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Impacts of case‐based payments reform on healthcare providers' behaviour on cataract surgery in a tertiary hospital in China: An eight‐year retrospective study

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  • Lingli Zhang
  • Lihua Sun

Abstract

Background Case‐based payment has extensively been adopted to replace the fee‐for‐service payment in China. This paper aims to assess the impacts of case‐based payment reform on the providers' behaviour using cataract surgery as an example. Methods A total of 400 cataract inpatients were sampled in a tertiary hospital. Data analysis consisted of descriptive statistics, Wilcoxon rank‐sum test and Chi‐square test. Results The number of routine preoperative laboratory tests and drugs significantly declined after the case‐based payment reform (p

Suggested Citation

  • Lingli Zhang & Lihua Sun, 2022. "Impacts of case‐based payments reform on healthcare providers' behaviour on cataract surgery in a tertiary hospital in China: An eight‐year retrospective study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 504-512, January.
    • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:1:p:504-512
    DOI: 10.1002/hpm.3365
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    1. Cheng, Shou-Hsia & Chen, Chi-Chen & Tsai, Shu-Ling, 2012. "The impacts of DRG-based payments on health care provider behaviors under a universal coverage system: A population-based study," Health Policy, Elsevier, vol. 107(2), pages 202-208.
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    3. Jian, Weiyan & Lu, Ming & Liu, Guofeng & Chan, Kit Yee & Poon, Adrienne N., 2019. "Beijing's diagnosis-related group payment reform pilot: Impact on quality of acute myocardial infarction care," Social Science & Medicine, Elsevier, vol. 243(C).
    4. Lang, Hui-Chu & Chi, Chunhuei & Liu, Chi-Ming, 2004. "Impact of the case payment reimbursement method on the utilization and costs of laparoscopic cholecystectomy," Health Policy, Elsevier, vol. 67(2), pages 195-206, February.
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