Casemix funding in Australia

Casemix funding for hospitals with the use of diagnosis‐related groups (DRGs), which organise patients' conditions into similar clinical categories with similar costs, was introduced in Australia five years ago. It has been applied in different ways and to a greater or lesser extent in differen...

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Bibliographic Details
Published in:Medical journal of Australia 1998-06, Vol.168 (11), p.558-562
Main Authors: Braithwaite, Jeffrey, Hindle, Don
Format: Article
Language:English
Subjects:
Australian Clinical Casemix Committee
Biological and medical sciences
Casemix funding
Competition
Council of Australian Governments
Diagnosis related groups
Diagnosis-Related Groups - economics
Economics, Hospital - trends
Economy. Management
Ethics
Health and social institutions
Health Care Reform - economics
Hospitals
Humans
Intergovernmental relations
Medical sciences
Patients
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reform
South Australia
Victoria
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Summary:Casemix funding for hospitals with the use of diagnosis‐related groups (DRGs), which organise patients' conditions into similar clinical categories with similar costs, was introduced in Australia five years ago. It has been applied in different ways and to a greater or lesser extent in different Australian States. Only Victoria and South Australia have implemented casemix funding across all healthcare services. Attempts have been made to formally evaluate its impact,1•2 but they have not met the required scientific standards in controlling for confounding factors. Casemix funding remains a much­ discussed issue. In this Debate, Braithwaite and Hindle take a contrary position, largely to stimulate policy debate; Phelan defends the casemix concept and advocates retaining its best features; and Hanson adds a plea for consumer input.
ISSN:0025-729X
1326-5377
DOI:10.5694/j.1326-5377.1998.tb139084.x