Further Development of the German DRG System - The Position of the German Society for Rehabilitation of the Disabled

2003 ◽  
Vol 42 (3) ◽  
pp. 177-179
Keyword(s):  
German Society ◽  
Drg System ◽  
German Drg System ◽  
The Disabled ◽  
Further Development

Design of a Contact Assistive Robot for the Disabled, Elderly, and Infirm People

2020 ◽  
pp. 69-89
Author(s):  
Tawanda Mushiri ◽  
Panashe Adrian Mombeyarara ◽  
Thanks Marisa
Keyword(s):  
Developing Countries ◽  
Design Procedure ◽  
Gait Training ◽  
Health Improvement ◽  
Assistive Robots ◽  
Rehabilitation Centers ◽  
Assistive Robot ◽  
The Disabled ◽  
Actual Design ◽  
Further Development

The use of a wheelchair for normal routines or rehabilitation has various physiological and psychological implications. The use of contact assistive robots in developing countries is limited mainly due to their expensive nature. The benefits of exoskeleton use include health improvement, increased self-dependency, and self-sustenance. The chapter offers a solution through the design of a cheap contact assistive robot for the disabled. The design procedure includes the integration of acquired knowledge on gait training and existing exoskeletons acquired from intense research, visits to rehabilitation centers, and use of computer-aided software for design and simulations. A fully functioning scaled prototype was made that demonstrated the operating principle of the actual design. The design provides a successful baseline for further development of exoskeletons suitable and cheaper for developing countries with an initial estimated total material cost of USD$9000.

scholarly journals Economic Impact of Infected Total Knee Arthroplasty

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Maximilian Haenle ◽  
Christina Skripitz ◽  
Wolfram Mittelmeier ◽  
Ralf Skripitz
Keyword(s):  
Economic Impact ◽  
Average Length ◽  
Health Information System ◽  
Third Party ◽  
Matched Pair ◽  
Drg System ◽  
Infected Total Knee Arthroplasty ◽  
Cost Effective Treatment ◽  
German Drg System ◽  
Total Knee

Background.An enormous economic impact can be observed for infected total knee arthroplasties (TKA). The aim of the present study was to evaluate whether a cost covering treatment of infected TKA is feasible in the German DRG System.Patients and Methods.Average total treatment costs were evaluated for infected TKA and compared with a matched pair of primary TKA. Data was generated using the health record and the hospitals’ health information system. Results were evaluated and compared regarding the total personnel and material costs with respect to the financial receipts.Results.A total of 28 patients diagnosed with an infected TKA were included. A significant increase in the average length of stay, use of medical supplies and third party medical examinations were found for the infected TKA. An average deficiency of 6,356€ per patient was observed for the infected TKA. An average profit of 927€ per patient was made performing primary TKA.Conclusions.A cost-effective treatment of infected TKA was not feasible with the receipts from the German DRG System. An adaption of the receipts has to be evaluated. Moreover, other measures have to be considered in order to achieve a comprehensive medical yet financial reasonable standard in the treatment of infected TKA and THA.

scholarly journals The Impact of the German Drg-System on Policy Decision Making in Ent

2014 ◽  
Vol 17 (7) ◽  
pp. A613
Author(s):  
M. Fichtenbauer ◽  
M. Kosaner ◽  
M. Urban
Keyword(s):  
Decision Making ◽  
Policy Decision ◽  
Drg System ◽  
German Drg System ◽  
Policy Decision Making ◽  
The Impact

scholarly journals Improving the quality of life through Balneotourism practices: the Bulgarian experience

Ekonomia ◽  
2017 ◽  
Vol 23 (1) ◽  
pp. 73-81
Author(s):  
Maria Zl. Stankova ◽  
Stefan Y. Kirilov
Keyword(s):  
Quality Of Life ◽  
Health System ◽  
National Health System ◽  
Destination Image ◽  
Tourist Destination ◽  
Current State ◽  
The Disabled ◽  
Further Development ◽  
Theoretical Issues

Improving the Quality of Life through Balneotourism Practices:The Bulgarian ExperienceBalneotourism is a traditional element of Bulgaria’s tourist destination image. The use of the healing powers of water, climate and mud deposits can be traced back to the old Thracian tribes that inhabitedBulgarian lands thousands of years ago. Bulgaria can successfully develop balneotourism and boost foreign visitors not only with its available natural resources, but also with great affordability of the health services offered. This is an opportunity to overcome the problem of season dependent tourism, as well as to increase revenues in the sector and the economy. At the same time, balneotourismand the establishment of the national health system allow for a real improvement in the quality of life of all the insured but particularly of people with disabilities.In that regard, the present paper analyses the origins, development and the current state of balneotourism in Bulgaria. Special attention is paid to defining the terms “balneology” and “balneotourism”.There are theoretical issues observed as well as significant aspects of the Bulgarian health system related to the utilization of the balneotourism product. Based on conducted research and analysis, recommendations are made aiming at further development of balneotourism and improvementof the quality of life of people with medical conditions and the disabled.

Neurological Departments and the German DRG-System for 2006

2005 ◽  
Vol 32 (10) ◽  
pp. 573-575
Author(s):  
C.-W. Wallesch
Keyword(s):  
Drg System ◽  
German Drg System

scholarly journals Performance Pay in Hospitals: An Experiment on Bonus–Malus Incentives

2020 ◽  
Vol 17 (22) ◽  
pp. 8320
Author(s):  
Nadja Kairies-Schwarz ◽  
Claudia Souček
Keyword(s):  
Medical Students ◽  
Diagnosis Related Groups ◽  
Performance Pay ◽  
Public Hospitals ◽  
Policy Reforms ◽  
Drg System ◽  
Hospital Physicians ◽  
German Drg System ◽  
Profit Maximizing ◽  
A Performance

Recent policy reforms in Germany require the introduction of a performance pay component with bonus–malus incentives in the inpatient care sector. We conduct a controlled online experiment with real hospital physicians from public hospitals and medical students in Germany, in which we investigate the effects of introducing a performance pay component with bonus–malus incentives to a simplified version of the German Diagnosis Related Groups (DRG) system using a sequential design with stylized routine cases. In both parts, participants choose between the patient optimal and profit maximizing treatment option for the same eight stylized routine cases. We find that the introduction of bonus–malus incentives only statistically significantly increases hospital physicians’ proportion of patient optimal choices for cases with high monetary baseline DRG incentives to choose the profit maximizing option. Medical students behave qualitatively similar. However, they are statistically significantly less patient oriented than real hospital physicians, and statistically significantly increase their patient optimal decisions with the introduction of bonus–malus incentives in all stylized routine cases. Overall, our results indicate that whether the introduction of a performance pay component with bonus–malus incentives to the (German) DRG system has a positive effect on the quality of care or not particularly depends on the monetary incentives implemented in the DRG system as well as the type of participants and their initial level of patient orientation.

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