Kodieren von Krankenhausleistungen allgemein und speziell bei Malignomen und HIV/AIDS

The new DRGs reimbursement system will start as an optional model in 2003.The compulsory introduction of this new system will take place on 1 January 2004.The reimbursement system based on diagnosis-related groups (DRGs) is supposed to be implemented within 4 or 5 years. In order to guarantee a performance-oriented reimbursement, comparable cases will be assigned to the same DRGs.This can only be achieved if diagnosis and classification procedures are standardized.The general and special German DKRs regulate and support this process. The structured classification of diseases is guaranteed by ICD-10-SGB V.Thus, standardization of diagnoses according to an internationally accepted system recommended by WHO will be achieved.Moreover, further developments in medical progress and adjustments for costs will be taken into consideration to advance clinical performance. A far-reaching general structural change in health care will take place and will not be restricted to hospitalized patients. It is absolutely necessary that the DRGs be adapted to the German standards in order to guarantee a highly economic and efficient health service.The growing bureaucracy in medicine should not prevent doctors from their responsibilities towards their patients.