Research on the Influencing Mechanism of the Grassroots Diseases on Patient Flow under DIP Payment Method
- VernacularTitle:DIP支付方式基层病种政策对患者流向的影响机制研究
- Author:
Xinye PENG
1
;
Xueying JIAO
;
Li XIANG
;
Jiangyun CHEN
;
Kunhe LIN
Author Information
1. 武汉大学中南医院 湖北 武汉 430062
- Publication Type:Journal Article
- Keywords:
DIP;
grassroots diseases;
medical insurance payment method;
patient flow;
impact mechanism
- From:
Chinese Health Economics
2025;44(2):50-53,108
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the grassroots diseases category policy of DIP,explore the influencing mechanism on patient flow,and provide references for other DIP reform pilot regions.Methods:It conducts game theory analysis on the service supply behaviors of different medical institutions under the grassroots diseases category policy,and reveals the reasons affecting the role of grassroots diseases category.Results:Research has found that grassroots diseases can weaken the siphonage of tertiary institutions,but the prerequisite is to establish reasonable disease payment standards;there is a competitive relationship among secondary medical institutions,and secondary medical institutions will still exacerbate grassroots siphonage;the supervision and assessment mechanism for grassroots diseases is not sound,making it difficult to avoid the unreasonable medical service behavior of medical institutions under grassroots diseases.Conclusion:It is needed to further optimize the formulation of payment standards for grassroots diseases in medical insurance departments,consider adding grassroots diseases to primary medical institutions and resolving competitive conflicts between primary and secondary medical institutions,improve the supervision and assessment mechanism for grassroots diseases to prevent unreasonable medical service behavior.
