PNS139 EVALUATION OF HUNGARIAN ONE-DAY SURGERY IN LIGHT OF DIAGNOSIS RELATED GROUPS’ VALUE

Abstract

In Hungary there is a rapidly increasing tendency in the utilization of one-day surgery. The decision-makers tried to facilitate the increasing market share of one-day surgery, since the middle of 2000. The aim of the study is to evaluate the development of this field from the viewpoint of Diagnosis Related Groups (hereinafter: DRG) regarding to the components’ value of DRGs. The database of the research is based on the 9thappendix of the 9/1993. (IV.2.) Decree adopted by the Minister of Public Welfare, and the data of National Health Insurance Fund of Hungary. The database consisted of the code and name of the interventions (WHO), the linked diagnosis related groups (DRG) with all components’ value (e.g. surgery, anesthesiology, the costs of medical and nursing staff, as well as the hotel costs), and main groups of DRGs between 2007-2017. In 2007. 337 interventions took place in 77 DRGs, which could have been performed in one-day surgery. In 2017. 564 interventions took place in 96 DRGs which could have been performed in this way (167% increase related to the interventions, and 125% increase related to the DRGs during 2007-2017). The value increase of DRG weigh numbers were the most significant in “Diseases of Nervous System” DRG main group (+504%). On the other hand, the same indicator decreased in “Ophthalmology Diseases” DRG main group, which is one of the most performed intervention in Hungary. The analyzed main components of DRGs were usually increasing in each main group, especially in the value of surgery (147%), and the medical activity (165%). Although, the hotel costs were decreased more than 10%. Most of the analyzedvalues of the DRG main groups increased throughout the examined period. The most significant increase took place in “Diseases of Nervous System” DRG main group”.