| Summary: | The European Health Commission has developed and funded a research project from 2009 to 2011, known as Euro DRG. It is dedicated to analyzing national DRG-based hospital payment systems using qualitative and quantitative research methods. The study analyzed 12 countries using 2 basic models based on DSG-hospital payment systems. Namely: countries with hospital payment systems based on disbursement for each patient treated with DRG in Estonia, England, Finland, France, Germany, Poland, the Netherlands and Sweden, hospitalized payment systems for DRG budget allocation in Austria, Ireland, Portugal and Spain. Between the mid-1990s and for many years, many countries have reduced the number of patients to varying degrees. For France and the United Kingdom (Group 1 countries) respectively the decrease is between 18.1% and 42.5% for the period 1995 - 2008. In the Scandinavian countries and Ireland, the reduction in the number of patients ranged from 2.6 % for Estonia, up to 7.2% for Ireland (Group 2). However, Austria and the Netherlands show an increase in the number of treatment enrolled in their general hospitals by 22% and 15%, respectively. The percentage share of DRG-related hospitals varies from country to country, ranging from 20% for Spain, 39% for Estonia, 60% for Poland and England, 80% for Portugal, Germany, France and Ireland to reach to 96% in Austria. Other payment components include a global budget and service charge (FFS) used in Estonia.
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