Impact of DRG policy on the performance of tertiary hospital inpatient services in Chongqing, China: an interrupted time series study, 2020–2023
The DRG policy in Chongqing led to unintended trade-offs: tertiary hospitals prioritized high-volume, low-complexity cases, eroding service capacity for severe conditions. Middle-income regions faced implementation barriers, including fragmented health IT systems and insufficient administrative capacity, which diminished policy effectiveness. Policymakers must tailor DRG implementation to local contexts, balancing efficiency with equity and quality.
Authors
- Juntao Tan (ORCID: https://orcid.org/0000-0001-6892-4013)
- Zhidong Liao (ORCID: https://orcid.org/0009-0005-3842-337X)
- Yunyu Liu (ORCID: https://orcid.org/0000-0002-1539-7050)
- Yuting Wang (ORCID: https://orcid.org/0000-0002-2272-9404)
- Yongjie Yan (ORCID: https://orcid.org/0000-0002-2271-7534)
Institutions
- Army Medical University (CN)
- Dalian Medical University (CN)
- Daping Hospital (CN)
- Second Affiliated Hospital of Chongqing Medical University (CN)
- Chongqing Medical University (CN)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2025-03-05
- DOI
- https://doi.org/10.3389/fpubh.2025.1523067
- Citations
- 5
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 15.66