{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:05:43Z","timestamp":1781712343022,"version":"3.54.5"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To provide reference information for reducing disease burden and promoting medical service. The inpatient expenses of breast cancer patients in a top-three public hospital in Zhengzhou under the background of Diagnosis-Intervention Packet (DIP) payment reform were analyzed, and corresponding cost control strategies were proposed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this study, 4,590 patients (3,311 before reform and 1,279 after reform) were finally included in this study. Student's\n                      <jats:italic>t<\/jats:italic>\n                      -test was used to compare the means of two samples. Chi-square test was used for the comparison of rates. The influencing factors of profit of the patients after reform were analyzed by binary logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Post-reform data revealed a significant reduction in medication costs and examination fees (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05), contributing to lower overall hospitalization expenses. The profit ratio of c50.9_86 (c50.9_86.0603: chemotherapy pump implantation surgery for unspecified breast malignant tumors) group was the highest, about 63.2%, and the loss ratio of c50.9_99 (c50.9_99.2503: intravenous injection of chemotherapy drugs for unspecified breast malignant tumors) group was the highest, about 66.7%. The length of hospital stay was the protective factor of profit, whereas the score of disease and employee insurance were the risk factors of profit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The DIP reform significantly reduced medication costs outside of surgery. Under the DIP payment mode reform policy, hospitals should strengthen the awareness of cost control and reduce medical costs, optimize the score of disease and group setting, pay attention to optimize disease structure and ensure fair access to treatment for patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1652174","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:05:46Z","timestamp":1761721546000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Study on inpatient expenses and cost control strategies for breast cancer patients based on Diagnosis-Intervention Packet"],"prefix":"10.3389","volume":"13","author":[{"given":"Limin","family":"Yue","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengchen","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wujun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"73","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin."},{"key":"B2","doi-asserted-by":"publisher","first-page":"430","DOI":"10.16462\/j.cnki.zhjbkz.2022.04.012","article-title":"Changing trend concerning the burden of cancer between 1990 and 2019 in China","volume":"26","author":"Gao","year":"2022","journal-title":"Chin J Dis Control Prevent"},{"key":"B3","doi-asserted-by":"publisher","first-page":"100675","DOI":"10.1016\/j.jth.2019.100675","article-title":"Incorporating multiple travel modes into a floating catchment area framework to analyse patterns of accessibility to hierarchical healthcare facilities","volume":"15","author":"Ma","year":"2019","journal-title":"J Transp Health"},{"key":"B4","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1186\/s12939-024-02336-8","article-title":"Does an innovative case-based payment scheme promote the hierarchical medical system? A tripartite evolutionary game analysis","volume":"23","author":"Shi","year":"2024","journal-title":"Int J Equity Health."},{"key":"B5","doi-asserted-by":"publisher","first-page":"114601","DOI":"10.1016\/j.socscimed.2021.114601","article-title":"Hospital response to a case-based payment scheme under regional global budget: the case of Guangzhou in China","volume":"292","author":"Lai","year":"2022","journal-title":"Soc Sci Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"114415","DOI":"10.1016\/j.socscimed.2021.114415","article-title":"The pilot of a new patient classification based payment system in China: the impact on costs, length of stay and quality","volume":"289","author":"Qian","year":"2021","journal-title":"Soc Sci Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"29","DOI":"10.14055\/j.cnki.33-1056\/f.2022.12.011","article-title":"Study on the impact of DIP payment reform on the economic operation of medical institutions-taking a tertiary hospital in Guangzhou as an example","volume":"39","author":"Liu","year":"2022","journal-title":"Health Econ Res"},{"key":"B8","first-page":"41","article-title":"Study on cost analysis and cost control strategy of oncology patient hospitalization based on DlP","volume":"43","author":"Gan","year":"2023","journal-title":"Chin Hosp Manage"},{"key":"B9","doi-asserted-by":"publisher","first-page":"78","DOI":"10.19546\/j.issn.1674-3830.2023.5.012","article-title":"Analysis of factors affecting the hospital's revenue and expenditure surplus under DIP payment system-taking a tertiary hospital in Chifeng as an example","author":"Qu","year":"2023","journal-title":"Chin Health Insur"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.13912\/j.cnki.chqm.2022.29.04.05","article-title":"Exploration and suggestions of implementing diagnosis intervention packet under the reform of medical insurance payment in China","author":"Long","year":"2022","journal-title":"Chin Health Qual Manage"},{"key":"B11","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1377\/hlthaff.2018.05324","article-title":"China's health expenditure projections to 2035: future trajectory and the estimated impact of reforms","volume":"38","author":"Zhai","year":"2019","journal-title":"Health Affair"},{"key":"B12","unstructured":"Notification about Enacting the Implementation Scheme of Three Years for Reform of DRG\/DIP Payment Methods (in Chinese)\n          \n          2021"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1069131","DOI":"10.3389\/fpubh.2023.1069131","article-title":"The impacts of diagnosis-intervention packet payment on the providers' behavior of inpatient care-evidence from a national pilot city in China","volume":"11","author":"Ding","year":"2023","journal-title":"Front Public Health"},{"key":"B14","doi-asserted-by":"publisher","first-page":"23","DOI":"10.19546\/j.issn.1674-3830.2020.9.007","article-title":"Principle and method of the big data diagnosis-intervention packet (DIP) payment system","author":"Su","year":"2020","journal-title":"China Health Insur"},{"key":"B15","first-page":"9","article-title":"Exploring the integration development model of DRG and DIP health insurance payment methods","volume":"42","author":"Wu","year":"2022","journal-title":"Chin Hosp Manage"},{"key":"B16","doi-asserted-by":"publisher","first-page":"16","DOI":"10.19660\/j.issn.1671-0592.2021.6.05","article-title":"Study on the effect of diagnosis-intervention packet and its enlightenment to DRG pilot hospitals in China Chinese Hospitals","volume":"25","author":"Tao","year":"2021","journal-title":"Chin Hosp"},{"key":"B17","first-page":"1007","article-title":"Research on the effectiveness of DIP payment reform in a hospital in Fujian Province","volume":"36","author":"Liu","year":"2025","journal-title":"Jiangsu Health Syst Manage"},{"key":"B18","doi-asserted-by":"publisher","first-page":"95","DOI":"10.19546\/j.issn.1674-3830.2022.12.018","article-title":"Effect of medical insurance payment reform on average cost and satisfaction of neurosurgery inpatients","author":"Liu","year":"2022","journal-title":"China Health Insur"},{"key":"B19","first-page":"1","article-title":"Chen D, Gu J, Wang L. Study on the impact of price regulation in medical consumables on the economic operation of public hospitals","volume":"38","author":"Li","year":"2018","journal-title":"Chin Hosp Manage"},{"key":"B20","first-page":"43","article-title":"Analysis of the rationality of medical expense structure under the DIP disease classification payment model","author":"Li","year":"2025","journal-title":"Assets Fin Admin Instit"},{"key":"B21","first-page":"58","article-title":"Analysis the influencing factors for the settlement balance of hospitalization insurance expenses under payment by disease score","volume":"21","author":"Tan","year":"2020","journal-title":"Chin Med Rec"},{"key":"B22","first-page":"44","article-title":"Path analysis of influencing factors of hospitalization cost in patients undergoing appendectomy","volume":"23","author":"Xue","year":"2022","journal-title":"Chin Med Rec"},{"key":"B23","doi-asserted-by":"publisher","first-page":"90","DOI":"10.19546\/j.issn.1674-3830.2025.4.012","article-title":"Study on the factors in?","author":"Jiang","year":"2025","journal-title":"Chin Health Insur"},{"key":"B24","first-page":"253","article-title":"DIP key factors analysis and hospital management strategy research","volume":"22","author":"Yu","year":"2022","journal-title":"Mod Hosp J"},{"key":"B25","first-page":"765","article-title":"The influence of disease score payment mode in hospital medical insurance cost control management and fine management","volume":"33","author":"Xie","year":"2022","journal-title":"Jiangsu Health Syst Manage"},{"key":"B26","first-page":"64","article-title":"The calculation method of medical insurance payment according to the point value of disease and its influence on hospital management and countermeasures","volume":"32","author":"Wu","year":"2019","journal-title":"Med Equip"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.38300\/n.cnki.nzgjy.2023.001289","article-title":"Collective procurement and disease classification payment linkage: making the life-saving funds work to their fullest potential","author":"Su","year":"2023","journal-title":"Chin Bus J"},{"key":"B28","doi-asserted-by":"publisher","first-page":"30","DOI":"10.19546\/j.issn.1674-3830.2023.10.004","article-title":"Research on the dynamic adjustment mechanism of DIP tumor disease payment standards based on real world data","author":"Tan","year":"2023","journal-title":"Chin Health Insur"},{"key":"B29","first-page":"2710","article-title":"Benefit incidence and equity of government medical subsidy received by people under different health insurance","volume":"19","author":"Zhou","year":"2016","journal-title":"Chin Gen Pract"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.28655\/n.cnki.nrmrb.2024.009204","article-title":"The family aid of the individual medical insurance account for employees has become more convenient","author":"Sun","year":"2024","journal-title":"People Daily"},{"key":"B31","first-page":"62","article-title":"Comparative analysis on UEBMI and URRBMI from input-output perspective: based on 21 overall planning regions in Sichuan Province","volume":"13","author":"Zhou","year":"2020","journal-title":"Chin J Health Policy"},{"key":"B32","doi-asserted-by":"publisher","first-page":"f3197","DOI":"10.1136\/bmj.f3197","article-title":"Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals","volume":"346","author":"Busse","year":"2013","journal-title":"BMJ."},{"key":"B33","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1177\/1010539519872325","article-title":"The effect of diagnosis-related groups on the shift of medical services from inpatient to outpatient settings: a National claims-based analysis","volume":"31","author":"Lee","year":"2019","journal-title":"Asia Pac J Public Health."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1652174\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:05:56Z","timestamp":1761721556000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1652174\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,29]]},"references-count":33,"alternative-id":["10.3389\/fpubh.2025.1652174"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1652174","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,29]]},"article-number":"1652174"}}