2024
DOI: 10.1186/s12939-024-02336-8
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Does an innovative case-based payment scheme promote the hierarchical medical system? A tripartite evolutionary game analysis

Huanyu Shi,
Zhichao Cheng,
Zhuang Cao

Abstract: Background China is striving to promote a hierarchical medical system (HMS) to improve the efficiency of health resource utilization and ensure health equity. An innovative payment scheme named the “Diagnosis-Intervention Package” (DIP) has been developed recently and implemented in 71 pilot cities nationwide. Although the impact of payment reform on medical expenditure and provider behavior has been demonstrated, there is little evidence on whether the reform promotes the HMS. Meth… Show more

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