Healthcare Provision Shifts Under DIP Reform: From Conventional Medicine to Traditional Medicine.
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| Title: | Healthcare Provision Shifts Under DIP Reform: From Conventional Medicine to Traditional Medicine. |
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| Authors: | Pan, Xiaoqing1 (AUTHOR), Dai, Zhiming1 (AUTHOR), Xiao, Yanqiu1 (AUTHOR), Ma, Chuang2 (AUTHOR), Wang, Deli3 (AUTHOR) 285794388@qq.com, Wu, Jing4 (AUTHOR) eliz_wj@foxmail.com |
| Source: | Inquiry (00469580). 3/30/2026, Vol. 63, p1-11. 11p. |
| Subject Terms: | *Statistical correlation, *Cost effectiveness, *Pre-tests & post-tests, *Research methodology, Medical economics, Medical care use, Prospective payment systems, Traditional medicine, Statistical significance, Research funding, Medical care, Sex distribution, Age distribution, Severity of illness index, Descriptive statistics, Health care reform, Physicians, Data analysis software, Medical care costs, Regression analysis |
| Geographic Terms: | China |
| Abstract: | The Diagnosis–Intervention Packet (DIP) payment reform aims to enhance cost efficiency in healthcare delivery but may also induce adaptive physician behavior. This study examines whether the DIP reform leads physicians to shift conventional medical demand toward traditional medicine. Using patient-level data from a Chinese integrative medicine hospital, we analyze changes in conventional and traditional medicine expenditure structures before and after the DIP reform, with heterogeneity analyses across insurance schemes and age groups. Conventional medicine expenditures decreased significantly, while traditional medicine expenditures increased substantially after the reform, indicating physician-induced service substitution from conventional to traditional medicine. These findings suggest that although the DIP reform effectively contains conventional medicine costs, it may unintentionally transfer excessive medical demand to traditional medicine, underscoring the need for integrated regulatory mechanisms across medical treatment systems. [ABSTRACT FROM AUTHOR] |
| Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
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| Abstract: | The Diagnosis–Intervention Packet (DIP) payment reform aims to enhance cost efficiency in healthcare delivery but may also induce adaptive physician behavior. This study examines whether the DIP reform leads physicians to shift conventional medical demand toward traditional medicine. Using patient-level data from a Chinese integrative medicine hospital, we analyze changes in conventional and traditional medicine expenditure structures before and after the DIP reform, with heterogeneity analyses across insurance schemes and age groups. Conventional medicine expenditures decreased significantly, while traditional medicine expenditures increased substantially after the reform, indicating physician-induced service substitution from conventional to traditional medicine. These findings suggest that although the DIP reform effectively contains conventional medicine costs, it may unintentionally transfer excessive medical demand to traditional medicine, underscoring the need for integrated regulatory mechanisms across medical treatment systems. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00469580 |
| DOI: | 10.1177/00469580261436361 |
