Skip to main content

Diagnostic Related Groups: The Influence of Refunding of Cost on the Organization of Clinical Laboratories

  • Chapter
  • 307 Accesses

Abstract

In 1983, with the Federal Government’s adoption of diagnostic related groups as a basic reimbursement methodology the hospital industry and clinical laboratories of the United States were highly impacted. This change has created some traumatic impacts upon management philosophy within the hospital and has caused the laboratory to be viewed as a different type of operating entity. The hospital clinical laboratory has reacted by adapting and substantially altering its production and management philosophy and approach.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  • Altshuler CH. Use of comprehensive laboratory date as a management tool. Clin Lab Med 1985 Dec; 5(4): 673–95.

    CAS  Google Scholar 

  • Detsky AS, et al. Do interns and residents order more tests than attending staff? Results of a house staff strike. Med Care 1986 June; 24(6): 526–34.

    Article  CAS  Google Scholar 

  • Giles AL. Laboratory utilization - reflective of changes in reimbursement, practice methodology, or herd instincts? 8th Beckman Conf in Clin Chem 1985; 71–81.

    Google Scholar 

  • Iezzoni LI. The impact of reimbursement changes on doctors’ office testing. Clin Lab Med 1986 June; 6(2): 329–43 (53 references).

    CAS  Google Scholar 

  • Iezzoni LI, et al. The clinical impact of DRG-based physician reimbursement. Boston U Med Center.

    Google Scholar 

  • Vladeck, BC. Diagnosis related group-based hospital payment: the real issues. Bull NY Acad Med 1986 Jan-Feb; 62(1): 46–54.

    CAS  Google Scholar 

  • Williams SV. The impact of DRG-based prospective payment onclinical decision making. Med Decis Making 1985; 5(1): 23–9.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Plenum Press, New York

About this chapter

Cite this chapter

Giles, A.L. (1989). Diagnostic Related Groups: The Influence of Refunding of Cost on the Organization of Clinical Laboratories. In: den Boer, N.C., van der Heiden, C., Leijnse, B., Souverijn, J.H.M. (eds) Clinical Chemistry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0753-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-0753-2_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8065-1

  • Online ISBN: 978-1-4613-0753-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics