A Study on the Impact of DIP Payment Method Reform on Medical Institutions:A Case Study of a Districtin Shanghai
- VernacularTitle:DIP支付方式改革对医疗机构的影响研究
- Author:
Yushu ZHANG
1
;
Yifan CHEN
;
Zuoli ZOU
;
Ming LI
;
Ying WANG
Author Information
1. 复旦大学公共卫生学院·国家卫生健康委员会卫生技术评估重点实验室(复旦大学) 上海 200032
- Publication Type:Journal Article
- Keywords:
Diagnosis-Intervention Packet;
payment method reform;
medical institutions
- From:
Chinese Hospital Management
2025;45(1):51-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the changes of medical institutions before and after the Diagnosis-Intervention Packet (DIP) payment method reform,analyze the challenges faced by medical institutions,and provide reference for further improvement.Methods Data were obtained through literature analysis,key informant interviews,and statistically analyzed using chi-square test,wilcoxon rank sum test and t-test,focusing on the four dimensions of medical institutions'service capacity,service efficiency,quality and safety,and cost control.Results After the implementation of the DIP payment method reform,the Case Mix Index in terms of service capacity did not change significantly,although the percentage of tertiary and quaternary surgeries in the pilot hospitals increased compared to the pre-reform period;in terms of service efficiency,the differences in average hospitalization days and bed utilization rate were not statistically significant compared with the pre-reform period;in terms of quality and safety,the mortality rate and the rate of surgical site infections of Class Ⅰ incisions in the low-risk group were significantly reduced;and in terms of cost containment,the average inpatient hospitalization cost increase trend has slowed down,and the proportion of drug costs decreased.Conclusion In order to further improve and implement the DIP payment method reform,the relevant departments of health insurance need to improve the medical quality evaluation system and pay attention to the participation of medical institutions;ensure the quality of medical care to regulate medical behavior and strengthen the refined management of clinical pathways;and implement a dynamic and flexible management strategy and set up DIP implementation rules according to local conditions.
