Redefining diagnosis-related groups (DRGs) for palliative care – a cross-sectional study in two German centres

BMC Palliative Care

Table 2 Mean costs and reimbursement per case in Euros, separated by cost categories and cost centers for group A (total group, n = 2151)

	Physicians	Nursing	Medical/ technical staff	Drugs	Implants/ grafts	Material	^bMedical infrastructure	^bNon-medical infrastructure	Sum	%
Cost matrix of palliative care cases
Ward (including palliative care ward)	982	2658	45	208	0	140	500	1659	6193	83.8%
Intensive care	47	114	1	46	0	27	22	55	312	4.2%
Dialysis	2	7	0	0	0	7	1	2	18	0.2%
Operating room	21	0	23	2	18	22	11	15	112	1.5%
Anesthesia	21	0	14	2	0	5	3	6	51	0.7%
Cardiac diagnostics/therapy	1	0	0	0	1	2	0	0	5	0.1%
Endoscopic diagnostics/therapy	6	0	7	1	2	11	5	5	36	0.5%
Radiology	29	0	36	0	3	21	16	19	125	1.7%
Laboratory tests	4	0	22	47	0	48	4	7	133	1.8%
Further diagnostics/therapy	87	0	170	5	0	16	42	86	406	5.5%
sum	1200	2778	318	313	25	299	604	1855	7392
%	16.2%	37.6%	4.3%	4.2%	0.3%	4.0%	8.2%	25.1%
Matrix used for reimbursement^a
Ward (including palliative care ward)	638	1276	26	160	0	121	337	1035	3594	69.7%
Intensive care	55	116	2	21	0	23	19	49	286	5.5%
Dialysis	4	11	0	1	0	11	1	3	31	0.6%
Operating room	34	0	27	2	20	28	14	21	146	2.8%
Anesthesia	23	0	14	2	0	5	3	6	53	1.0%
Cardiac diagnostics/therapy	0	0	0	0	1	1	0	0	3	0.1%
Endoscopic diagnostics/therapy	6	0	7	0	0	6	3	5	27	0.5%
Radiology	55	0	65	1	0	19	30	47	218	4.2%
Laboratory tests	32	0	124	18	0	109	18	59	359	7.0%
Further diagnostics/therapy	99	0	183	3	0	20	27	105	437	8.5%
sum	945	1403	450	208	22	343	453	1331	5155
%	18.3%	27.2%	8.7%	4.0%	0.4%	6.7%	8.8%	25.8%

^aoverall absolute value represents actual reimbursement, distribution of absolute value represents hypothetical InEK calculation based on study patients
^bmedical infrastructure: e.g. pharmacy, hygiene; non-medical infrastructure: e.g. management, energy, laundry

ISSN: 1472-684X