In February 2005, a case-mix system based on ‘diagnosis treatment combinations’ (DBCs) was introduced in the Netherlands for the registration and reimbursement of hospital and medical specialist care. This paper describes the characteristics of the DBC system and how it is used for the...

We are proposing a goal programming model to estimate the case-mix that should be included in the Contract- program that annually subscribe the Public Hospitals and the Administration in Spain. The decision variables are the activity level of each hospital medical service and the attributes are...