Evidence-based reflection on diagnosis-related group payment method
Tw-DRGs were launched since 2010. Some evidence-based studies were showed as followed.
1.The increasing operation number of cardiovascular surgeries of regional hospitals is more than those of medical centers.
2.Using whole Taiwan medical expenditure as the basis of DRG payment method, it is unfair to the medical centers.
3.Some DRG of the critical care disciplines need more support financially. The case mixed index should be maintained on these DRG.
4.High priced medical products and drugs are big problems for the further development of Tw-DRGs.
According to these studies, we suggested,
1.The DRG payment of the medial centers should be higher than those of the regional hospitals.
2.Case mixed index of the DRG of the critical care disciplines should be maintained and adjusted even higher.
3.High priced medical products and drugs should be removed from the DRG payment method and be reimbursed for actual expenses.