What question did this study set out to answer?

This study aims to evaluate the effects of the Shanghai global budget prepayment policy on healthcare expenditures and patient outcomes.

May 15, 2026BMC Health Services ResearchOpen Access

The effects of insurance coverage under Shanghai hospital global budget management

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Authors

YDYanan DaiShanghai Medical College of Fudan University YXYuchen XuChinese Academy of Medical Sciences & Peking Union Medical College XHXiaozhen HeShanghai Medical College of Fudan University

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Implication

Randomized trial evaluates the impact of global budget prepayment on hospital costs and quality in Shanghai, highlighting trade-offs in care outcomes.

Key Points

This study aims to evaluate the effects of the Shanghai global budget prepayment policy on healthcare expenditures and patient outcomes.
Used 32,313 inpatient records from cardiology and cardiothoracic surgery departments between 2007 and 2015.
Employed a quasi-experimental difference-in-differences framework and propensity score matching for analysis.
Conducted multiple sensitivity analyses to ensure robustness of findings.
Policy significantly reduced total inpatient expenditures, leading to a more rationalized cost structure.
In-hospital mortality increased significantly post-policy implementation.
No significant change was observed in the 30-day readmission rate following the reform.

Cite This Study

Dai et al. (2026) studied this question.

synapsesocial.com/papers/6a06b971e7dec685947ac126 https://doi.org/10.1186/s12913-026-14694-w

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Implication

Randomized trial evaluates the impact of global budget prepayment on hospital costs and quality in Shanghai, highlighting trade-offs in care outcomes.

The effects of insurance coverage under Shanghai hospital global budget management

Discussion

Member takes

Implication

Key Points

Cite This Study

The effects of insurance coverage under Shanghai hospital global budget management

Discussion

Member takes

Implication

Key Points

Cite This Study

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