ArticleInternational journal for equity in health2025
Does global capitation prospective payment promote integrated delivery networks? Evidence from China's compact county medical communities.
Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Article
- Impact of the compact county medical service community policy on healthcare resource allocation and healthcare service utilization in village clinics: a difference-in-differences analysis in rural Sichuan, China.Frontiers in public health · 2026Article
- Association of DRG-based payment reform with inpatient costs and resource use among older adults: an interrupted time series study in a county-level referral hospital in China.Frontiers in public health · 2026Article
- Analysis of structural variations and effects of the national volume-based procurement policy on inpatient costs: a real world study of osteoporotic hip fractures in Shanghai, China.Frontiers in public health · 2025Article
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4 authors.
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Abstract
backgroundCompact county medical communities (CCMCs) have emerged as a key strategy to strengthen primary healthcare delivery in China. The objective of this study was to assess the impact of the global capitation prospective payment (GCP) reform on CCMCs performance.
methodsThis research collected data from 2018 to 2022 across three pilot regions in China. Using interrupted time series analysis (ITSA), we assessed how the implementation of GCP affected CCMCs development.
resultsThe ITSA results show that the average length of stay at the lead hospital decreased by 0.105 days (P < 0.001) after the reform in pilot A, while the average hospital cost increased by 62.272 yuan per month (P < 0.05). The lead hospital in Pilot B had a decrease in average inpatient costs of 54.203 yuan per month (P < 0.001). Conversely, Pilot C's the lead hospital had an increase in average inpatient costs of 26.610 yuan per month (P < 0.001), and the average length of stay at the lead hospital increased by 0.028 days (P < 0.05).
conclusionGCP has reasonably promoted the benign development of CMCCs. However, the diversity of strategies and operations has resulted in a different focus on effectiveness. Based on local resource endowments, future reforms should pay more attention to the synchronization of payment reforms and organizational changes.
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