Abstract

Currently, one aspect of the discussion concerning healthcare reform in Austria focuses on strengthening the provision of ambulatory healthcare. Consequently, legal changes aim at fostering the development of new structures in healthcare (group practices), as well as implementing alternative payment mechanisms for those entities. In 2009, we started a research project in the field of diagnosis-related mechanisms of payment for ambulatory care. The project focuses on episodes of care for chronic diseases. The main objectives of this project are to show the feasibility of the available administrative healthcare data, to develop a statistical toolkit in order to identify diagnoses-related procedure bundles in ambulatory care, and to calculate costs for the procedure bundles.

Highlights

  • One aspect of the discussion concerning healthcare reform in Austria focuses on strengthening the provision of ambulatory healthcare

  • The main objectives of this project are to show the feasibility of the available administrative healthcare data, to develop a statistical toolkit in order to identify diagnoses-related procedure bundles in ambulatory care, and to calculate costs for the procedure bundles

  • Results show that for most of the diseases we considered procedure bundles can be identified using the methods described above

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Summary

Introduction

One aspect of the discussion concerning healthcare reform in Austria focuses on strengthening the provision of ambulatory healthcare. Legal changes aim at fostering the development of new structures in healthcare (group practices), as well as implementing alternative payment mechanisms for those entities. In 2009, we started a research project in the field of diagnosis-related mechanisms of payment for ambulatory care. The project focuses on episodes of care for chronic diseases. The main objectives of this project are to show the feasibility of the available administrative healthcare data, to develop a statistical toolkit in order to identify diagnoses-related procedure bundles in ambulatory care, and to calculate costs for the procedure bundles

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