ArticleFrontiers in public health2025
Do the diagnosis-related group payment reforms have a negative impact?-an empirical study from Western China.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Analysis of factors influencing hospitalization costs for ureteral surgery based on a DRG profit-and-loss perspective: a multicenter study.BMC health services research · 2026Article
- Nasogastric vs. nasojejunal feeding in stroke patients under a DRG payment system: balancing clinical benefits and economic costs.Health economics review · 2026Article
- 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
- Exploratory segmentation of selected cardiovascular hospital services in Chile using DRG-based normalized indicators.Frontiers in health services · 2026Article
- Selective strategic adaptation and structural trade-offs in a public traditional Chinese medicine hospital under China's national performance appraisal: a longitudinal study.Frontiers in health services · 2026Article
- Provider and patient perceptions of traditional Chinese medicine service pricing reform: evidence from Northeast China.Frontiers in public health · 2026Article
- Association of DRG-based payment reform with inpatient costs and resource use among older adults: an interrupted time series study in a county-level referral hospital 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
- Analysis and optimization of inpatient cost structure for fracture patients under the implementation of the DRG policy.Frontiers in public health · 2025Article
- Optimizing metagenomic next-generation sequencing in CNS infections: a diagnostic model based on CSF parameters.Frontiers in cellular and infection microbiology · 2025Article
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6 authors.
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Abstract
Background: The first Diagnosis-Related Group (DRG) Reimbursement pilots in China, which started in 2019, marked an essential step in cost control and service efficiency in Chinese hospitals, but some adverse effects inevitably emerged during the implementation of DRG in TCM (traditional Chinese medicine) hospitals. This study aims to explore the positive and negative effects of DRG payment reform and provide a reference for the reform of medical insurance payments in countries that retain traditional medicine. Methods: Longitudinal data from two hospitals, Qingyang City Hospital of TCM and Tianshui City Hospital of TCM, were retrieved from China's Gansu Health for All Big Data Platform from June 2016 to June 2022, and the policy effects were assessed using the difference-in-differences (DID) method and mediated-effects model. Results: The DRG reform reduced hospitalization costs, diagnostic costs, drug costs, and nursing costs by 6.5, 4.2, 7.9, and 26.2%, respectively, in the treatment group hospitals ( Conclusion: The reform of the DRG payment method has positively impacted the cost control of TCM hospitals, but it has also had some adverse effects. This poses a challenge and prompts a thought about how TCM hospitals can maintain their distinctive advantages by optimizing the design of the DRG system at present.
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