ArticleHealth research policy and systems2010
The implementation of DRG-based hospital reimbursement in Switzerland: A population-based perspective.
Article in Health research policy and systems, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Challenges and Adverse Outcomes of Implementing Reimbursement Mechanisms Based on the Diagnosis-Related Group Classification System: A systematic review.Sultan Qaboos University medical journal · 2020Pooled it
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- The effect of diagnosis-related group policy on treatment cost and treatment efficiency of inpatients with coronary heart disease in Xinjiang: an interrupted time series analysis.Journal of global health · 2026Article
- Effects of Hospital Payment Reform of Government Budget Allocation and Social Health Insurance in a Pilot in China.International journal of health policy and management · 2025Article
- The impact of DRG reimbursement system on appropriate techniques of traditional Chinese medicine-evidence from pilot cities with traditional Chinese medicine hospitals in China.Frontiers in health services · 2025Article
- Article
- Country-level effects of diagnosis-related groups: evidence from Germany's comprehensive reform of hospital payments.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Physician perspectives on the implications of the diagnosis-related groups for medical practice in Turkey: A qualitative study.The International journal of health planning and management · 2022Article
- Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements.International journal of environmental research and public health · 2022Article
- 30-day readmission rate in pediatric otorhinolaryngology inpatients: a retrospective population-based cohort study.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2021Article
- Factors related to the change in Swiss inpatient costs by disease: a 6-factor decomposition.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Article
- Article
- Practicality of Acute and Transitional Care and its consequences in the era of SwissDRG: a focus group study.BMC health services research · 2019Article
- Financial Impact of Anastomotic Leakage in Colorectal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Association of the Swiss Diagnosis-Related Group Reimbursement System With Length of Stay, Mortality, and Readmission Rates in Hospitalized Adult Patients.JAMA network open · 2019Article
- 30-day unplanned readmission rate in otolaryngology patients: A population-based study in Thuringia, Germany.PloS one · 2019Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSwitzerland introduces a DRG (Diagnosis Related Groups) based system for hospital financing in 2012 in order to increase efficiency and transparency of Swiss health care. DRG-based hospital reimbursement is not simultaneously realized in all Swiss cantons and several cantons already implemented DRG-based financing irrespective of the national agenda, a setting that provides an opportunity to compare the situation in different cantons. Effects of introducing DRGs anticipated for providers and insurers are relatively well known but it remains less clear what effects DRGs will have on served populations. The objective of the study is therefore to analyze differences of volume and major quality indicators of care between areas with or without DRG-based hospital reimbursement from a population based perspective.
methodsSmall area analysis of all hospitalizations in acute care hospitals and of all consultations reimbursed by mandatory basic health insurance for physicians in own practice during 2003-2007.
resultsThe results show fewer hospitalizations and a relocation of resources to outpatient care in areas with DRG reimbursement. Overall burden of disease expressed as per capita DRG cost weights was almost identical between the two types of hospital reimbursement and no distinct temporal differences were detected in this respect. But the results show considerably higher 90-day rehospitalization rates in DRG areas.
conclusionThe study provides evidence of both desired and harmful effects related to the implementation of DRGs. Systematic monitoring of outcomes and quality of care are therefore essential elements to maintain in the Swiss health system after DRG's are implemented on a nationwide basis in 2012.
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Registered trials
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