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 |