Impact of China's diagnosis-intervention packet payment reform on pediatric pneumonia hospitalization costs: an interrupted time series analysis.

ABSTRACT:

Background

Pediatric pneumonia remains a major cause of morbidity and mortality, imposing substantial financial burdens on healthcare systems and families. This study evaluates the impact of China's diagnosis-intervention packet (DIP) payment reform on hospitalization costs and care quality for pediatric pneumonia.

Methods

We retrospectively analyzed hospitalization cost data from a pilot hospital for DIP reform, between January 2019 and December 2023. Cases were categorized into re-reform and post-reform phases based on DIP implementation. Interrupted time series regressions assessed immediate and long-term cost trends and clinical outcomes.

Results

A total of 13,133 pediatric pneumonia hospitalizations were included (4,053 pre-reform; 9,080 post-reform). Median hosp

SUBMITTER: Zhao L 

PROVIDER: S-EPMC12013051 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature