Convergence Analysis of the Impact of DRG/DIP Payment Reform on the Effectiveness of Hierarchical Diagnosis and Treatment in Shandong
- VernacularTitle:DRG/DIP支付方式改革对山东省分级诊疗效果影响的收敛分析
- Author:
Yurui ZHANG
1
;
Wang LIU
;
Tao SHI
;
Mengyu LV
;
Zishu NING
;
Xiaoyong WANG
Author Information
1. 山东第一医科大学附属省立医院 山东 济南 250021
- Publication Type:Journal Article
- Keywords:
Dignosis Related Group;
Diagnosis-Intervention Packet;
hierarchical diagnosis and treatment;
Shandong
- From:
Chinese Health Economics
2025;44(10):26-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the data changes of tertiary hospitals,secondary hospitals and primary healthcare institutions in Shandong before and after the reform of Dignosis Related Group(DRG)/Diagnosis-Intervention Packet(DIP)payment method,and to explore the impact of the reform of DRG/DIP payment method on the effect of hierarchical diagnosis and treatment.Methods:Data were collected from 16 cities in Shandong Province for a total of 18 quarters in the first half of 2019-2023,including the percentage of expenditure of the health insurance fund,the percentage of discharges,and the sub-average hospitalization cost.Spatial panel models were constructed to conduct σ-convergence and absolute β-convergence analyses.Results:The convergence analysis showed that the inter-regional differences in the percentage of discharges,the percentage of fund expenditure and the average hospitalization cost of tertiary medical institutions were reduced;the regression coefficients of the three indicators in the absolute convergence analysis were significantly negative(β＜0,P＜0.01),indicating that the level of hierarchical diagnosis and treatment in various cities and regions has been equalized.Conclusion:The reform of DRG/DIP payment method reform has effectively optimized the allocation of medical resources in Shandong and reduced regional differences.It is needed to strengthen the effect of the payment method reform,reinforced the incentive of primary care and construct a full-cycle health management-oriented health insurance system in the future.
