Biomaterial Database

Cost containment, DRGs, and the ethics of health care. Ethical perspectives on prospective payment. 1989

C J Dougherty

Center for Health Policy and Ethics, Creighton University, Omaha, NE.

UI	MeSH Term	Description	Entries
D008489	Medical Indigency	The condition in which individuals are financially unable to access adequate medical care without depriving themselves and their dependents of food, clothing, shelter, and other essentials of living.	Indigency, Medical,Indigencies, Medical,Medical Indigencies
D011445	Prospective Payment System	A system wherein reimbursement rates are set, for a given period of time, prior to the circumstances giving rise to actual reimbursement claims.	Discretionary Adjustment Factor,Prospective Pricing,Prospective Reimbursement,Reimbursement, Prospective,Adjustment, Discretionary,Adjustment Factor, Discretionary,Adjustment Factors, Discretionary,Adjustments, Discretionary,Discretionary Adjustment,Discretionary Adjustment Factors,Discretionary Adjustments,Factor, Discretionary Adjustment,Factors, Discretionary Adjustment,Payment System, Prospective,Payment Systems, Prospective,Pricing, Prospective,Prospective Payment Systems,Prospective Reimbursements,Reimbursements, Prospective,System, Prospective Payment,Systems, Prospective Payment
D011787	Quality of Health Care	The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.	Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D003363	Cost Control	The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)	Cost Containment,Containment, Cost,Containments, Cost,Control, Cost,Controls, Cost,Cost Containments,Cost Controls
D003953	Diagnosis-Related Groups	A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.	Case Mix,DRG,Diagnosis Related Group,Diagnosis-Related Group,Case Mixes,DRGs,Diagnostic-Related Group,Group, Diagnostic-Related,Groups, Diagnostic-Related,Diagnosis Related Groups,Diagnostic Related Group,Diagnostic-Related Groups,Group, Diagnosis Related,Group, Diagnosis-Related,Group, Diagnostic Related,Groups, Diagnosis Related,Groups, Diagnosis-Related,Groups, Diagnostic Related,Related Group, Diagnosis,Related Groups, Diagnosis
D004465	Economic Competition	The effort of two or more parties to secure the business of a third party by offering, usually under fair or equitable rules of business practice, the most favorable terms.	Competition, Economic,Competitions, Economic,Economic Competitions
D004989	Ethics	The philosophy or code pertaining to what is ideal in human character and conduct. Also, the field of study dealing with the principles of morality.	Egoism,Ethical Issues,Metaethics,Moral Policy,Natural Law,Situational Ethics,Ethical Issue,Ethics, Situational,Issue, Ethical,Issues, Ethical,Law, Natural,Laws, Natural,Moral Policies,Natural Laws,Policies, Moral,Policy, Moral
D004991	Ethics, Institutional	The moral and ethical obligations or responsibilities of institutions.	Ethics, Health Facility,Ethics, Hospital,Ethics, Organizational,Organizational Ethics,Health Facility Ethics,Hospital Ethics,Institutional Ethics,Institutional Obligations,Ethic, Health Facility,Ethic, Hospital,Ethic, Institutional,Ethic, Organizational,Facility Ethic, Health,Facility Ethics, Health,Health Facility Ethic,Hospital Ethic,Institutional Ethic,Institutional Obligation,Obligation, Institutional,Obligations, Institutional,Organizational Ethic
D006278	Medicare	Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)	Health Insurance for Aged and Disabled, Title 18,Insurance, Health, for Aged and Disabled,Health Insurance for Aged, Disabled, Title 18,Health Insurance for Aged, Title 18
D006761	Hospitals	Institutions with an organized medical staff which provide medical care to patients.	Hospital