The pilot results of 47 148 cases of BJ‐DRGs‐based payment in China

Abstract

Summary Purpose Diagnosis‐related groups (DRGs)‐based payment is an important tool for containment of inpatient expenditure rise in many countries. As a major developing country, China has introduced DRGs in the health reform. Beijing, the capital of China, developed a local DRGs version (BJ‐DRGs) whose performance needs to be evaluated before universal utilization. The objective of this study was to survey the effect of BJ‐DRGs‐based payment on a pilot hospital. Methods We surveyed the profit and loss situation of 47 148 cases of hospital discharged patients in 107 groups of pilot BJ‐DRGs‐based payment from December 2011 to July 2018 in certain top tertiary hospital in Beijing. Results In pilot 107 groups of DRGs, there were 77 groups (71.96%) in profit and 30 groups (28.04%) in loss; average length of inpatient stay was 7.47 days, average inpatient expenditure ¥17 821.19, average DRGs standard unit price ¥15 896.83, average self‐pay expenditure ¥1 117.04, and average profit ¥1 849.65; logistic regression showed that whether the pilot hospital of BJ‐DRGs‐based payment was in profit or loss was correlated negatively with inpatient expenditure, length of inpatient stay, drug expenditure, expenditure of medical consumables, and pilot years, and positively with DRGs standard unit price, self‐pay expenditure, and age and gender (P < .0001). Conclusion BJ‐DRGs‐based payment is the first implemented DRGs‐based prospective payment system in China. The current DRGs pilot model made the pilot hospital appear profitable as a whole and its length of inpatient stay decline.

Analytical methods to assess the impacts of activity-based funding (ABF): a scoping review

“…We identified a total of 19 studies which met our eligibility criteria (Additional file 1 : Appendix 2). Of our included studies, four were conducted in England [ 30 , 34 , 39 , 40 ], three each in Korea [ 41 – 43 ] and Norway [ 33 , 44 , 45 ], and one each in Portugal [ 46 ], Israel [ 47 ], the Netherlands [ 48 ], Canada [ 49 ], Italy [ 50 ], Japan [ 51 ], Belgium [ 52 ], China [ 53 ], and Austria [ 54 ]. Most studies were published after 2010 [ 30 , 33 , 34 , 39 , 41 – 43 , 45 , 48 – 51 , 53 ], and six were published before 2010 [ 40 , 44 , 46 , 47 , 52 , 54 ].…”

“…Of our included studies, four were conducted in England [ 30 , 34 , 39 , 40 ], three each in Korea [ 41 – 43 ] and Norway [ 33 , 44 , 45 ], and one each in Portugal [ 46 ], Israel [ 47 ], the Netherlands [ 48 ], Canada [ 49 ], Italy [ 50 ], Japan [ 51 ], Belgium [ 52 ], China [ 53 ], and Austria [ 54 ]. Most studies were published after 2010 [ 30 , 33 , 34 , 39 , 41 – 43 , 45 , 48 – 51 , 53 ], and six were published before 2010 [ 40 , 44 , 46 , 47 , 52 , 54 ]. All included studies used quantitative methodology for data analysis, in their assessment of ABF impacts (see Table 2 and Additional file 1 : Appendix 3).…”

“…There was variation between the number of years of data that was analysed. Four studies analysed data over a 3 year period [ 39 , 46 – 48 ], three studies analysed 7 years of data [ 33 , 34 , 44 ], two each analysed 8 years [ 51 , 52 ], 6 years [ 50 , 53 ], 4 years [ 40 , 45 ], and 1 year [ 41 , 42 ]. The remaining studies analysed data over 2 years [ 43 ], 9 years [ 30 ], 10 years [ 49 ] and 14 years [ 54 ] (Additional file 1 : Appendix 3).…”

“…, 6 years[50,53], 4 years[40,45], and 1 year[41,42]. The remaining studies analysed data over 2 years[43], 9 years [30], 10 years [49] and 14 years [54] (Additional file 1: Appendix 3).…”

Cluster analysis of differences in medical economic burden among residents of different economic levels in Guangdong Province, China

“…The specific reform measures include paying by disease, paying by DRGs (diagnosis related groups) and strengthen basic medical and health institutions, etc. [ 7 ]…”