表1_成本转移还是成本削减？中国诊断相关组（DRG）方案下医院应对报销改革的案例

数据集获取（Figshare）

• 源站标题：Table 1_Cost shifting or cost cutting by hospitals as a response to reimbursement reform? The case of diagnosis-related groups (DRG) scheme in China.docx
• DOI：10.3389/fpubh.2025.1582001.s001
• 发布日期：2025-08-20
• 文件数：1 个
• 文件总体积：708.58 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Table_1_Cost_shifting_or_cost_cutting_by_hospitals_as_a_response_to_reimbursement_reform_The_case_of_diagnosis-related_groups_DRG_scheme_in_China_docx/29946644

命令行下载

curl -L -o "Table 1_Cost shifting or cost cutting by hospitals as a response to reimbursement reform? The case of diagnosis-related groups (DRG) scheme in China.docx" "https://ndownloader.figshare.com/files/57302168"

文件清单

• Table 1_Cost shifting or cost cutting by hospitals as a response to reimbursement reform? The case of diagnosis-related groups (DRG) scheme in China.docx（708.58 KB）

文件总体积 708.58 KB（源站 API 实测）。

数据说明

BackgroundDiagnosis-related group (DRG) systems for healthcare reimbursement were recently introduced among hospitals in China, raising concerns about cost-shifting, where hospitals may increase charges for self-financing patients to offset reimbursement cuts by DRG. In 2018, both Nanchang and Ganzhou Cities in Jiangxi Province installed DRG information systems, but only Nanchang fully implemented the DRG system during the 2019–2020 pilot period.
Materials and methodsDrawing from a healthcare administrative dataset of 14,310 patients’’ records, this study investigates the hospitalization costs associated with Intraocular Lens (IOL) implantation procedures in Jiangxi Province, China, from 2017 to 2020. By applying the quantile difference-in-differences (DID) and difference-in-difference-in-difference (DDD) methodologies, the research examines the impacts of DRG implementation on hospitalization costs, with a particular focus on self-financing patients.
ResultsUpon the implementation of DRG in hospitals in Nanchang, the IOL cost ratio for patients in Nanchang was lower on average by 0.047 (p The study indicates that implementing the DRG system in Chinese hospitals effectively constrained healthcare costs without causing unintended cost-shifting among self-financing patients. The system’'s heightened impacts on higher quantiles indicate its efficacy in addressing high-cost outliers. These outcomes are likely attributed to the centralized medical procurement and healthcare information technology integrated into the Chinese healthcare system.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/fpubh.2025.1582001.s001（source: https://frontiersin.figshare.com/articles/dataset/Table_1_Cost_shifting_or_cost_cutting_by_hospitals_as_a_response_to_reimbursement_reform_The_case_of_diagnosis-related_groups_DRG_scheme_in_China_docx/29946644）。