Impacts of Hospital Payment Based on Diagnosis Related Groups (DRGs) with Global Budget on Resource Use and Quality of Care: A Case Study in China
Impacts of Hospital Payment Based on Diagnosis Related Groups (DRGs) with Global Budget on Resource Use and Quality of Care: A Case Study in China (Iranian Journal of Public Health).
China has implemented numerous pilots to shift its hospital payment mechanism from the traditional retrospective cost-based system to prospective diagnosis-related-group (DRG) -based system. This study investigated the impact of the DRG payment reform with global
budget in Zhongshan, China.
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Conclusion:
The innovative DRG-based payment reform in Zhongshan suggested a positive
effect on AMI patient’s cost containment but negative effect on encouraging
resource use. It had no impacts on patients’ care quality. Cost shifting
consequence from the insured to the uninsured was observed. More evidence of
the impacts of the DRG-based payment in China’s health scenario is needed
before it is generalized nationwide.
Quelle: Iranian Journal of Public Health, 01.02.2019
