Does DRG-based payment lead to unintended effects on care quality? A case under global budget with price adjustment in China.

Lastly, comparison of in-hospital mortality reported a small-sized increase by 0.01%, but the effect did not reach statistical significance.

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Smaller hospitals, by contrast, showed the opposite trend, with highly significant differences between the two groups (55.82%-point, 95% CI: 45.12, 66.51; -11.35%-point, 95% CI: -14.50, -8.20).

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