Comparison of Diagnosis-Related Group Rehabilitation Reimbursement Payments With Those of a Novel Patient Classification-Based Payment System

Ruixue Ye, PhD; Xiaolong Zhu, MD; Mingchao Zhou, PhD; Jianjun Long, MD; Yan Gao, PhD; Jianglin Zhou, MD; Yongjun Jiang, MD; Zejun Wang, MD; Yulong Wang, MD

Archives of Rehabilitation Research and Clinical Translation (Sep 2024)

Comparison of Diagnosis-Related Group Rehabilitation Reimbursement Payments With Those of a Novel Patient Classification-Based Payment System

Ruixue Ye, PhD,
Xiaolong Zhu, MD,
Mingchao Zhou, PhD,
Jianjun Long, MD,
Yan Gao, PhD,
Jianglin Zhou, MD,
Yongjun Jiang, MD,
Zejun Wang, MD,
Yulong Wang, MD

Affiliations

Ruixue Ye, PhD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.; Department of Biomedical and Engineering, School of Medicine, Shenzhen University, Shenzhen, China.; Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, Shenzhen, China.; National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Shenzhen, China.
Xiaolong Zhu, MD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.
Mingchao Zhou, PhD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.
Jianjun Long, MD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.
Yan Gao, PhD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.
Jianglin Zhou, MD: Xiangya Boai Rehabilitation Hospital, Changsha, China.
Yongjun Jiang, MD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.; Department of Biomedical and Engineering, School of Medicine, Shenzhen University, Shenzhen, China.; Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, Shenzhen, China.; National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Shenzhen, China.; Xiangya Boai Rehabilitation Hospital, Changsha, China.; Shenzhen Pingle Orthopedic Hospital, Shenzhen Pingshan Traditional Chinese Medicine Hospital, Hongling South Road, Futian District, Shenzhen, China; Department of Gastroenterology, Linping Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, China
Zejun Wang, MD: Department of Gastroenterology, Linping Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, China
Yulong Wang, MD: Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.

Journal volume & issue: Vol. 6, no. 3
p. 100357

Abstract

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Objective: To compare the difference of reimbursement payments between diagnosis-related group (DRG) and a novel patient classification-based payment system, diagnosis-intervention packet (DIP), among rehabilitation inpatients in tertiary hospitals. Design: Retrospective cohort study. Setting: TTertiary hospitals in Shenzhen, China. Participants: We assessed the records of 268,362 individuals who visited tertiary hospitals providing rehabilitation services. Interventions: Not applicable. Main Outcome Measures: The outcome variable was the patients’ rehabilitation hospitalization cost of in our study. A quantile regression analysis was conducted to estimate the effects of DIP payment on the rehabilitation hospitalization cost. Results: The results showed that the predicted marginal hospitalization cost with DRG payment were 9%, 7%, 14%, and 10% higher than that with DIP payments in 2019, 2020, 2021, and 2022. The total difference in predicted marginal hospitalization cost between DRG and DIP was −1269 RMB (−193 USD). This difference in 2019, 2020, 2021, and 2022 was −1419 RMB (−228 USD), −1088 RMB (−158 USD), −1585 RMB (−246 USD), and −1034 RMB (−154 USD), respectively. All differences in predicted marginal hospitalization cost between DRG and DIP was significant (P<.001), after controlling for patients’ age, sex, public or private hospital, the type of disease, and the length of stay of hospitalization. Conclusions: The findings of DIP payment reduced the rehabilitation hospitalization cost would be helpful in developing more effectively and efficiently tailored interventions for rehabilitation health care in China. Furthermore, the results of this study could provide advice on building more effective strategies and intervention options for other countries that struggle with controlling rehabilitation hospitalization costs.

Published in Archives of Rehabilitation Research and Clinical Translation

ISSN: 2590-1095 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General)
Website: https://www.journals.elsevier.com/archives-of-rehabilitation-research-and-clinical-translation

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