Related Experiment Videos

Impact of diagnosis-intervention packet payment reform on pediatric hospital services: an interrupted time series

Ying Liu1,2, Jianghui Zhang1,3, Xiangliang Zhang4

  • 1Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, #74 Zhongshan Road 2, Guangzhou, 510080, China.

BMC Health Services Research
|May 12, 2026
PubMed

Insights

Diagnosis-Intervention Packet (DIP) reform reduced pediatric admissions and complex cases. The reform also decreased length of stay and total expenditures per case in a tertiary hospital.

Area of Science:

  • Health Economics
  • Pediatric Healthcare Management
  • Healthcare Policy

Background:

  • Diagnosis-Intervention Packet (DIP) reform is a key healthcare policy in China.
  • Its impact on pediatric settings is not well understood.
  • This study assesses DIP reform effects in a tertiary maternal and child hospital.

Purpose of the Study:

  • To evaluate the impact of DIP reform on pediatric admissions.
  • To assess changes in case severity and complexity.
  • To analyze the effects on service efficiency and healthcare expenditures.

Main Methods:

  • Utilized interrupted time series analysis of pediatric inpatient discharge data (2016-2019).
  • Analyzed outcomes including admissions, case complexity, length of stay (LOS), and expenditures.
  • Conducted subgroup and sensitivity analyses for robustness.

Main Results:

  • DIP reform correlated with decreased pediatric admissions and fewer complex/critical cases.
  • A reduction in non-local complex/critical cases was observed.
  • Mean length of stay showed a delayed decrease, and per-case expenditures significantly declined.

Conclusions:

  • DIP payment reform effectively reduced pediatric admissions and the burden of complex cases.
  • The reform improved service efficiency, indicated by reduced LOS and lower per-case costs.
  • Findings suggest DIP reform positively impacts pediatric healthcare delivery and cost-effectiveness.
Abstract

Keywords:
Diagnosis-intervention packetHealthcare reformInterrupted time series analysisPediatric hospital

Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...