International comparison of use of diagnosis-related groups (DRG)

Diagnosis-related groups (DRGs) are an instrument for classification of inp atient cases. DRGs are finding ever broader implementation internationally. Targets for using DRGs are hospital financing and budgeting, cost accounti ng and quality assurance. The present survey covering 18 countries shows th at so far DRGs are most frequently used for budgeting purposes. In addition to DRG-based reimbursement, further quality assurance is necessary, but th is is only being implemented with hesitation. The coverage planned for all inpatient cases through DRG-based reimbursement in Germany from 2003 on is a pioneering challenge internationally.