DRG-based payment systems in low- and middle-income countries: Implementation experiences and challenges

by Inke Mathauer and Friedrich Wittenbecher
HSF Discussion Paper 01-2012, Department of Health Systems Financing, World Health Organization

55 pp. 699 kB:

Since the 1990s, case-based payments and payments based on diagnosis-related groups (DRGs) have gradually become the principal means of reimbursing acute inpatient care in hospitals in most high-income countries. This discussion paper provides an in-depth overview of DRG based payment systems in low- and middle-income countries. This fills a research gaps as it is the first in its kind. Evidence is presented of how DRG-based payment systems have been implemented in low- and middle-income countries, and what challenges they face to operate in their institutional environment.

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