AI Article Synopsis
- The study aimed to assess the impact of the diagnosis-related group (DRG) payment system on hospitalization duration, costs, and care quality before and after its implementation.
- An analysis of 24 articles revealed that the DRG system significantly reduced both the average length of hospital stays (by 1.13%) and hospitalization costs (by 2.58%).
- While the DRG method shows benefits in reducing costs and stay duration, there are concerns that it may lead to a decline in the quality of care provided to patients.
Article Abstract
Objective: To evaluate the effect of diagnosis-related group (DRG) payment method systematically before and after implementation in terms of average hospitalization day, cost and care quality.
Method: Restricted the period from 2019 to May 31, 2023, we use 6 databases from CNKI, Wipu, Wanfang, PubMed, ScienceDirect, and web of science. With the related study, we extract the data about DRG, then we conducted meta-analysis of the data about length of stay (LOS) and cost by RevMan 5.4 and Stata 12.0 software. Care quality is in conjunction with literature reports.
Result: About 24 articles were included, covering 2 indicators: average hospitalization expenses and days. Meta-analysis shows that implementing DRG payment method has an advantage in terms of average hospital stay (pooled effect: -1.13%, 95% CI: -1.42 to -0.84, P = .00), and the difference is statistically significant. There is also an advantage in average hospitalization expenses (pooled effect: -2.58, 95% CI: -3.38 to -1.79, P = .00), and the difference is statistically significant.
Conclusion: The use of DRG payment method can effectively reduce LOS and average hospitalization expenses. However, quality of care may decline with DRG adoption.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404943 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000039421 | DOI Listing |
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