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Bull World Health Organ 2013;91:746 756A | doi: payment systems based on diagnosis -related groups: experiences in low- and middle-income countriesInke Mathauera & Friedrich WittenbecherbIntroductionA key factor for a more rapid move towards universal health coverage is the efficient use of resources, coupled with increased resource mobilization and improved pooling. Substantial ef-ficiency gains could be made by reforming Hospital payment mechanisms,1 especially since expenditure on Hospital services comprises one of the largest shares of total health-care spending in all countries, regardless of their income ,2 payment systems based on diagnosis -related groups (DRGs) are one type of such Hospital payment mechanisms, along with capitation payments , global budgets and a combina-tion thereof. Although DRG- based payment systems are now mainly understood as a reimbursement mechanism, their origi-nal purpose was to enable performance comparisons across 5 Today DRGs are used primarily by purchasers to reimburse providers for acute inpatient care, but in principle they can also be used to reimburse them for non-acute inpa-tient care.
Bull World Health Organ 2013;91:746–756A | doi: http://dx.doi.org/10.2471/BLT.12.115931 Research 746 Hospital payment systems based on diagnosis-related groups: experiences in low- and middle-income countries
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