ArticleFrontiers in public health2023
The impacts of diagnosis-intervention packet payment on the providers' behavior of inpatient care-evidence from a national pilot city in China.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- Evaluating the Effect of Diagnosis-Intervention Packet (DIP) Reform in China on Hospitalization Outcomes for Patients with Chronic Obstructive Pulmonary Disease with Special Reference to M City.Healthcare (Basel, Switzerland) · 2026Article
- An adaptive and interpretable case grouping framework for healthcare payment systems.International journal for equity in health · 2026Article
- The impact of the global budget payment on healthcare fund expenditure in integrated delivery systems: evidence from China's county-level medical alliance reform.Frontiers in public health · 2026Article
- Risk Governance of Payment Exceptions Under China's DRG/DIP Reform: A Structured Policy-Text Analysis of Special Case Negotiation Rules.Risk management and healthcare policy · 2026Article
- Editorial: Innovative value-based medicine: lessons from China's healthcare evolution.Frontiers in public health · 2026Article
- Risk-adjusted capitation payment for outpatient services in China's healthcare insurance: a case study of an affluent city in southern China.Frontiers in public health · 2026Article
- Echocardiography derived-left atrial stiffness index as a more cost-effective and powerful approach compared to brain natriuretic peptide for predicting left atrioventricular uncoupling in patients with acute ischemic stroke.Quantitative imaging in medicine and surgery · 2025Article
- The impact of an innovative payment model on the direct economic burden of infectious disease inpatients: evidence from a pilot City in central China.International journal for equity in health · 2025Article
- Impact of China's diagnosis-intervention packet payment reform on pediatric pneumonia hospitalization costs: an interrupted time series analysis.Cost effectiveness and resource allocation : C/E · 2025Article
- Impact of an innovative case-based payment reform on hospital cost variation: insights from cerebral infarction inpatients in China.International journal for equity in health · 2025Article
- Article
- Impact of China's Diagnosis-Intervention Packet Policy on Hospitalization Costs for Patients With Malignant Tumors: A 2019-2022 Interrupted Time Series Analysis.Risk management and healthcare policy · 2025Article
- Interrupted time series analysis of the impact of DIP reform on hospitalization costs in different types of hospitals.Frontiers in public health · 2025Article
- Study on inpatient expenses and cost control strategies for breast cancer patients based on Diagnosis-Intervention Packet.Frontiers in public health · 2025Article
- Analysis and optimization of inpatient cost structure for fracture patients under the implementation of the DRG policy.Frontiers in public health · 2025Article
- The impacts of diagnosis-intervention packet payment on inpatient medical costs for hematologic malignancies and solid tumors: evidence from a retrospective study in China.Frontiers in public health · 2025Article
- Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China.Frontiers in public health · 2025Article
- Article
- Facilitators and barriers to the implementation of DIP payment methodology reform in a public hospital in Guangzhou: a qualitative study based on the implementation of the meta-framework for research (CFIR) framework.Frontiers in public health · 2025Article
- A study of the impact of DIP payment reform on coronary heart disease hospitalization costs and equity.Frontiers in public health · 2025Article
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5 authors.
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Abstract
Background: In 2020, the Chinese government developed and implemented an innovative case-based payment method under the regional global budget called the diagnosis-intervention packet (DIP) payment to pay for inpatient care. This study aims to assess the changes to inpatient care provision in hospitals after the DIP payment reform was implemented. Methods: This study used inpatient medical costs per case, the proportion of the out-of-pocket (OOP) expenditure in inpatient medical costs, and the average length of stay (LOS) of inpatient care as outcome variables, and conducted an interrupted time series analysis to evaluate changes after the DIP payment reform. January 2021 was taken as the intervention point when a national pilot city of the DIP payment reform in the Shandong province began using the DIP payment to pay for inpatient care of secondary and tertiary hospitals. The data used in this study were obtained from the aggregated monthly claim data of inpatient care of secondary and tertiary hospitals. Results: Compared to the pre-intervention trend, the inpatient medical costs per case, the proportion of the OOP expenditure in inpatient medical costs both in tertiary and secondary hospitals significantly decreased after the intervention. After the intervention, the reduction in the inpatient medical costs per case, the proportion of the OOP expenditure in inpatient medical costs in tertiary hospital were both higher than those in secondary hospital ( Conclusion: In the short term, the DIP payment reform could not only effectively regulate provider behavior of inpatient care in hospitals, but also improves the rational allocation of the regional healthcare resources. However, the long-term effects of the DIP payment reform need to be investigated in the future.
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