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Description
  • As in other settings, in the field of clinical use of cardiac implantable electrical devices (CIEDs), the implementation, in various ways, of diagnosis-related groups (DRGs) has created new scenarios in most European healthcare systems. A DRG system is primarily a financial tool with the aim of promoting efficiency and improving utilization of resources. However, there are a variety of ways in which this system is used for funding the activity of centres implanting CIEDs. It is possible that the specific type and method of reimbursement may influence the implementation of CIEDs in the 'real world' through a variable spectrum of practices. These may range from the situation where reimbursement may, together with other factors, constitute a true barrier to the implementation of guidelines, to scenarios where reimbursement is adequate, and/or to situations where reimbursement may be adequate for standard devices but not for prompt implementation of effective technological innovations. The variety in reimbursement also affects how in-office checks of CIEDs are covered and, above all, the possibility to pay for remote follow-up of CIEDs. In the field of medical devices, refinement of DRG systems and adoption of new strategies and policies are needed to sustain and enhance those effective technological innovations that may be beneficial for specific patient populations. It is also important that physicians are deeply involved in the development and deployment of DRGs, and that each country DRGs agency has a transparent approach to engagement with stakeholders, along with robust and transparent mechanisms for updating these systems.
  • As in other settings, in the field of clinical use of cardiac implantable electrical devices (CIEDs), the implementation, in various ways, of diagnosis-related groups (DRGs) has created new scenarios in most European healthcare systems. A DRG system is primarily a financial tool with the aim of promoting efficiency and improving utilization of resources. However, there are a variety of ways in which this system is used for funding the activity of centres implanting CIEDs. It is possible that the specific type and method of reimbursement may influence the implementation of CIEDs in the 'real world' through a variable spectrum of practices. These may range from the situation where reimbursement may, together with other factors, constitute a true barrier to the implementation of guidelines, to scenarios where reimbursement is adequate, and/or to situations where reimbursement may be adequate for standard devices but not for prompt implementation of effective technological innovations. The variety in reimbursement also affects how in-office checks of CIEDs are covered and, above all, the possibility to pay for remote follow-up of CIEDs. In the field of medical devices, refinement of DRG systems and adoption of new strategies and policies are needed to sustain and enhance those effective technological innovations that may be beneficial for specific patient populations. It is also important that physicians are deeply involved in the development and deployment of DRGs, and that each country DRGs agency has a transparent approach to engagement with stakeholders, along with robust and transparent mechanisms for updating these systems. (en)
Title
  • Device therapy and hospital reimbursement practices across European countries: a heterogeneous scenario
  • Device therapy and hospital reimbursement practices across European countries: a heterogeneous scenario (en)
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  • Device therapy and hospital reimbursement practices across European countries: a heterogeneous scenario
  • Device therapy and hospital reimbursement practices across European countries: a heterogeneous scenario (en)
skos:notation
  • RIV/00023001:_____/11:00002490!RIV12-MZ0-00023001
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • suppl. 2
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 194155
http://linked.open...ai/riv/idVysledku
  • RIV/00023001:_____/11:00002490
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Cardiac resynchronization therapy; Diagnosis-related groups; Implantable cardioverter defibrillator; Pacemaker; Reimbursement (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [0E4D65F6F09F]
http://linked.open...i/riv/nazevZdroje
  • Europace
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 13
http://linked.open...iv/tvurceVysledku
  • Kautzner, Josef
  • Maniadakis, Nikos
  • Boriani, Giuseppe
  • Braunschweig, Frieder
  • Burri, Haran
  • Fattore, Giovanni
  • Jung, Werner
  • Leyva, Francisco
  • Lozano, Ignacio F.
  • Lubinski, Andrzej
  • Mantovani, Lorenzo G.
http://linked.open...ain/vavai/riv/wos
  • 000290053300013
issn
  • 1099-5129
number of pages
http://bibframe.org/vocab/doi
  • 10.1093/europace/eur080
is http://linked.open...avai/riv/vysledek of
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