From: The effects of diagnosis-related groups payment on hospital healthcare in China: a systematic review
Location/Study | Study design | Expenditure per admission | Out of pocket payment | Length of stay | Quality of care | Equity of care | Up coding | Quality rating (NOS)* |
---|---|---|---|---|---|---|---|---|
Shanghai/Zhang 2010 [13] | CBA | ↔ |  | ↔ |  | ↓ |  | 8 |
Beijing/Jian 2015b [11] | CBA | ↓ | ↓ | ↔ | ↓ | ↓ |  | 9 |
Beijing/Zhang 2015 [43] | CBA | ↑ | ↓ | ↓ | ↑ | ↓ |  | 7 |
Changsha, Hunan province/Zhang 2016 [14] | CBA | ↓ |  | ↓ | ↑ |  |  | 8 |
Beijing /Poon 2017 [12] | CBA | ↓ |  |  | ↓↑ | ↓ |  | 9 |
Beijing /Ji 2017 [45] | CBA | ↓ | ↔ | ↓ |  |  |  | 7 |
Harbin, Heilongjiang province/Wang 2015 [39] | ITS | ↑ | ↔ | ↔ |  |  | ↑ | 5 |
Guangxi province/Wu 2015a [41] | ITS | ↑ | ↑ | ↔ |  |  |  | 6 |
Tianjin/Li 2012 [31] | BA | ↓ |  | ↓ | ↑ |  |  | 8 |
Lufeng, Yunnan province/Peng 2016 [44] | BA | ↑ |  | ↓ |  |  | ↑ | 6 |
Xiangyun, Yunnan province/Peng 2017 [46] | BA | ↓ |  | ↓ |  |  |  | 7 |
Yuxi, Yunnan province/Yan 2017 [47] | BA | ↓ |  | ↓ |  |  |  | 7 |
Yuxi, Yunnan province/Zhou 2018 [48] | BA | ↓ |  |  |  |  |  | 6 |
Number of studies | Â | 13 (6 CBA, 2ITS, 5 BA) | 5 (3 CBA, 2 ITS) | 11 (5 CBA, 2 ITS, 4 BA) | 5 (4 CBA, 1 BA) | 4 CBA | 1 ITS, 1 BA | Â |
Summary of effect | Â | Mixed | Mixed | Mild decrease | Mixed | Decrease | Increase | Â |
Certainty of the evidence (GRADE) | Â | Very low1 | Very low1 | Low2 | Very low1 | Moderate3 | Low2 | Â |