{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T16:28:42Z","timestamp":1775320122003,"version":"3.50.1"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"1920","license":[{"start":{"date-parts":[[2013,5,5]],"date-time":"2013-05-05T00:00:00Z","timestamp":1367712000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>BACKGROUND: Reimbursement  for inpatients in Switzerland differed among states until 2012. Some hospitals used  diagnosis related groups (DRG) and others used fee-for-service (FFS). We compared  length of hospital stay (LOS), patient satisfaction and quality of life between  the two systems before a nation-wide implementation of DRG.\n        METHODS: In a prospective, two-centre observational cohort study, we  identified all patients with a main diagnosis of either community-acquired pneumonia,  exacerbation of chronic pulmonary obstructive disease, acute heart failure or  hip fracture from January to June 2011 and performed a systematic questionnaire  survey 2\u20134 months after hospital discharge.\n        RESULTS: Of 1,093 inpatients,  450 were included. Mean age was 71.1 (\u00b1SD 19.5) years (48% male). Patients in  the FFS hospital were older (mean age 74.8 vs. 65.2 years; p &lt;0.001) and suffered from more co-morbidities. Mean LOS was 9  days and shorter in the all-patient DRG (AP-DRG) hospital (unadjusted mean 8.2  vs. 9.5 days, p = 0.04). After  multivariate adjustment, no significant difference in LOS was found (p\u00a0=\u00a00.24). More patients from the FFS  hospital were re-hospitalised for any reason (35% vs. 17.5%; p\u00a0=\u00a00.01), re-admitted to acute-care  institutions (11.7% vs. 5.2%; p = 0.014),  not satisfied with the discharge process (15.3% vs. 9.7%; p\u00a0=\u00a00.02), showed problems with self-care (93.8% vs. 88%; p = 0.03) and usual activities (79.3%  vs. 76%; p = 0.02).\n        DISCUSSION: This study suggested that the AP-DRG hospital showed higher patient  satisfaction regarding discharge, lower re-hospitalisation rates and shorter  LOS partly explained by a lower burden of co-morbidities and disease severity.  This study needs validation in a larger cohort of patients and at multiple time  points.<\/jats:p>","DOI":"10.4414\/smw.2013.13790","type":"journal-article","created":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T10:27:23Z","timestamp":1404383243000},"page":"w13790","source":"Crossref","is-referenced-by-count":3,"title":["Head-to-head comparison of fee-for-service and diagnosis  related groups in two tertiary referral hospitals in Switzerland: an observational  study"],"prefix":"10.57187","volume":"143","author":[{"given":"Noemi","family":"Weissenberger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00e9sir\u00e9e","family":"Thommen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Schuetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beat","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Reemts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Holler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juerg\u00a0A","family":"Schifferli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Gerber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balthasar\u00a0L","family":"Hug","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"36756","published-online":{"date-parts":[[2013,5,5]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1682\/2243","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1682\/2244","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1682\/2245","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1682\/2243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T04:28:13Z","timestamp":1755232093000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,5]]},"references-count":0,"journal-issue":{"issue":"1920","published-online":{"date-parts":[[2013,5,6]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2013.13790","relation":{},"ISSN":["1424-3997"],"issn-type":[{"value":"1424-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,5]]}}}