Impact of per diem payment on medical expenditure, service efficiency, and quality of care for patients with mental disorders: an interrupted time series study.

The average BMI reimbursement per hospitalization showed an increasing trend before the reform, with an upward slope of 1.7% per month ( β 1 = 0.017, P = 0.002), and fell by 41.2% in the month of the reform ( β 2 = −0.412, P < 0.001), and the monthly trend decreased by 2% ( β 3 = −0.020, P = 0.037).

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Our study found an increasing trend in the ALOS for patients with mental disorders in secondary hospitals prior to the PDP reform, followed by a decreasing trend after the reform, although the post-reform decrease was not statistically significant.

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