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The implementation of casemix in Victoria — a clinician's view
Author(s) -
Phillips Paddy A
Publication year - 1994
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1994.tb138382.x
Subject(s) - baseline (sea) , quality (philosophy) , patient care , service (business) , medicine , clinical practice , business , nursing , political science , marketing , philosophy , epistemology , law
Although a number of concerns remain, casemix ‐based funding is seen by clinicians in Victoria to be a more equitable way of determining public hospital inpatient budgets than historical allocation, and will provide a valuable source of data for service provision planning. The concerns in particular are the inadequacy of the current Australian national diagnosis‐related groups 2 system to classify modern clinical practice and describe complex patients; the absence of adequate baseline data to allow an accurate assessment of the impact of casemix‐based funding on quality of care; the lack of direct recognition within diagnosis‐related groups of the training, research and development roles of public hospitals; and the instability of a funding system which is in evolution.