The impact of DRG payment reform on inpatient costs for different surgery types
An empirical analysis based on Chinese tertiary hospitals
Bibliographic Data
| ID | 22072142 |
|---|---|
| Authors | Mingwei Luo (0000-0002-8486-6420, Panzhihua Central Hospital), Hongying Li (0009-0005-9926-7200, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital), Rui Li (0000-0001-9744-7965, Panzhihua Central Hospital), Rongyue Li, Yucheng Wu (0000-0002-8231-8172, Panzhihua Central Hospital), Yugao Wu, Yajia Lan (0000-0002-9818-3057, Panzhihua Central Hospital), Yuping Lan (0000-0001-8058-9414), Shiwei Xie (0000-0001-9204-119X, Panzhihua Central Hospital) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1563204-1563204 |
| Publication date | 2025-06-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1563204 |
| PMID | 40529694 |
| OpenAlex | W4411005996 |
| Language | EN |
| Citations received | 4 |
| References cited | 22 |
Background: To evaluate the impact of DRG (Diagnosis-Related Group) payment reform on inpatient costs for four major types of surgery at a tertiary hospital in China, with a focus on its implementation in general surgery, cardiothoracic surgery, neurosurgery, and urology. Methods: Based on inpatient data from 2019 to 2023, the study employed Propensity Score Matching (PSM) and Difference-in-Differences (DiD) models to compare inpatient cost differences between the DRG payment group and the non-DRG payment group. Concentration indices were used to assess the consistency of inpatient cost distribution. Results: The DRG payment reform significantly reduced the total inpatient costs for surgeries in general surgery, cardiothoracic surgery, neurosurgery, and urology, particularly in terms of drug and material expenses. Additionally, the inpatient cost distribution in the DRG payment group became more concentrated, indicating a significant reduction in the proportion of high-cost cases. Conclusion: The DRG payment reform effectively controlled inpatient costs in Chinese tertiary hospitals, particularly for complex surgical procedures, and improved the efficiency of healthcare resource utilization. This study provides empirical support for the further implementation of DRG payment reform and offers policy recommendations for optimizing China's healthcare payment system
Business · Economics · Medical emergency · Operations management · Payment · Healthcare Operations and Scheduling Optimization · Healthcare Policy and Management · Medical Coding and Health Information · Medicine · Emergency Medicine · Finance
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| Unique citing works | 4 |
|---|---|
| Citations per year | 4 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |