Full
Outline
To analyze the impact of diagnosis-intervention packet (DIP) payment method on the medical service structure and outpatient-inpatient structure.
Data were collected from public medical institutions in DIP pilot city A and non-DIP reform city B in China from 2019 to 2022. Descriptive and difference-in differences-analyses were conducted on the medical service structure (medical service costs, drug costs, material costs, and examination and testing costs) and outpatient-inpatient structure (outpatient and inpatient costs, outpatient visits, and number of inpatient discharges).
In terms of medical service structure, the examination and testing costs in city A decreased by 19.0% compared with those in city B (P < 0.05). In terms of the outpatient-inpatient structure, compared with city B, city A saw a 14.1% decrease in inpatient costs (P < 0.05), a 15.8% decrease in the number of inpatient discharges (P < 0.05), and an 8.3% increase in outpatient visits (P < 0.05).
The DIP payment method promotes optimization of the medical service structure. It effectively suppresses the behavior of "rushing points" and helps to promote the diversion of mild patients to outpatient clinics, while it is still necessary to prevent unreasonable outpatient transfer.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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