Evidence map›Paper›PMID 40552225›Full record

ArticleFrontiers in public health2025

A study of the impact of DIP payment reform on coronary heart disease hospitalization costs and equity.

Yingying Tao, Keyi Shen, Yating Chen, Chengcheng Li, Dan Wu, Xuehui Meng

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yingying TaoSchool of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China.
Keyi ShenSchool of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China.
Yating ChenSchool of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China.
Chengcheng LiSchool of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China.
Dan WuSchool of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China.
Xuehui MengSchool of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To control the growth of healthcare costs, the Chinese government introduced a diagnosis-intervention package (DIP)-based health insurance payment reform. This study evaluated the impact of the DIP policy on hospitalization costs, Length of Hospital Stay, and Out-of-Pocket Ratio for patients with coronary heart disease (CHD). Methods: Hospitalization claims data from 2020 to 2023 in City S, central China, were selected and analyzed using interrupted time series (ITS), covering 264 hospitals with January 2022 as the intervention point. Results: After the implementation of DIP, hospitalization costs decreased from 8.81 to 8.57 for employee health insurance (UEBMI) ( Conclusion: The DIP policy was effective in controlling hospitalization costs and days, especially in primary and secondary hospitals. However, the out-of-pocket ratio of URRBMI increased and UEBMI decreased, suggesting differential impact of the policy. It is recommended that policy makers pay attention to differences in health insurance types and hospital grades to optimize the fairness and effectiveness of the policy.

Indexed as

Coronary DiseaseHealth Care ReformHealth ExpendituresHospitalizationInsurance, HealthAgedChinaFemaleHumansLength of StayMaleMiddle AgedDIP payment reformhealthcare cost controlhealthcare equityinterrupted time series analysistypes of health insurance

Identifiers

PMID40552225
PMCPMC12183219

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.