The Effect of the Payment System of Diagnosis-Related Groups on the Treatment Costs of Cardiovascular Patients, Admitted to the Selected Hospitals of Tehran in 2018
Archives of Advances in Biosciences,
Vol. 11 No. 4 (2020),
28 November 2020
,
Page 29-38
https://doi.org/10.22037/aab.v11i4.32590
Abstract
Introduction: Today, financing the treatment of cardiovascular diseases is one of the main problems of low-income and middle-income families. The aim of this study was to determine the effect of the payment system of diagnostic-related groups on the treatment costs of cardiovascular patients admitted to the selected hospitals in Tehran.
Materials and Methods: The present study was a descriptive-correlational study. The study population included cardiovascular patients admitted to specialized teaching hospitals in cardiovascular diseases affiliated to Tehran University of Medical Sciences and Health Services (Tehran Heart Center), Shahid Beheshti (Shahid Rajaei Heart) and also 502 Army Heart Hospital and Tehran Bu Ali Hospital, affiliated to the Islamic Azad University of Medical Sciences. The cluster sampling method was used and samples were systematically selected within the clusters.
Results: Implementation of payment system related to diagnosis is effective on the variables of number of days of hospitalization, drug costs and medical equipment, costs of nursing services and medical costs of cardiovascular patients hospitalized in selected hospitals in Tehran, with their relationship being at the level of p <0.001.
Conclusion: It seems that the implementation of the payment system related to the diagnosis could be used to reduce the cost of treatment and the number of days of hospitalization of cardiovascular patients admitted to selected hospitals. Diagnostic-related groups system can significantly affect the financial health of hospitals and the availability of quality patient-care.
- Payment System for Diagnosis-Related Groups (DRG)
- Treatment Costs
- Cardiovascular Patients
How to Cite
References
Nekoui Moghadam M, Amir Esmaili M, Bahrami M. Health economics: fundamentals and flow of funds. Tehran: Ministry of health and medical education, deputy of resources and management development. 2008.
Ebadi Fardazar F, Rezapour A. Health Care Economics. 3th ed. Tehran: Ebadifar; 2015.
Schousboe JT, Paudel ML, Taylor BC, Mau LW, Virnig BA, Ensrud KE, Dowd BE. Estimation of standardized hospital costs from Medicare claims that reflect resource requirements for care: impact for cohort studies linked to Medicare claims. Health services research. 2014 Jun; 49(3):929-49.
Rezaei P, Asadzadeh A. The approach of diagnosis-related groups and ambulatory payment classifications in the health payment system and providing a framework for using them in Iranian hospitals. Iran Health Insurance Organization. 2019 Sep 10; 2(2):55-62.
Casto AB, Forrestal E. Principles of healthcare reimbursement. American Health Information Management Association; 2013
Tajvar M, Mehtarpour M, Khosrojerdi R, Amerzadeh M. Health Financing World Health Organization Guidance. Tehran: Amareh; 2019.
Hajj-Ebrahimi A. DRG or payment system based on Diagnosis Related Groups. Hcsmiran [Internet]. 2019 Jun [cited 2020 Jun]. Available from: http://hcsmiran.com/articles/health-economy/item/1670-drg.
Mohammadzadeh M, Najafi B. Principles of Healthcare Economics. Tehran: Forouzesh Publications; 2007.
Witter S, Ensor T, Thompson R, Jowett M. Health Economics for Developing Countries. A Practical Guide. Translated by Pourreza A. Tehran: Institution Education and Research in Management and Planning; 2016.
Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Archives of Iranian medicine. 2019 Apr 1; 22(4):204-10.
Hosseini-Eshpala R, Khorramy F, Baniasadi T, Azarmehr N, Mohammady F, Hayavy Haghighi MH, Dehghani M. The Comparison of the cost of patient records in a global system with corresponding retrospective reimbursement system: a case study in Iran. Journal of Modern Medical Information Sciences. 2015 Apr 10; 1(1):65-74.
Jung YW, Pak H, Lee I, Kim EH. The effect of diagnosis-related group payment system on quality of care in the field of obstetrics and gynecology among Korean tertiary hospitals. Yonsei medical journal. 2018 Jun 1; 59(4):539-45.
Kim JW, Shin DW, Chae JJ, Kim JY, Park SG. Impact of the new payment system on laparoscopic appendectomy in Korea. Journal of surgical research. 2015 Dec 1; 199(2):338-44.
Wu SW, Pan Q, Chen T. Research on diagnosis-related group grouping of inpatient medical expenditure in colorectal cancer patients based on a decision tree model. World Journal of Clinical Cases. 2020 Jun 26; 8(12):2484.
Liu R, Shi J, Yang B, Jin C, Sun P, Wu L, Yu D, Xiong L, Wang Z. Charting a path forward: policy analysis of China's evolved DRG-based hospital payment system. International health. 2017 Sep 1; 9(5):317-24.
Kwak SH, Kim JH, Kim JM, Byeon HK, Kim WS, Koh YW, Kim SH, Choi EC. Impact of the Korean Diagnosis-Related Groups payment system on the outcomes of adenotonsillectomy: A single center experience. Auris Nasus Larynx. 2018 Jun 1; 45(3):504-7.
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