ArticleRisk management and healthcare policy2021
Impacts of Diagnosis-Related Groups Payment on the Healthcare Providers' Behavior in China: A Cross-Sectional Study Among Physicians.
Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physicians' and Hospital Administrators' Perspectives of Diagnosis-Related Groups (DRGs) in High-Income Countries: A Systematic Review.TheScientificWorldJournal · 2026Pooled it
- Nasogastric vs. nasojejunal feeding in stroke patients under a DRG payment system: balancing clinical benefits and economic costs.Health economics review · 2026Article
- The Impact of DRG Review Teams on Obstetric Disease Management and Cost Control: A Variance Analysis Approach.The journal of obstetrics and gynaecology research · 2026Article
- Ghana's Diagnosis Related Grouping (G-DRG) tariffs versus hospital charges: implications for inpatient care financing at a secondary hospital in Ghana.Cost effectiveness and resource allocation : C/E · 2026Article
- Behavioral responses of healthcare providers to prospective payment systems: a systematic review using the WHO framework (2000-2024).Health economics review · 2026Review
- Article
- Risk Governance of Payment Exceptions Under China's DRG/DIP Reform: A Structured Policy-Text Analysis of Special Case Negotiation Rules.Risk management and healthcare policy · 2026Article
- Drivers and effects of DRG coding abuse based on hot cheese model: a qualitative study.Frontiers in public health · 2026Article
- An empirical study of diagnosis-related group classification for hospitalization costs in lumbar disk herniation patients treated in Chinese medicine hospitals in China.Frontiers in public health · 2026Article
- The impact of DRG payment reform on stroke inpatient costs: a propensity score matching and difference-in-differences analysis of a large public hospital in Northeast China.BMC public health · 2025Article
- Quantitative evaluation of China's new health insurance payment policy based on the policy modeling consistency (PMC) index model.BMC health services research · 2025Article
- Implementing the Chinese mandatory antimicrobial stewardship program: barriers to continuous improvement.Health policy and planning · 2025Article
- Improved management of hospital-acquired infections with DRG-based payment system: an interrupted time‑series analysis.BMC health services research · 2025Article
- Validation of the Patient Driven Payment Model (PDPM) in China.BMC health services research · 2025Article
- Diagnosis-related groups study of uterine leiomyoma patients based on E-CHAID.Scientific reports · 2025Article
- Impact of a new case-based payment scheme on volume distribution across public hospitals in Zhejiang, China: does 'Same disease, same price' matter.International journal for equity in health · 2025Article
- Optimizing metagenomic next-generation sequencing in CNS infections: a diagnostic model based on CSF parameters.Frontiers in cellular and infection microbiology · 2025Article
- Effects of DRG/DIP payment reform on hospital pharmacy administration and pharmaceutical services in China: a multicenter cross-sectional study.Frontiers in public health · 2025Article
- The combined application of Mini-CEX and Check-list Scales in enhancing clinical competence among emergency and critical care residents: a comparative study.Frontiers in medicine · 2025Article
- Cost shifting or cost cutting by hospitals as a response to reimbursement reform? The case of diagnosis-related groups (DRG) scheme in China.Frontiers in public health · 2025Article
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2 authors.
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Abstract
purposeCurrently, China is piloting diagnosis-related groups (DRG) payment system in 30 cities. The main aim of this study was to explore the respondents' impressions regarding the hospitals' policies and physicians' behavior change brought by the DRG payment system, and investigate whether and how the hospitals' policies affect the physicians' behavior.
methodsWe distributed questionnaires designed for this study to 200 physicians. Data analysis consisted of descriptive statistics,
resultsRespondents stated that the hospitals had adopted several policies in response to DRG payment and DRG payment could reduce overtreatment and improve efficiency. However, it also led to several negative effects including an increased explanation to the patients, hindering new technologies, case splitting, and cherry picking. In addition, there was no evidence that harmful effects such as refusing patients and premature discharge existed. Overall, the benefits outweighed the drawbacks of DRG. Moreover, the hospitals' policies could effectively change physician behaviors. Our results indicated that promoting the implementation of clinical pathways had the most positive impact, while limiting costs and length of stay is not recommended.
conclusionIn general, Chinese physicians who participated in the questionnaire possessed relatively positive attitudes towards the DRG payment system. Nevertheless, some of the negative impacts cannot be ignored. Meanwhile, the hospitals' policies should be implemented with adequate consideration of the impact on physicians' behavior.
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