The effect of diagnosis-related group payment system on the quality of medical care for pelvic organ prolapse in Korean tertiary hospitals

Myung Jae Jeon, Sung Pil Choo, Young Hwa Kwak, Dong Wook Kim and Eui Hyeok Kim

PLOS ONE, 2019, vol. 14, issue 8, 1-9

Abstract: Purpose: To assess changes in clinical practice patterns after implementing diagnosis-related group (DRG) payment system in July 2013 and its effect on the quality of care for pelvic organ prolapse (POP). Materials and methods: Using the 2011–2016 administrative database from National Health Insurance claim data, we reviewed medical information of 7362 patients who underwent hysterectomies for POP in Korean tertiary hospitals. We compared changes in several variables including length of stay, concomitant procedures, outpatient visits and readmission within 30 days after discharge, and retreatment for POP or stress urinary incontinence within postoperative 1 year before and after DRG system. Results: After the introduction of DRG system, the average length of stay decreased (7.74 ± 2.88 to 6.63 ± 2.18 days, p

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0220895

DOI: 10.1371/journal.pone.0220895

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