Health Insurance Fund of the Republic of North Macedonia Health Insurance Fund of the Republic of North Macedonia

DRG - diagnosis-related groups Annual report for 2013 - Report on the work of health institutions in hospital health care

The Diagnosis-Related Groups (DRG) methodology is not only a system for recording and invoicing health services for acute hospital patients, but this method for recording and financing hospital health care contributes to the standardisation of medical therapeutic procedures according to evidence-based medicine (protocols and clinical pathways), which are performed for each diagnosis with payment based on the average costs incurred for the health service in any health institution. The DRG system enables the formation of a central database of all health services in the RM for hospital patients, as well as other statistically important data (sex, age, weight, etc.). Access to these data, whether direct (raw data) or through reports prepared by the HIF and other institutions, enables comparability between hospitals in terms of efficiency, complexity of health services, range of health services at PHI level, utilisation of capacities, and the like.

Documents

DRG - diagnosis-related groups Annual report for 2013 - Report on the work of health institutions in hospital health care