Diagnosis related groups-based simulation: comparision of Turkey and Australia

The aims of DRG-based financing systems are generally “to improve transparency, to ensure efficiency and to support the administration of hospitals. Countries continuing to the DRG implamantation have managed to make productivity improvements in indicators such as the average length of stay, number of beds, average costs of case. The aim of this study is to make evaluations by comparing the reimbursement simulations of 14 hospitals in Turkey via Turkey’s and Australia’s the DRG relative values, which are obtained by 20 DRGs with the highest frequency in 2009 in Turkey. As a result, it has been found that the reimbursements via Turkey’s and Australia’s DRG relative values were quite different. Especially, because the differences between relative values are directly related to this deviation, the transition process to DRG implementation should be directed by foreseeing the health status, cost structures, social and economic differences between countries. In this study, it has been also made comparisons of the hospitals, and so it has been seen the types of hospitals are an important factor in DRG diversity and frequency, this kind of comparisons is thought be an important resource for evaluation of local health structures