Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument
(1) Background: Undifferentiated function for medical institutes in different levels had been a barrier to China’s healthcare reform. Thus, this study aimed to detect medical services that were capable offered both in tertiary and county hospitals in China and discuss the process of detection. (2) M...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-07-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/8/922 |
| _version_ | 1797523712026607616 |
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| author | Yuntian Chu Hongbing Tao |
| author_facet | Yuntian Chu Hongbing Tao |
| author_sort | Yuntian Chu |
| collection | DOAJ |
| description | (1) Background: Undifferentiated function for medical institutes in different levels had been a barrier to China’s healthcare reform. Thus, this study aimed to detect medical services that were capable offered both in tertiary and county hospitals in China and discuss the process of detection. (2) Method: Data of 2 tertiary hospitals that were city level and 12 county-level hospitals from one city in China were collected and grouped into diagnosis-related groups (DRGs). A strategy with four steps was devised by considering the aspects of service volume, in-hospital mortality rate, in-hospital adverse events rate, and inpatient cost. Additionally, a comparison of each indicator was made between city- versus county-level hospitals. (3) Results: There were no differences in service quality between the two levels of hospitals while county hospitals had lower average inpatient costs in 129 DRGs that covered 39.5% of all cases. About CNY 0.26 billion would be saved if certain cases were paid at county-level prices. (4) Conclusion: The study proposed a strategy with four steps that could help in locating the range of diseases in which patients’ admission suffered from the problem of undifferentiation between hospitals’ functions to reduce the irrational growth of healthcare expenditure. |
| first_indexed | 2024-03-10T08:46:53Z |
| format | Article |
| id | doaj.art-7a6e33c74c6146d09ff8e80db8b93e54 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T08:46:53Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-7a6e33c74c6146d09ff8e80db8b93e542023-11-22T07:48:14ZengMDPI AGHealthcare2227-90322021-07-019892210.3390/healthcare9080922Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG InstrumentYuntian Chu0Hongbing Tao1Department of Health Administration, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, ChinaDepartment of Health Administration, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China(1) Background: Undifferentiated function for medical institutes in different levels had been a barrier to China’s healthcare reform. Thus, this study aimed to detect medical services that were capable offered both in tertiary and county hospitals in China and discuss the process of detection. (2) Method: Data of 2 tertiary hospitals that were city level and 12 county-level hospitals from one city in China were collected and grouped into diagnosis-related groups (DRGs). A strategy with four steps was devised by considering the aspects of service volume, in-hospital mortality rate, in-hospital adverse events rate, and inpatient cost. Additionally, a comparison of each indicator was made between city- versus county-level hospitals. (3) Results: There were no differences in service quality between the two levels of hospitals while county hospitals had lower average inpatient costs in 129 DRGs that covered 39.5% of all cases. About CNY 0.26 billion would be saved if certain cases were paid at county-level prices. (4) Conclusion: The study proposed a strategy with four steps that could help in locating the range of diseases in which patients’ admission suffered from the problem of undifferentiation between hospitals’ functions to reduce the irrational growth of healthcare expenditure.https://www.mdpi.com/2227-9032/9/8/922health systemtiered healthcare delivery systeminpatientsreferral |
| spellingShingle | Yuntian Chu Hongbing Tao Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument Healthcare health system tiered healthcare delivery system inpatients referral |
| title | Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument |
| title_full | Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument |
| title_fullStr | Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument |
| title_full_unstemmed | Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument |
| title_short | Detecting Undifferentiation of Tertiary and County Hospitals in China in Adoption of DRG Instrument |
| title_sort | detecting undifferentiation of tertiary and county hospitals in china in adoption of drg instrument |
| topic | health system tiered healthcare delivery system inpatients referral |
| url | https://www.mdpi.com/2227-9032/9/8/922 |
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