PMID- 37998456
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231127
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 11
IP  - 22
DP  - 2023 Nov 15
TI  - Statistical Insight into China's Indigenous Diagnosis-Related-Group System 
      Evolution.
LID - 10.3390/healthcare11222965 [doi]
LID - 2965
AB  - The use of Diagnosis-Related Groups (DRG) is a prevalent payment system employed 
      to control hospitalization costs and improve medical efficiency. China has 
      developed an indigenized DRG payment system including Single Disease Payment 
      (SDP), DRGs, and Big Data Diagnosis-Intervention Packet (DIP). In this study, we 
      took cholecystitis as an example, drawing on both primary and secondary data to 
      verify the effectiveness of China's indigenized DRG system and to introduce the 
      evolution of DRGs in China. Primary data were gathered from Qilu Hospital in 
      2019-2021. Secondary data were collected from published literature from 
      2004-2016. Only studies with both pre-SDP/DRG and post-SDP/DRG groups were 
      included. Among the studies included, 92.9% (13/14) reported a significant 
      reduction in hospitalization costs after the implementation of SDP while other 
      studies identified length of stay (LOS) and age as the most significant 
      influential factors in SDP. Furthermore, we elaborated the efficiency of DRGs 
      using data from 2738 inpatients in Qilu hospital. Moreover, 60% (6/10) of the 
      studies from the databases also showed the efficiency of DRGs in different 
      regions. SDP is efficient in saving hospitalization costs, but its implementation 
      is limited. DRGs have a broader scope of application, but their effectiveness 
      remains to be validated. DIP is a brand new concept in China, and more data are 
      needed to assess its efficiency.
FAU - Ma, Wenlong
AU  - Ma W
AD  - Department of Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
FAU - Qu, Jing
AU  - Qu J
AD  - Department of Medical Records, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
FAU - Han, Hui
AU  - Han H
AD  - Office of Hospital President, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
FAU - Jiang, Zixia
AU  - Jiang Z
AD  - Department of Medical Insurance, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
FAU - Chen, Tiantian
AU  - Chen T
AD  - Department of Medical Records, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
FAU - Lu, Xuefeng
AU  - Lu X
AD  - Department of Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
FAU - Lu, Jiaoyang
AU  - Lu J
AD  - Department of Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, 
      Shandong University, Jinan 250012, China.
AD  - Medical Integration and Practice Center, Cheeloo College of Medicine, Shandong 
      University, Jinan 250012, China.
LA  - eng
PT  - Journal Article
DEP - 20231115
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC10671376
OTO - NOTNLM
OT  - China
OT  - cholecystitis
OT  - diagnosis intervention packet
OT  - diagnosis-related groups
OT  - evolution
OT  - payment
COIS- The authors declare no conflict of interest.
EDAT- 2023/11/24 12:43
MHDA- 2023/11/24 12:44
PMCR- 2023/11/15
CRDT- 2023/11/24 09:36
PHST- 2023/09/17 00:00 [received]
PHST- 2023/11/09 00:00 [revised]
PHST- 2023/11/12 00:00 [accepted]
PHST- 2023/11/24 12:44 [medline]
PHST- 2023/11/24 12:43 [pubmed]
PHST- 2023/11/24 09:36 [entrez]
PHST- 2023/11/15 00:00 [pmc-release]
AID - healthcare11222965 [pii]
AID - healthcare-11-02965 [pii]
AID - 10.3390/healthcare11222965 [doi]
PST - epublish
SO  - Healthcare (Basel). 2023 Nov 15;11(22):2965. doi: 10.3390/healthcare11222965.