{"id":"https://openalex.org/W164904916","doi":null,"title":"Impact of DRGs on the medical profession.","display_name":"Impact of DRGs on the medical profession.","publication_year":1993,"publication_date":"1993-05-01","ids":{"openalex":"https://openalex.org/W164904916","mag":"164904916","pmid":"https://pubmed.ncbi.nlm.nih.gov/10146219"},"language":"en","primary_location":{"id":"pmid:10146219","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10146219","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical laboratory science : journal of the American Society for Medical Technology","raw_type":"Historical Article"},"volume":null,"type":"other","is_traditional":false,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027354357","display_name":"R M Hervis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I151583259","display_name":"Barry University","ror":"https://ror.org/04r1hh402","country_code":"US","type":"education","lineage":["https://openalex.org/I151583259"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"R M Hervis","raw_affiliation_strings":["Barry University, Miami Shores, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barry University, Miami Shores, Florida","institution_ids":["https://openalex.org/I151583259"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5027354357"],"corresponding_institution_ids":["https://openalex.org/I151583259"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":10,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"3","first_page":"183","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diagnosis-related-groups","display_name":"diagnosis-related groups","score":0.9950000047683716},{"id":"https://openalex.org/keywords/hospital-reimbursement","display_name":"hospital reimbursement","score":0.753000020980835},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.6499999761581421},{"id":"https://openalex.org/keywords/hospital-cost-containment","display_name":"hospital cost containment","score":0.5889999866485596},{"id":"https://openalex.org/keywords/practice-patterns","display_name":"clinical practice patterns","score":0.6710000038146973},{"id":"https://openalex.org/keywords/medical-ethics","display_name":"medical ethics","score":0.7730000019073486},{"id":"https://openalex.org/keywords/hospital-admission-criteria","display_name":"hospital admission criteria","score":0.7170000076293945},{"id":"https://openalex.org/keywords/medicare-spending","display_name":"Medicare spending","score":0.5619999766349792}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8331247568130493},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.8329616189002991},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6632626056671143},{"id":"https://openalex.org/C2778869765","wikidata":"https://www.wikidata.org/wiki/Q6028363","display_name":"Inefficiency","level":2,"score":0.5479807257652283},{"id":"https://openalex.org/C195487862","wikidata":"https://www.wikidata.org/wiki/Q850210","display_name":"Revenue","level":2,"score":0.5451436042785645},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.474975049495697},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4539071321487427},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4209287166595459},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4178371727466583},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.41718408465385437},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.1361936628818512},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.10448703169822693},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003953","descriptor_name":"Diagnosis-Related Groups","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003953","descriptor_name":"Diagnosis-Related Groups","qualifier_ui":"Q000266","qualifier_name":"history","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000266","qualifier_name":"history","is_major_topic":false},{"descriptor_ui":"D004469","descriptor_name":"Economics, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000266","qualifier_name":"history","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000266","qualifier_name":"history","is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D049673","descriptor_name":"History, 20th Century","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:10146219","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10146219","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical laboratory science : journal of the American Society for Medical Technology","raw_type":"Historical Article"},{"id":"mag:164904916","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10146219","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.504800021648407,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7073543363","https://openalex.org/W2082432478","https://openalex.org/W2058475463","https://openalex.org/W2414683980","https://openalex.org/W1965694812","https://openalex.org/W2068394558","https://openalex.org/W1986392990","https://openalex.org/W2129971994","https://openalex.org/W2410852054","https://openalex.org/W4407839722"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"present":[2],"an":[3],"overview":[4],"of":[5,8,47,97,144,173],"the":[6,38,98,104,113,171,174],"history":[7],"diagnosis-related":[9],"group":[10],"(DRG)":[11],"reimbursement":[12,26],"and":[13,18,27,73,87,90,94,117,137,159,190],"its":[14],"impact":[15],"on":[16,25,85],"physicians":[17,139],"hospitals.":[19],"DATA":[20,34,40],"SOURCES:":[21],"Recent":[22],"research":[23],"articles":[24],"medical":[28],"ethics.":[29],"STUDY":[30],"SELECTION:":[31],"Not":[32],"applicable.":[33],"EXTRACTION:":[35],"Performed":[36],"by":[37,103,111,125,162],"author.":[39],"SYNTHESIS:":[41],"The":[42,80],"DRG":[43],"system":[44,49],"is":[45,82,101,129],"part":[46],"a":[48,167],"developed":[50],"at":[51],"Yale":[52],"University":[53],"to":[54,59,77,151,169],"provide":[55],"hospitals":[56,132],"with":[57,75],"incentives":[58],"control":[60],"costs.":[61],"Hospital":[62],"Medicare":[63,157,175],"inpatients":[64],"are":[65,70],"classified":[66],"into":[67,195],"groups":[68],"that":[69,131,138,149],"clinically":[71],"coherent":[72],"homogenous":[74],"respect":[76],"resource":[78],"use.":[79],"classification":[81],"also":[83,179],"dependent":[84],"principal":[86],"secondary":[88],"diagnoses":[89],"procedures,":[91],"age,":[92],"gender,":[93],"discharge":[95],"status":[96],"patient.":[99],"Reimbursement":[100],"determined":[102],"classification.":[105],"Hospitals":[106,148],"can":[107,121],"create":[108],"excess":[109],"revenues":[110],"treating":[112],"patient":[114],"more":[115,135],"efficiently":[116],"economically,":[118],"or":[119],"they":[120],"absorb":[122],"monetary":[123],"losses":[124],"doing":[126],"otherwise.":[127],"It":[128],"argued":[130],"will":[133,140,153],"become":[134],"frugal":[136],"adjust":[141],"their":[142],"methods":[143],"practice":[145],"as":[146],"well.":[147],"fail":[150],"adapt":[152],"close,":[154],"reducing":[155],"overall":[156],"expenditures":[158],"deterring":[160],"inefficiency":[161],"example.":[163],"CONCLUSION:":[164],"DRGs":[165,186],"provided":[166],"way":[168],"prevent":[170],"collapse":[172],"program":[176],"but":[177],"have":[178],"required":[180],"stricter":[181],"criteria":[182],"for":[183,193],"hospital":[184],"admissions.":[185],"remain":[187],"in":[188],"evolution":[189],"under":[191],"evaluation":[192],"expansion":[194],"other":[196],"health":[197],"care":[198],"settings.":[199]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}