Diagnosis-related group
Diagnosis-related group (pronunciation: /daɪəɡˈnəʊsɪs rɪˈleɪtɪd gruːp/), often abbreviated as DRG, is a system of classification used in the healthcare industry for the purpose of reimbursement and resource allocation. The system is based on the principal diagnosis, secondary diagnoses, surgical procedures, age, sex, and presence of complications or comorbidities.
Etymology
The term "Diagnosis-related group" was first coined in the United States in the 1980s as part of a major reform of the Medicare system. The word "diagnosis" comes from the Greek diagnosis meaning "discernment, distinguishing," and "group" comes from the Old French groupe meaning "cluster, collection."
Related Terms
- Principal diagnosis: The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.
- Secondary diagnosis: Additional conditions that coexist at the time of admission, or develop during the stay, and which may affect the treatment received and/or the length of stay.
- Comorbidity: The simultaneous presence of two or more diseases or medical conditions in a patient.
- Medicare: A national health insurance program in the United States, begun in 1966 under the Social Security Administration and now administered by the Centers for Medicare and Medicaid Services.
- Healthcare: The organized provision of medical care to individuals or a community.
External links
- Medical encyclopedia article on Diagnosis-related group
- Wikipedia's article - Diagnosis-related group
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