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March 30, 2026BMC Health Services ResearchOpen Access

The impact of public hospital performance-based pay scheme reform on revenue structure and service efficiency under the Diagnosis-Intervention Packet payment system: evidence from a pilot city in China

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Authors

HSHuanyu ShiBSBaoli SuKWKun Wang

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Overview

Assesses how performance-based pay scheme reform affects hospital revenue and efficiency, suggesting important implications for health policies.

Key Points

  • The research aims to evaluate the effects of a Diagnosis-Intervention Packet-aligned performance-based pay scheme on hospital revenue and service efficiency.
  • Conducted controlled interrupted time series analyses.
  • Used administrative data from a pilot city in China.
  • Compared hospitals that adopted the new pay scheme with those that retained the traditional method.
  • Stratified analysis by insurance type: Urban Employee Basic Medical Insurance and Urban Resident Basic Medical Insurance.
  • Intervention group saw a significant decline in the proportion of drug sales in inpatient expenses by 0.76%.
  • Laboratory tests and examinations expenses dropped by 3.479% initially; increased subsequently over time.
  • Cost consumption index decreased steadily across the overall sample and both insurance types.
  • Notable differences in outcomes were observed between the two insurance groups, raising concerns about equity.

Cite This Study

Shi et al. (2026) studied this question.

synapsesocial.com/papers/69ca1280883daed6ee094f92https://doi.org/10.1186/s12913-026-14449-7
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