ArticleFrontiers in public health2025
Knowledge, attitudes, and practices regarding China's DRG payment policy among healthcare professionals in tertiary and secondary hospitals in Yunnan Province: a cross-sectional study.
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. An erratum has been issued. Cited by 1 paper.
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1 citing paper in PubMed.
- DRG payment, financial signals, and low-value hospitalizations in China.Frontiers in public health · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The China Healthcare Security Diagnosis Related Groups (CHS-DRG) payment policy is a cornerstone of China's transition to value-based healthcare. Its successful implementation hinges on the knowledge, attitudes, and practices (KAP) of healthcare professionals, particularly in the large hospitals that are the main arenas for this reform. This study aimed to examine the KAP of healthcare professionals in tertiary and secondary hospitals in Yunnan Province and to analyze the interrelationships between these core constructs. Methods: A cross-sectional survey was conducted from March to May 2023 among 357 healthcare professionals from 30 tertiary and secondary hospitals in Yunnan Province. A self-administered questionnaire was used to collect data on demographics and KAP regarding the CHS-DRG policy. Structural equation modeling (SEM) was employed to test the hypothesized relationships between knowledge, attitudes, and practices, while analysis of variance (ANOVA) was used to explore differences across demographic groups. Results: The study found that healthcare professionals possessed moderate knowledge (mean score: 4.01/6) and practice levels, but held generally positive attitudes (mean score: 13.39/18) toward the CHS-DRG policy. The SEM analysis revealed that attitudes ( Conclusion: In the main battleground of China's DRG reform-tertiary and secondary hospitals-healthcare professionals' attitudes are a more potent driver of their implementation practices than their formal knowledge. While enhancing policy knowledge is necessary, fostering a positive organizational climate that addresses professional concerns is critical. Implementation strategies should be tailored to the specific needs of different demographic subgroups to effectively translate policy into practice.
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