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Implementation of DRG Payment in France: Issues and recent developments


  • Or., Zeynep


In France, a DRG-based payment system was introduced in 2004/2005 for funding acute services in all hospitals with the objectives of improving hospital efficiency, transparency and fairness in payments to public and private hospitals. Despite the initial consensus on the necessity of the reform, providers have become increasingly critical of the system because of the problems encountered during the implementation. In 2012 the government announced its intention to modify the payment model to better deal with its adverse effects.

Suggested Citation

  • Or., Zeynep, 2014. "Implementation of DRG Payment in France: Issues and recent developments," Health Policy, Elsevier, vol. 117(2), pages 146-150.
  • Handle: RePEc:eee:hepoli:v:117:y:2014:i:2:p:146-150
    DOI: 10.1016/j.healthpol.2014.05.006

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    References listed on IDEAS

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    6. Andrei Shleifer, 1985. "A Theory of Yardstick Competition," RAND Journal of Economics, The RAND Corporation, vol. 16(3), pages 319-327, Autumn.
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    6. Meng, Zhaolin & Hui, Wen & Cai, Yuanyi & Liu, Jiazhou & Wu, Huazhang, 2020. "The effects of DRGs-based payment compared with cost-based payment on inpatient healthcare utilization: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 124(4), pages 359-367.
    7. 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).
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    11. Buczak-Stec, Elżbieta & Goryński, Paweł & Nitsch-Osuch, Aneta & Kanecki, Krzysztof & Tyszko, Piotr, 2017. "The impact of introducing a new hospital financing system (DRGs) in Poland on hospitalisations for atherosclerosis: An interrupted time series analysis (2004–2012)," Health Policy, Elsevier, vol. 121(11), pages 1186-1193.
    12. Sutherland, Jason M. & Liu, Guiping & Crump, R. Trafford & Law, Michael, 2016. "Paying for volume: British Columbia’s experiment with funding hospitals based on activity," Health Policy, Elsevier, vol. 120(11), pages 1322-1328.
    13. Milstein, Ricarda & Schreyögg, Jonas, 2024. "The end of an era? Activity-based funding based on diagnosis-related groups: A review of payment reforms in the inpatient sector in 10 high-income countries," Health Policy, Elsevier, vol. 141(C).
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    15. Helen Hayes & Jonathan Stokes & Matt Sutton & Rachel Meacock, 2024. "How do hospitals respond to payment unbundling for diagnostic imaging of suspected cancer patients?," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 823-843, May.
    16. Zuzana Kotherová & Martina Caithamlová & Juraj Nemec & Kateřina Dolejšová, 2021. "The Use of Diagnosis-Related Group-Based Reimbursement in the Czech Hospital Care System," IJERPH, MDPI, vol. 18(10), pages 1-18, May.
    17. Zeynep Or & Coralie Gandré & George Wharton, 2022. "Soutenabilité et résilience du système de santé français," Working Papers DT88, IRDES institut for research and information in health economics, revised Jun 2022.
    18. Omar Al-Khalil & Fabio Valeri & Oliver Senn & Thomas Rosemann & Stefania Di Gangi, 2020. "Effects of a DRG-based hospital reimbursement on the health care utilization and costs in Swiss primary care: A retrospective “quasi-experimental” analysis," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-14, October.
    19. Manon Belhassen & Olivier Hanon & Philippe Gabriel Steg & Isabelle Mahé & Mélanie Née & Flore Jacoud & Faustine Dalon & François-Emery Cotté & Dominique Guitard-Dehoux & Claire Marant-Micallef & Eric , 2023. "Apixaban versus other anticoagulants in patients with nonvalvular fibrillation: a comparison of all-cause and event-related costs in real-life setting in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(6), pages 867-875, August.

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