The impacts of medical insurance payment methods on medical bills and medical service quality: Evidence from Xiangtan, China

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Elsevier

外文摘要：© 2023 Elsevier Inc.This study investigates the impact of Diagnosis-Related-Group (DRG) on medical expenses and medical service quality in Chinese public hospitals. We also examine how the effects of DRG vary among different hospital classifications. Using a unique dataset of hospitalization settlement and discharge information at the patient level, we apply a fixed-effects difference-in-differences (DID) model to assess the causal effects. Our research uncovers interesting findings on how public hospitals react to cost controls and quality improvement during the initial stages of DRG implementation. Our results reveal that DRG significantly reduces various medical costs but does not significantly affect the quality of care. Furthermore, we observe that DRG increases the burden on patients in Grade III hospitals and has a substantial negative impact on medical service quality, which contradicts the intended goals of the DRG payment reform. Our study provides insights from the hospital perspective and can serve as a reference for medical insurance payment reform in developing countries that are undergoing primary healthcare reform.

外文关键词：

Classification of hospitalDiagnosis-related-groupMedical costsMedical insurance payment methodsMedical service quality

作者：

Wang Y.、Chen Y.、Wang J.、Lao Y.

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作者单位：

School of Finance Hunan University of Finance and Economics

School of Frontier Crossover Studies Hunan University of Technology and Business||School of Business Central South University

School of Business Central South University

College of Computer Science and Electronic Engineering Hunan University

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出版年：

2023

DOI：

10.1016/j.jbusres.2023.114292

Journal of business research

ISSN：0148-2963

年,卷(期)：2023.169(Dec.)

参考文献量21