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The Globalization of Managerial Innovation in Health Care


  • 1 map 38 tables
  • Page extent: 394 pages
  • Size: 247 x 174 mm
  • Weight: 0.79 kg


 (ISBN-13: 9780521711982)

In 1983, the first patient classification system to be used on a national basis, the Diagnosis Relate Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them to adopt these systems? What similarities and differences were there among their experiences in implementing these systems? What can we learn about introducing change into national health systems by comparing their experiences? The Globalization of Managerial Innovation in Health Care answers these and other questions by examining patient classification systems in fifteen different countries throughout the world. The result is a remarkable collection of case studies of how change can be introduced effectively into national health systems as well as a careful synthesis of what can be learned from them.

• Gives the reader a concise description and analysis of healthcare systems in fifteen different countries • Each country chapter is written by a health policy expert in that country, ensuring the accuracy and incisiveness of the analysis • Provides policy lessons based on the experiences of different healthcare systems throughout the world


List of figures; List of tables; List of contributors; Acknowledgements; Introduction Thomas d'Aunno, John R. Kimberly and Gerard de Pouvourville; 1. Origins of DRGs in the United States: a technical, political and cultural story Jon Chilingerian; 2. From Casemix in the United Kingdom: from development to plans Steve Sutch; 3. Casemix implementation in Portugal Ceu Mateus; 4. From naive hope to realistic conviction: DRGs in Sweden Rickard Lindquist; 5. Casemix in Denmark Annette Soerberg Roed, Hanne Sjuneson and Poul Erik Hansen; 6. DRGS in France Xavière Michelot and Jean Marie Rodrigues; 7. Introduction and use of DRGs in Belgium M.-C. Closon, F. H. Roger France and J. Perelman; 8. DRG-finals in Germany: introduction of a comprehensive, prospective DRG-payment system until 2009 Gunther Neubauer; 9. Casemix in Switzerland Hervé Guillain; 10. The first decade of Case Mix in Italy Paolo Tedeschi; 11. Casemix development and implementation in Australia S. J. Duckett; 12. Diagnosis procedure combination: the Japanese approach to Casemix Shinya Matsuda; 13. Casemix in Singapore Chien Earn Lee and Lim Eng Kok; 14. Experiences with the application of the DRG principle in Hungary Júlia Nagy, Csaba Dózsa and Imre Boncz; 15. Case Mix systems – past, present, and future: rhe Canadian wxperience Sandra Mitchell and André Lalonde; 16. Conclusions: the global diffusion of Casemix Thomas D'Aunno, John R. Kimberly and Gerard de Pouvourville; Index.


Thomas d'Aunno, John R. Kimberly, Gerard de Pouvourville, Jon Chilingerian, Steve Sutch, Ceu Mateus, Rickard Lindquist, Annette Soerberg Roed, Hanne Sjuneson, Poul Erik Hansen, Xavière Michelot, Jean Marie Rodrigues, M.-C. Closon, F. H. Roger France, J. Perelman, Gunther Neubauer, Hervé Guillain, Paolo Tedeschi, S. J. Duckett, Shinya Matsuda, Chien Earn Lee, Lim Eng Kok, Júlia Nagy, Csaba Dózsa, Imre Boncz, Sandra Mitchell and André Lalonde

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