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Table 3 Basic mode of functioning of the respective national ICU reimbursement schemes, based on experts’ responses

From: How is intensive care reimbursed? A review of eight European countries

Basic modes of functioning ( "++" strongly agree, "+" agree, "0" indifferent or unknown, "-" do not agree, "--"do not agree at all)
Item Grading
  GER IRL UK NETH AUS DEN FRA SPA
The reimbursement works per case (e.g., DRG-based). ++ - + ++ ++ ++ + +
The reimbursement works per ICU/hospital (e.g., share of reimbursement goes to all units involved). -- + - + + - 0 0
There is separate reimbursement for hotel costs. -- - + -- - -- -- 0
The following factors are taken into account for coding/reimbursement:  
1. Previous year’s ICU expenditure -- - - -- - + -- +
2. Number of patients -- - + + + 0 + +
3. Diagnosis (DRG) ++ + + + + + + +
4. Nursing workload scores (e.g., TISS-28, NEMS) + -- + - ++ - -- 0
5. Severity of illness scores (e.g., SAPS, APACHE) ++ -- - - -- - + 0
6. Length of stay + + + ++ + ++ ++ ++
7. Level of organ support + -- ++ ++ + ++ ++ +
Are there any plans for changes of the system in the near future? + + 0 + + -- 0 0