Key Issues and Countermeasures in the Management of Primary Care Disease Admissions in Tertiary Hospitals under DIP Payment
Su Jinghan
Chen Di
Pei Yaxin
Wang Jing
Shi Fang
Gao Zaihua
Jiang Shuai
Abstract：The Diagnosis-Intervention Packet(DIP)payment exerts notable effects on hospitals' economic operations.As centralized hubs of high-quality medical resources,tertiary hospitals face a functional mismatch with the provision of services for primary care diseases.By analyzing the admission and payment practices for primary care diseases in sample hospitals in Henan Province,it identifies key challenges,including inadequate alignment between healthcare payment reform policies and management systems,weak foundational capabilities in hospital health insurance informatization,and insufficient awareness of health insurance policies among medical staff.It is recommended that hospitals should strengthen communication and coordination with health insurance administration agencies to foster positive interactions between healthcare providers and insurers;continuously advance in-house health insurance informatization and enhance data governance capabilities;improve strategic awareness and innovate value-based health insurance management models.
Keywords：Diagnosis-Intervention Packettertiary hospitalprimary care diseasescountermeasures
Publication Date：2025-11-05
Online Publishing Date：2025-12-09(First online date of this platform, not the publication date of the document)
Pages：3( 11-13 )