Language:

Payment Reform Pilot In Beijing Hospitals Reduced Expenditures And Out-Of-Pocket Payments Per Admission

Health affairs (Millwood, Va.), 2015-10, Vol.34 (10), p.1745-1752K [Peer Reviewed Journal]

Project HOPE—The People-to-People Health Foundation, Inc. ;Copyright The People to People Health Foundation, Inc., Project HOPE Oct 2015 ;ISSN: 0278-2715 ;EISSN: 1544-5208 ;EISSN: 2694-233X ;DOI: 10.1377/hlthaff.2015.0074 ;PMID: 26438752

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Payment Reform Pilot In Beijing Hospitals Reduced Expenditures And Out-Of-Pocket Payments Per Admission
Author: Jian, Weiyan ; Lu, Ming ; Chan, Kit Yee ; Poon, Adrienne N ; Han, Wei ; Hu, Mu ; Yip, Winnie
Subjects: Admission ; Appropriations and expenditures ; China ; China (People's Republic) ; Complications ; Containment ; Cost ; Cost control ; Cost Control - statistics & numerical data ; Cost effectiveness ; Cost shifting ; Diagnosis related groups ; DRGs ; Effectiveness ; Expenditures ; Health ; Health care expenditures ; Health care policy ; Health Expenditures - standards ; Health insurance ; Health policy ; Hospitalization - statistics & numerical data ; Hospitals ; Humans ; Hydrologic data ; Low income groups ; Management ; Management systems ; Patients ; Payment ; Payment systems ; Payments ; Pilot Projects ; Reforms ; Studies ; Trends
Is Part Of: Health affairs (Millwood, Va.), 2015-10, Vol.34 (10), p.1745-1752K
Description: In 2009 China announced plans to reform provider payment methods at public hospitals by moving from fee-for-service (FFS) to prospective and aggregated payment methods that included the use of diagnosis-related groups (DRGs) to control health expenditures. In October 2011 health policy makers selected six Beijing hospitals to pioneer the first DRG payment system in China. We used hospital discharge data from the six pilot hospitals and eight other hospitals, which continued to use FFS and served as controls, from the period 2010-12 to evaluate the pilot's impact on cost containment through a difference-in-differences methods design. Our study found that DRG payment led to reductions of 6.2 percent and 10.5 percent, respectively, in health expenditures and out-of-pocket payments by patients per hospital admission. We did not find evidence of any increase in hospital readmission rates or cost shifting from cases eligible for DRG payment to ineligible cases. However, hospitals continued to use FFS payments for patients who were older and had more complications than other patients, which reduced the effectiveness of payment reform. Continuous evidence-based monitoring and evaluation linked with adequate management systems are necessary to enable China and other low- and middle-income countries to broadly implement DRGs and refine payment systems.
Publisher: United States: The People to People Health Foundation, Inc., Project HOPE
Language: English
Identifier: ISSN: 0278-2715
EISSN: 1544-5208
EISSN: 2694-233X
DOI: 10.1377/hlthaff.2015.0074
PMID: 26438752
Source: MEDLINE
ProQuest Central

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Payment Reform Pilot In Beijing Hospitals Reduced Expenditures And Out-Of-Pocket Payments Per Admission

Project HOPE—The People-to-People Health Foundation, Inc. ;Copyright The People to People Health Foundation, Inc., Project HOPE Oct 2015 ;ISSN: 0278-2715 ;EISSN: 1544-5208 ;EISSN: 2694-233X ;DOI: 10.1377/hlthaff.2015.0074 ;PMID: 26438752

Searching Remote Databases, Please Wait