Table 2. Changes in Outcome Variables After the Introduction and Discontinuation of DRGsa.
Variable | After introduction of DRGs | After discontinuation of DRGs | ||
---|---|---|---|---|
Step change estimated coefficient (95% CI) | Slope change estimated coefficient (95% CI) | Step change estimated coefficient (95% CI) | Slope change estimated coefficient (95% CI) | |
Length of stay | −0.0177 (−0.0232 to −0.01228)b | 0.0012 (0.0009 to 0.0015)b | 0.0093 (0.0042 to 0.0144)b | 0.0025 (0.0022 to 0.0028)b |
Mean monthly admissions | 0.0290 (0.0252 to 0.0328)b | −0.0018 (−0.0020 to −0.0016)b | −0.0182 (−0.0217 to −0.0147)b | −0.0025 (−0.0027 to −0.0024)b |
In-hospital mortality | −0.0412 (−0.0635 to −0.0189)b | 0.0002 (−0.0009 to 0.0014) | −0.0014 (−0.0229 to 0.0201) | 0.0027 (0.0016 to 0.0038)b |
Emergency readmission rate | −0.0237 (−0.0346 to −0.0128)b | −0.0016 (−0.0021 to −0.0011)b | −0.0029 (−0.0130 to 0.0071) | 0.0006 (0.0001 to 0.0011)c |
Abbreviation: DRGs, diagnosis-related groups.
All estimated coefficients were generated from generalized linear regression with log link. The estimated coefficients were directly interpreted as marginal effects. For example, an estimated coefficient of −0.0182 implied a 1.82% immediate decrease in length of stay associated with the introduction of DRGs.
P < .001.
P < .01.