SynthesisSultan Qaboos University medical journal2020
Challenges and Adverse Outcomes of Implementing Reimbursement Mechanisms Based on the Diagnosis-Related Group Classification System: A systematic review.
Synthesis in Sultan Qaboos University medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementing Diagnosis-Related Groups for Value-Based Healthcare in Saudi Arabia:Saudi medical journal · 2026Pooled it
- Physicians' and Hospital Administrators' Perspectives of Diagnosis-Related Groups (DRGs) in High-Income Countries: A Systematic Review.TheScientificWorldJournal · 2026Pooled it
- Are Traditional Registries Becoming Obsolete in the Modern Digital Health Ecosystem?Journal of medical Internet research · 2026Article
- Quality of mental health care among insured patients in an Indonesian psychiatric hospital.BMC health services research · 2026Article
- Cost Disparities Between Hospital Expenditures and Reimbursement Schemes in Indonesia: A Study on Chemotherapy for Breast Cancer.Asian Pacific journal of cancer prevention : APJCP · 2026Article
- Drivers and effects of DRG coding abuse based on hot cheese model: a qualitative study.Frontiers in public health · 2026Article
- From professional appeal to professional standard: reframing the Italian rehabilitation workforce through evidence, regulation, and global alignment.Frontiers in public health · 2026Article
- Continuous biosignal acquisition beyond the limit of epidermal turnover.Materials horizons · 2025Review
- The impact of diagnosis-related group payment on the hospitalization expenditure and medical quality of public hospitals in China.PloS one · 2025Article
- Assessing the Economic Implications of a Diagnosis-Related Groups Payment System in Iran's Health System Transformation Plan.International journal of preventive medicine · 2025Article
- Article
- DRGKB: a knowledgebase of worldwide diagnosis-related groups' practices for comparison, evaluation and knowledge-guided application.Database : the journal of biological databases and curation · 2024Article
- Article
- Costs of Air Pollution in California's San Joaquin Valley: A Societal Perspective of the Burden of Asthma on Emergency Departments and Inpatient Care.Journal of asthma and allergy · 2024Article
- Reimbursement of care does not equal the distribution of hospital resources: an explorative case study on a missing link among Dutch hospitals.BMC health services research · 2023Article
- Challenges of implementing diagnostic-related groups and healthcare promotion in Iran: A strategic applied research.Health science reports · 2023Article
- Value-based Reimbursement as a Mechanism to Achieve Social and Financial Impact in the Healthcare System.Journal of health economics and outcomes research · 2023Article
- The value of surgical admissions for malignant uterine cancer. A comparative analysis of robotic, laparoscopic, and laparotomy surgery in a university hospital.Frontiers in public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In health insurance, a reimbursement mechanism refers to a method of third-party repayment to offset the use of medical services and equipment. This systematic review aimed to identify challenges and adverse outcomes generated by the implementation of reimbursement mechanisms based on the diagnosis-related group (DRG) classification system. All articles published between 1983 and 2017 and indexed in various databases were reviewed. Of the 1,475 articles identified, 36 were relevant and were included in the analysis. Overall, the most frequent challenges were increased costs (especially for severe diseases and specialised services), a lack of adequate supervision and technical infrastructure and the complexity of the method. Adverse outcomes included reduced length of patient stay, early patient discharge, decreased admissions, increased re-admissions and reduced services. Moreover, DRG-based reimbursement mechanisms often resulted in the referral of patients to other institutions, thus transferring costs to other sectors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.