hospitals
quality of healthcare
title The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
title_full The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
title_fullStr The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
title_full_unstemmed The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
title_short The impact of DRG-based management of healthcare facilities on amenable mortality in the European Union
title_sort impact of drg based management of healthcare facilities on amenable mortality in the european union
topic amenable mortality
DRG-based management
financing of healthcare
hospital management efficiency
hospitals
quality of healthcare
url https://www.businessperspectives.org/images/pdf/applications/publishing/templates/article/assets/15117/PPM_2021_02_Briestensky.pdf
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