Evidence map›Paper›PMID 41910101›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Healthcare Provision Shifts Under DIP Reform: From Conventional Medicine to Traditional Medicine.

Xiaoqing Pan, Zhiming Dai, Yanqiu Xiao, Chuang Ma, Deli Wang, Jing Wu

Abstract read
In one paragraph

Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Xiaoqing PanZhengzhou University of Light Industry, Henan, China.
Zhiming DaiZhengzhou University of Light Industry, Henan, China.
Yanqiu XiaoZhengzhou University of Light Industry, Henan, China.
Chuang MaHenan Discipline Construction Research Center, Zhengzhou, China.
Deli WangYangzhou Hospital of Traditional Chinese Medicine, Jiangsu, China.
Jing WuZhongnan University of Economics and Law, Wuhan, Hubei, China.ORCID 0000-0001-5073-9389

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Diagnosis-Intervention Packet (DIP) payment reform aims to enhance cost efficiency in healthcare delivery but may also induce adaptive physician behavior. This study examines whether the DIP reform leads physicians to shift conventional medical demand toward traditional medicine. Using patient-level data from a Chinese integrative medicine hospital, we analyze changes in conventional and traditional medicine expenditure structures before and after the DIP reform, with heterogeneity analyses across insurance schemes and age groups. Conventional medicine expenditures decreased significantly, while traditional medicine expenditures increased substantially after the reform, indicating physician-induced service substitution from conventional to traditional medicine. These findings suggest that although the DIP reform effectively contains conventional medicine costs, it may unintentionally transfer excessive medical demand to traditional medicine, underscoring the need for integrated regulatory mechanisms across medical treatment systems.

Indexed as

Delivery of Health CareHealth Care ReformHealth ExpendituresMedicine, TraditionalHumansconventional medicineDIP payment reformphysician-induced demandservice substitutiontraditional medicine

Identifiers

PMID41910101
PMCPMC13036345

What OpenQuestion holds

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Registered trials

None linked

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.