England, France, Germany, the Netherlands, and Sweden spend less as a share of gross domestic product on hospital care than the United States while delivering high-quality services. All five European countries have hospital payment systems based on diagnosis-related groups (DRGs) that classify patients of similar clinical characteristics and comparable costs. Inspired by Medicare's inpatient prospective payment system, which originated the use of DRGs, European DRG systems have implemented different design options and are generally more detailed than Medicare's system, to better distinguish among patients with less and more complex conditions. Incentives to treat more cases are often counterbalanced by volume ceilings in European DRG systems. European payments are usually broader in scope than those in the United States, including physician salaries and readmissions. These European systems, discussed in more detail in the article, suggest potential innovations for reforming DRG-based hospital payment in the United States.

译文

在提供高质量服务的同时,英国,法国,德国,荷兰和瑞典在医院护理上的支出占国内生产总值的比例低于美国。所有五个欧洲国家都有基于诊断相关组 (drg) 的医院支付系统,该系统对具有相似临床特征和可比费用的患者进行分类。受Medicare的住院患者预期支付系统的启发,该系统起源于DRGs的使用,欧洲DRG系统实施了不同的设计选项,并且通常比Medicare的系统更详细,以更好地区分病情较少和较复杂的患者。在欧洲DRG系统中,处理更多病例的动机通常会被数量上限所抵消。欧洲的付款范围通常比美国的范围更广,包括医生的薪水和再入院。本文将详细讨论这些欧洲系统,提出了改革美国基于DRG的医院支付的潜在创新。

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