Patient Classification Systems: Overview of Experiments and Applications in Europe

  • M. M. Wiley
Part of the Health Systems Research book series (HEALTH)


Internationally, acute hospital services are one of the largest areas of health service expenditure. The dramatic increase in health expenditures which was such a striking feature of the 1970s resulted in greater attention being focused on hospital services, in particular, as considerable effort came to be devoted to gaining a better understanding of the operation of this service sector. At this stage, the estimation and analysis of the inputs required for the production of hospital services had been reasonably well established, primarily because staffing accounts for such a large proportion of hospital costs and all institutions have to keep an accurate file on staff employed if they are to be paid. The question, however, which became increasingly important for attempts to gain an understanding of this sector was: What is the return on the resources being devoted to the production and delivery of hospital services?


Hospital Service Diagnosis Related Group Prospective Payment System Hospital Activity Health Service Expenditure 
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  1. Council of Europe (1985) The computerization of medical data in hospital services, including university hospitals. BrusselsGoogle Scholar
  2. Her Majesty’s Stationery Office (1989) Working for patients. LondonGoogle Scholar
  3. Fetter RB, Shin Y, Freeman JL, Averill RF, Thompson JD–Council of Europe (1980) Case mix definition by diagnosis related groups. Med Care [Suppl] 18: 1–53Google Scholar
  4. Lambert PM, Roger FH (1981) The minimum basic data set for hospital statistics in the EEC. Commission of the European Communities, BrusselsGoogle Scholar
  5. Mills I (1989) Past progress and future plans. A mid-term report. In: NHS management executive, Resource ManagementGoogle Scholar
  6. Organisation for Economic Cooperation and Development (1985) Measuring health care 1960–1983. Expenditure, costs and performance. OECD, ParisGoogle Scholar
  7. Rodrigues JM (1987) DRGs: the European scene. Journal Manage Med 2: 139–150CrossRefGoogle Scholar
  8. Rodrigues JM, Roger FH, Wiley MM, Ruijs T, Hansen R, Pakarinen V, Scicluna H (1988) Computerisation of medical data in hospital services including university hospitals. Council of Europe, StrasbourgGoogle Scholar

Copyright information

© ECSE-EEC-EAEC, Brussels-Luxembourg 1990

Authors and Affiliations

  • M. M. Wiley

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