Evaluation of the Impact of DIP Insurance Payment Reform on Inpatient Services in County-level Traditional Chinese Medicine Hospitals in Shandong Province:A DID Based Empirical Analysis
Objective:To evaluate the impact of Diagnosis-Intervention Packet(DIP)insurance payment reform on inpatient services in county-level traditional Chinese medicine hospitals in Shandong Province and provide recommendations for implementing DIP insurance payment reform in TCM hospitals.Methods:A Difference-in-Differences(DID)model was used to evaluate the inpatient services of 87 county-level traditional Chinese medicine hospitals in Shandong Province.Results:Compared to non-pilot areas,the number of discharges was increased by 22.5％in the pilot areas of county-level traditional Chinese medicine hospitals.The number of discharges using Chinese herbal medicine was increased by 36.4％,and the number of discharges using traditional Chinese medical techniques was increased by 51.9％.In addition,inpatient revenue was increased by 26.7％,and revenue from inpatient traditional Chinese medical services was increased by 43.7％.However,there were no significant differences in the number of discharges using prepared traditional Chinese medicine,inpatient medication revenue,average length of stay,and average inpatient cost between the pilot and non-pilot cities.Conclusion:Under the DIP insurance payment reform,county-level traditional Chinese medicine hospitals should improve the medical service capabilities and enhance competitiveness.It is also needed to increase cost control efforts to reduce the burden on patients,and emphasize the unique characteristics of traditional Chinese medicine to enhance patient satisfaction.It provides certain policy implications for county-level traditional Chinese medicine hospitals under DIP payment reform.
DID modelDIP insurance payment reformcounty-level TCM hospitalinpatient service
NETL
NSTL
万方数据
