China has been undertaking a profound reform on health care. Although more than 1.16 billion people have been covered by rural
and urban medical insurance to date, the level of reimbursement from insurance is very limited, especially for critical diseases
such as leukemia. This places heavy economic burdens on patients. Under these circumstances, systems innovation is imperative
for the efficient utilization of limited funding. In this respect, certain valuable experience from other countries may prove
helpful. The prospective payment system of Diagnosis-related Groups (DRGs), Clinical Paths, and the Comparative Effectiveness
Analysis adopted by the National Institute of Health and Clinical Excellence (NICE, UK), can be fine tools to reduce medical
costs and improve quality of services. Treatments of acute promyelocytic leukemia at Rui-Jin Hospital, and childhood acute
lymphoblastic leukemia at Shanghai Children’s Medical Center, can be taken as suitable models to illustrate the crucial role
of Clinical Paths in guaranteeing clinical and cost effectiveness of medical services for critical diseases, and to satisfactorily
justify the feasibility of DRGs in China.
Keywords healthcare reform - diagnosis-related groups - clinical paths - comparative effectiveness analysis - acute promyelocytic leukemia - childhood acute lymphoblastic leukemia