SynthesisBMC health services research2025
Effects of different payment methods on perinatal care outcomes: a systematic review.
Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 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
- CHS-DRG 2.0 and insurance-specific patient cost sharing in gestational diabetes admissions: a regression discontinuity in time study.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRespectful maternity care in healthcare facilities during childbirth is a growing concern around the world. It is more than just an important component of care quality; it is also a human right. The aim of this study was to develop and validate a tool to assess respectful maternity care practices among healthcare providers in Nepal.
methodsWe systematically searched primary studies published until May 2023, adhering to PRISMA guidelines. Studies evaluating causal effects of payment methods on perinatal outcomes were included. Quality was assessed using the JBI-MAStARI tools. Due to heterogeneity in the studies, a meta-analysis was not feasible; findings were summarized narratively and presented in tables/ figures.
resultsFifty-three studies were included, focusing on prenatal care (62%), childbirth (28%), and NICU care (10%). Pay-for-performance (P4P) methods improved institutional deliveries and reduced costs but had minimal effects on prenatal care quality. Diagnosis-Related Groups (DRGs) methods reduced cesarean rates but increased complications compared to Fee-For-Service (FFS). Bundled payments lowered cesarean rates and costs, while blended methods also reduced rates but increased postpartum hemorrhage. In NICU care, DRG methods increased the length of stay (LoS) and costs, primarily due to upcoding.
conclusionThe effectiveness of payment methods depends heavily on their design, implementation, and context. Poorly designed programs, despite their potential, can lead to adverse outcomes. Further research is needed to develop effective and equitable payment models that sustainably enhance maternal and neonatal health outcomes.
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