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EuroDRG Project

Researchers

Wiley,Miriam M / O'Reilly,Jacqueline / McCarthy,Brian

Payment systems are fundamental to any health care system, introducing powerful incentives and challenging technical design complexities. DRG systems aim at fairly assessing the costs of patient treatment, taking into account measurable patient characteristics such as diagnosis, procedures performed etc. At the outset, this project will involve an analysis of national DRG systems and development of a methodology for trans-national analysis of key issues. The project will then proceed to develop a representative sample of inpatient data on 10-12 “care episodes” from hospitals in a number of EU countries. This European dataset will be analysed to assess the importance of structural factors such as wage levels vis-à-vis established patient variables and “medical decision variables” to explain variation in hospital costs within and between European countries. The EuroDRG Project is part of the EU Seventh Framework Programme, has an expected duration of 36 months and is lead by the Department of Health Care Management, Technische Universität, Berlin.

The Cost of Stroke in Ireland

Researchers

Smith,Samantha / Wiley,Miriam M

This project, in collaboration with the Royal College of Surgeons in Ireland (RCSI), aims to estimate the economic burden of stroke in Ireland. Stroke is a leading cause of death and disability worldwide. Patients who survive an acute stroke episode are often left with some degree of disability and many become dependent on care givers. With a high mortality and disability burden, the economic cost of stroke is also expected to be high and it is estimated that cerebrovascular diseases account for 2-5% of total health care costs in industrialized countries. In Ireland, stroke accounts for 7.4% of mortality and approximately 10,000 people are admitted to hospitals with stroke disease as a primary diagnosis every year, with an average length of stay in excess of 20 days. It is estimated that approximately 30,000 people are survivors of stroke, many of whom have residual disability. It is therefore important to assess the cost burden associated with stroke in the economy. The project is funded by the Irish Heart Foundation and follows on from the Irish National Audit of Stroke Care which examined in detail the state of hospital and community stroke care in the country. The report will be published in 2010.