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How is intensive care reimbursed? a review of eight European countries

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  • Martin-Immanuel Bittner
  • Maria Donnelly
  • Arthur Rh van Zanten
  • Jakob Steen Andersen
  • Bertrand Guidet
  • Jose Javier Trujillano Cabello
  • Shane Gardiner
  • Gerard Fitzpatrick
  • Bob Winter
  • Michael Joannidis
  • Axel Schmutz
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Reimbursement schemes in intensive care are more complex than in other areas of healthcare, due to special procedures and high care needs. Knowledge regarding the principles of functioning in other countries can lead to increased understanding and awareness of potential for improvement. This can be achieved through mutual exchange of solutions found in other countries. In this review, experts from eight European countries explain their respective intensive care unit reimbursement schemes. Important conclusions include the apparent differences in the countries' reimbursement schemes---despite all of them originating from a DRG system, the high degree of complexity found, and the difficulties faced in several countries when collecting the data for this collaborative work. This review has been designed to help the intensivist clinician and researcher to understanding neighbouring countries' approaches to clinical life and to putting research into the context of a European perspective. In addition, steering committees and decision makers might find this a valuable source to compare different reimbursement schemes.
Original languageEnglish
JournalAnnals of Intensive Care
Volume3
Issue number1
Pages (from-to)37
ISSN2110-5820
DOIs
Publication statusPublished - 12 Nov 2013

ID: 41675335