Whether Diagnosis-related Groups will lead to the shift of medical service from inpatient to outpatient settings:An empirical study based on PSM-DID
10.3969/j.issn.1674-2982.2024.12.008
- VernacularTitle:DRG付费是否会导致住院医疗服务向门诊转移
- Author:
Yin CHEN
1
;
Xiang-zhen WANG
;
Shi-hao YU
;
Xiao-yu LIU
;
He-peng WEI
;
Mo-ning GUO
Author Information
1. 北京市卫生健康大数据与政策研究中心(北京市医院管理研究所) 北京 101117
- Publication Type:Journal Article
- Keywords:
Health policy evaluation;
DRG payment method;
Rate of outpatient revisits;
PSM-DID
- From:
Chinese Journal of Health Policy
2024;17(12):52-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the changes in medical service utilization following the implementation of DRG payment reform in Beijing.Methods:The study collected the home data of inpatient medical records from 15 tertiary general hospitals participating in DRG payment,from April 2021 to October 2022.The data was analyzed before and after the reform,with patients receiving urban employee basic medical insurance as the payment group,and other populations as the control group.A propensity score matching-difference-in-differences model was used to analyze the changes in average length of stay,average cost per hospitalization,and re-outpatient rate before and after the reform.Results:The 15 tertiary general hospitals experienced a downward trend in average days of stay and average cost per hospitalization.However,The changes in outpatient revisits rate within 30 days before admission and hospital revisits rates within 30 days after discharge were found to be not significant after the implementation of DRG payment.Conclusion:The implementation of DRG payment did not result in a transfer of inpatient medical service demand to outpatient service.However,it is important to note that the long-term effect of the reform needs further evaluation.
