In 1983, the first patient classification system to be used on a
national basis, the Diagnosis Relate Groups (DRGs), was adopted as
part of the Prospective Payment System in the United States. This
system caught the attention of health policy makers in other
countries, and a number of them began to implement similar
approaches. What motivated them to adopt these systems? What
similarities and differences were there among their experiences in
implementing these systems? What can we learn about introducing
change into national health systems by comparing their experiences?
The Globalization of Managerial Innovation in Health Care answers
these and other questions by examining patient classification
systems in fifteen different countries throughout the world. The
result is a remarkable collection of case studies of how change can
be introduced effectively into national health systems as well as a
careful synthesis of what can be learned from them.
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