ArticleBMC health services research2026
Impact of diagnosis-intervention packet payment reform on pediatric hospital services: an interrupted time series analysis.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundDiagnosis-Intervention Packet (DIP) reform has been widely implemented in China, but its impact in pediatric settings remains unclear. This study evaluated its effects on pediatric admissions, case severity, efficiency, and expenditures in a tertiary maternal and child hospital in Guangzhou.
methodsPediatric inpatient discharge data (0-18 years) from January 2016 to December 2019 were analyzed using an interrupted time series design. Outcomes included total admissions, proportion and number of complex/critical and non-local complex/critical cases, mean length of stay (LOS), and mean total expenditure per case. Subgroup analyses by major disease categories and sensitivity analyses were performed to assess the robustness and heterogeneity of reform effects.
resultsA total of 93,396 pediatric discharges were included, with 45,493 discharges in the pre-reform period and 47,903 in the post-reform period. The DIP reform was associated with significant long-term changes in pediatric service utilization and expenditure. Specifically, the monthly slope of total pediatric admissions decreased slightly after the reform (β = -0.006, P < 0.001). Similar decreasing trends were observed for the proportion of complex/critical cases per month (β = -0.018, P < 0.001), the absolute number of complex/critical cases (β = -0.017, P < 0.001), the proportion of non-local complex/critical cases (β = -0.012, P < 0.001), and the absolute number of non-local complex/critical cases (β = -0.016, P < 0.001). In terms of service efficiency, the post-reform monthly slope of mean LOS showed a reduction after accounting for lag periods, whereas mean total expenditures per case showed a statistically significant decrease (β = -0.010, P = 0.001).
conclusionsThe DIP payment reform was associated with decreases in total pediatric admissions, as well as in the proportion and number of complex/critical and non-local complex/critical cases. Mean LOS showed a delayed decrease following the reform, while per-case total expenditures showed a decreasing trend over time.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.