Ardelean, Gavril - Buicu, Florin (szerk.): Satu Mare. Studii şi comunicări. Seria ştiinţele naturale 7. (2006)
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Satu Mare - Studii şi Comunicări Seria Ştiinţele Naturii Voi. VII (2006) introduction of Australian AR-DRG from 2007 development of Romanian cost weights and the unique national tariff development of Romanian classification system ROR-DRG from 2009 etc. The implementation of DRG system in Romania hospitals provides a basis and represents a good example of cooperation for R&D with other countries (Hungary, Slovenia, Bulgaria etc.). The scope of the reform will be realized only if it will be a real governmental support. All R&D and implementation activities are based on regulatory measures (Governmental Decisions, Ministerial Orders etc.) that concern: development of institutions (e.g.: NIRDH), financing of activities (from different sources) and establishment of the strategy and targets. In the same time, there is a need for coordination of DRG development with the other aspects of health care reform (e.g.: ambulatory care, hospital management etc.) References 1. Covaleski, M.A. et al. (1993), ‘An Institutional Theory Perspective on the DRG Framework, Case- Mix Accounting Systems and Health Care’, Accounting, Organisations and Society, Vol. 18, No. l,pp. 65-80. 2. Chuang KH, Covinsky KE, Sands LP, Fortinsky RH, Palmer RM & Landefeld S (2003). Diagnosis-Related Group — Adjusted Hospital Costs Are Higher in Older Medical Patients with Lower Functional Status. Journal of the American Geriatrics Society, 51, 12. 3. Forgione DA, Vermeer TE, Surysekar K, Wrieden JA and Plante CA (2004). The Impact of DRG-Based Systems on Quality of Health Care in OECD Countries, Journal of Health Care Finance, 31 (1). 4. Kroneman M and Nagy J (2001). Introducing DRG-based Financing in Hungary: A study into the relationship between supply of hospital beds and the use of these beds under changing institutional circumstances, Health Policy, 55, 19-36. 5. Hill, N.T. (2000), ‘Adoption of Costing Systems in US Hospitals: An Event History Analysis 1980—1990’, Journal of Accounting and Public Policy, Vol. 19, No. 1, pp. 41-71. 6. Jones, C.S. and I.P. Dewing (1997), ‘The Attitudes of NHS Clinicans and Medical Managers Towards Changes in Accounting Controls’, Financial Accountability & Management, Vol. 13, No. 3, pp. 261—80. 7. Mikkola H, Keskimaki I and Häkkinen U (2001). DRG-related Prices Applied in a Public Health Care System, - Gan Finland learn from Norway and Sweden? Health Policy, 59. 8. Moorhead S and Johnson M (2004). Diagnostic- Specific Outcomes and Nursing Effectiveness Research. International Journal of Nursing Terminologies and Classifications, 15, 2. 9. Muller ML, Burkle T, Irps S, Roeder N and Prokosch H (2003). The Diagnosis Related Groups Enhanced Electronic Medical Record. International Journal of Medical Informatics, 70. 10. Radu C.P -Patient Level Costs In Cluj University Districtual Hospital Case Mix Project,, IHSM 11. Radu C.P - Cost Accounting: Providing Tools to Hospitals. Institute of Health Services Management, Romania, Washington D.C., July 2002 12. Rvinen J — Institutional pressures for adopting new cost accounting systems in Finnish Hospitals: two longitudinal case studies, Financial Accountability & Management, 22(1), February 2006, 304
