Key Issues and Countermeasures in the Management of Primary Care Disease Admissions in Tertiary Hospitals under DIP Payment
- VernacularTitle:DIP支付下三级医院基层病种病例收治管理关键问题与对策
- Author:
Jinghan SU
1
;
Di CHEN
;
Yaxin PEI
;
Jing WANG
;
Fang SHI
;
Zaihua GAO
;
Shuai JIANG
Author Information
1. 郑州大学第一附属医院 河南 郑州 450052
- Publication Type:Journal Article
- Keywords:
Diagnosis-Intervention Packet;
tertiary hospital;
primary care diseases;
countermeasures
- From:
Chinese Health Economics
2025;44(11):11-13
- CountryChina
- Language:Chinese
-
Abstract:
The Diagnosis-Intervention Packet(DIP)payment exerts notable effects on hospitals' economic operations.As centralized hubs of high-quality medical resources,tertiary hospitals face a functional mismatch with the provision of services for primary care diseases.By analyzing the admission and payment practices for primary care diseases in sample hospitals in Henan Province,it identifies key challenges,including inadequate alignment between healthcare payment reform policies and management systems,weak foundational capabilities in hospital health insurance informatization,and insufficient awareness of health insurance policies among medical staff.It is recommended that hospitals should strengthen communication and coordination with health insurance administration agencies to foster positive interactions between healthcare providers and insurers;continuously advance in-house health insurance informatization and enhance data governance capabilities;improve strategic awareness and innovate value-based health insurance management models.
