ArticleInternational journal for equity in health2024
Does a new case-based payment system promote the construction of the ordered health delivery system? Evidence from a pilot city in China.
Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Prospective payment system transformation (2000-2024): temporal trends, payment architecture, and cross-national variation.Health economics review · 2026Review
- The differential impact of Diagnosis-Related Groups (DRG) on hierarchical hospitals: an interrupted time series analysis on health expenditure structure.BMC health services research · 2026Article
- Reforming China's retail prescription medicine purchasing system: evidence from retail pharmacies in Wuhan.BMC health services research · 2026Article
- Impact of Diagnosis-Intervention Packet (DIP) Payment Reform on County Hospitals: Evidence from Z City, China.Journal of healthcare leadership · 2026Article
- An evaluation experiment on the causal effects of differentiated medical insurance reimbursement on medical choice and medical expenses.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
- Assessing the spatiotemporal heterogeneity of resource allocation effects on patient flow in shanxi's County hospitals, China.Scientific reports · 2025Article
- Impact of per diem payment on medical expenditure, service efficiency, and quality of care for patients with mental disorders: an interrupted time series study.BMC health services research · 2025Article
- Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China.BMC public health · 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
- Impact of care guilt on the health status of female medical staff: a cross-sectional study.International journal for equity in health · 2025Article
- Impact of a new case-based payment scheme on volume distribution across public hospitals in Zhejiang, China: does 'Same disease, same price' matter.International journal for equity in health · 2025Article
- Quantitative evaluation of two-way referral policies based on PMC index model.International journal for equity in 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
- How DRG Payment Reform Shapes Inpatient Neurological Care in an Underdeveloped Region: Evidence from a Controlled Interrupted Time Series Study in Yunnan, China.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
- Evaluation of the effect of DRG payment policy based on interrupted time series modeling: evidence from a tertiary hospital in Anhui Province.Health research policy and systems · 2024Article
- Impact of the Diagnosis-Intervention Packet Payment Reform on Provider Behavior in China: A Controlled Interrupted Time Series Study.International journal of health policy and management · 2024Article
- The impact of an innovative payment method on medical expenditure, efficiency, and quality for inpatients with different types of medical insurance: evidence from a pilot city, China.International journal for equity in health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe construction of the ordered health delivery system in China aims to enhance equity and optimize the efficient use of medical resources by rationally allocating patients to different levels of medical institutions based on the severity of their condition. However, superior hospitals have been overcrowded, and primary healthcare facilities have been underutilized in recent years. China has developed a new case-based payment method called "Diagnostic Intervention Package" (DIP). The government is trying to use this economic lever to encourage medical institutions to actively assume treatment tasks consistent with their functional positioning and service capabilities.
methodsThis study takes Tai'an, a DIP pilot city, as a case study and uses an interrupted time series analysis to analyze the impact of DIP reform on the case severity and service scope of medical institutions at different levels.
resultsThe results show that after the DIP reform, the proportion of patients receiving complicated procedures (tertiary hospitals: β
conclusionThe DIP reform did not effectively promote the construction of the ordered health delivery system. Policymakers need to adjust economic incentives and implement restraint mechanisms to regulate the behavior of medical institutions.
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