ArticleCost effectiveness and resource allocation : C/E2025
Impact of China's diagnosis-intervention packet payment reform on pediatric pneumonia hospitalization costs: an interrupted time series analysis.
Article in Cost effectiveness and resource allocation : C/E, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Impact of Diagnosis-Intervention Packet Compliance Training on Inpatient Expenditures Under Case-Based Payment Reform: A Quasi-Experimental Study Based on Discharge Records.Journal of multidisciplinary healthcare · 2026Article
- Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundPediatric pneumonia remains a major cause of morbidity and mortality, imposing substantial financial burdens on healthcare systems and families. This study evaluates the impact of China's diagnosis-intervention packet (DIP) payment reform on hospitalization costs and care quality for pediatric pneumonia.
methodsWe retrospectively analyzed hospitalization cost data from a pilot hospital for DIP reform, between January 2019 and December 2023. Cases were categorized into re-reform and post-reform phases based on DIP implementation. Interrupted time series regressions assessed immediate and long-term cost trends and clinical outcomes.
resultsA total of 13,133 pediatric pneumonia hospitalizations were included (4,053 pre-reform; 9,080 post-reform). Median hospitalization costs decreased from 4,150.7 RMB to 3,853.3 RMB, with the most notable reductions in medication costs (261.1 RMB) and comprehensive service fees (103.9 RMB). Interrupted time series analysis showed significant immediate reductions in comprehensive service costs (23.2%, P < 0.001) and medication costs (15.8%, P = 0.031), followed by sustained monthly declines in all types of hospitalization costs. Concurrently, clinical outcomes improved: cure rates increased significantly from 87.0 to 90.6% (P < 0.001) without increased ICU transfers (3.5% vs. 4.6%, P = 0.478).
conclusionThe implementation of DIP payment reform was associated with significant reductions in hospitalization costs for pediatric pneumonia while maintaining key quality indicators such as cure rates and ICU transfer frequencies. The observed cost reductions were primarily driven by lower medication expenses and reduced use of unnecessary diagnostic services, reflecting a shift towards value-based care. These findings underscore the potential of DIP reform to enhance hospital efficiency and financial sustainability without compromising patient care.
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