The Impact of DRG-Based Payment Reform on Inpatient Healthcare Utilization: Evidence from a Natural Experiment in China
Hua Zhang e outros, 2025 · Healthcare
Implementation of the DRG-based prospective payment reform reduced the average hospital length of stay by 2.06 days among colorectal cancer inpatients.
Estimativa · Average length of stay (days)
-2,06 [-3,43; -0,700]
days
p < 0.01
- Desenho
- Regressão descontínua. Sharp regression discontinuity design at the 1 January 2022 policy cutoff
- População
- Colorectal cancer inpatients in secondary and tertiary hospitals in Z City, China, 2020-2023
- Amostra
- 65.184 · inpatient settlement records
Onde está o número
Table 4, column LOS, row Effects
Effects | −2.06 *** | −0.13 ** | −0.25 *** | 0.08 *** | −0.04 | −0.23 ** | −0.20 | (−3.43, −0.70)
Contexto
What changed: Z City replaced fee-for-service reimbursement with a mandatory Diagnosis-Related Group prospective payment system across all secondary and tertiary hospitals on 1 January 2022. Comparison: Sharp regression discontinuity comparing inpatient admissions immediately before and after the reform date. Limits: Single-city study focused exclusively on colorectal cancer patients, with evidence that initial reductions in hospital stay attenuated over time.
Caminho no grafo
- FamíliaRegras e regulação
- TipoRegulação de preços e aluguéis
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- China · País · CN
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23