Impact of an innovative case-based payment reform on hospital cost variation: insights from cerebral infarction inpatients in China.

ABSTRACT:

Background

Variations in hospital costs often indicate deficiency in efficient and standardised care. Case-based provider payment systems are utilised globally to address these issues. In China, an innovative case-based payment scheme called the Diagnosis-Intervention Packet (DIP) under the global budget framework has been progressively implemented. However, evidence regarding its effectiveness and potential mechanisms underlying its impact is limited. This study aimed to investigate the impact of DIP reform on hospital cost variations among patients with cerebral infarction (CI) and to explore potential pathways through quality-cost trade-offs.

Methods

This cross-sectional study analysed de-identified discharge records of patients from City G, China, between January 2018 an

SUBMITTER: Wang Y 

PROVIDER: S-EPMC11921486 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature