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Table 1 Sample characteristics of hospitalized insured patients, 2016–2019

From: Variations in the impact of the new case-based payment reform on medical costs, length of stay, and quality across different hospitals in China: an interrupted time series analysis

Variables

Before DIP reform, 2016–2017

After DIP reform, 2018–2019

P value

Patient characteristics

 Discharge cases, No.

2,077,155

2,983,971

 

 Age, mean (SD)

58.41 (18.23)

58.67 (18.20)

0.000

 Male sex, No. (%)

934,407 (44.98)

1,358,316 (45.52)

0.000

 Charlson Comorbidity Index, mean (SD)

0.76 (1.34)

0.93 (1.50)

0.000

 Hospital ownership, No. (%)

  

0.000

 Public (N = 235)

1,988,492 (95.73)

2,832,538 (94.93)

 

 Private (N = 59)

88,663 (4.27)

151,433 (5.07)

 

 Hospital level, No. (%)

  

0.000

 Tertiary (N = 90)

1,670,723 (80.43)

2,365,135 (79.26)

 

 Secondary (N = 92)

317,308 (15.28)

431,623 (14.46)

 

 Primary (N = 126)

89,124 (4.29)

187,213 (6.27)

 

Patient outcomes

 Total expenditure per case, mean (SD), RMB

15445.33 (19540.18)

15915.35 (19409.33)

0.000

 Length of stay, mean (SD), d

9.59 (11.37)

9.22 (11.74)

0.000

 In-hospital mortality, mean (SD), %

1.20 (10.90)

1.09 (10.39)

0.000

  1. DIP denoted the Diagnosis-Intervention Packet payment reform; N the number of hospitals. Total expenditure was adjusted to 2019 considering inflation using the annual consumer price index of China