dRg funding, clinician view

Abstract

dRG payment (dRG-P) has been implemented in French Hospitalsfor 10 years. dRG P was a potent incentive to increase hospital productivity but had inflationist effects and contributed to inappropriate medical practices, while suitable for standardized diseases or medical interventions, this type of funding is imperfect in supporting innovation or the management of patientswith social vulnerabilities or those with multiple pathologies and of chronic diseases carriers. it does not take into account non-technical medical time. nevertheless, a complicated, and time consuming, coding system was implemented together with dRG-P. attention was focused on the most profitable activities, instead of the most appropriate responses to medical needs. a reform of hospital funding is hoped for health professionals who deplore the slowness of change.