지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives: The purpose of this study was to examine the impact of Diagnosis-Related Group (DRG)-based payment on the length of stay and the number of outpatient visits after discharge in for patients who had undergone caesarean section.
Methods: This study used the health insurance data of the patients in health care facilities that were paid by the Fee-For-Service (FFS) in 2001-2004, but they participated in the DRG payment system in 2005-2007. In order to examine the net effects of DRG payment, the Difference-In-Differences (DID) method was adopted to observe the difference in health care utilization before and after the participation in the DRG payment system. The dependent variables of the regression model were the length of stay and number of outpatient visits after discharge, and the explanatory variables included the characteristics of the patients and the health care facilities.
Results: The length of stay in DRG-paid health care facilities was greater than that in the FFS-paid ones. Yet, DRG payment has no statistically significant effect on the number of outpatient visits after discharge.
Conclusions: The results of this study that DRG payment was not effective in reducing the length of stay can be related to the nature of voluntary participation in the DRG system. Only those health care facilities that are already efficient in terms of the length of stay or that can benefit from the DRG payment may decide to participate in the program.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Berki SE / 1984 / Length-of-stay variations within ICDA-8 diagnosis-related groups / Med Care 22 (2) : 126 ~ 142
Chan L / 1997 / The effect of Medicare’s payment system for rehabilitation hospitals on length of stay, charges, and total payments / N Engl J Med 337 (14) : 978 ~ 985
Chulis GS / 1991 / Assessing medicare’s prospective payment system for hospitals / Med Care Res Rev 48 (2) : 167 ~ 206
Chung SH / 2008 / Influence of DRG payment system upon providers’ practice pattern
Coulam RF / 1991 / Medicare’s prospective payment system : a critical appraisal / Health Care Financ Rev Annu Suppl : 45 ~ 77
Chan L / 1997 / The effect of Medicare’s payment system for rehabilitation hospitals on length of stay, charges, and total payments / N Engl J Med 337 (14) : 978 ~ 985
Chulis GS / 1991 / Assessing medicare’s prospective payment system for hospitals / Med Care Res Rev 48 (2) : 167 ~ 206
Chung SH / 2008 / Influence of DRG payment system upon providers’ practice pattern
Coulam RF / 1991 / Medicare’s prospective payment system : a critical appraisal / Health Care Financ Rev Annu Suppl : 45 ~ 77
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