Scholars@Duke
Xinyu Zhang

Xinyu Zhang

Assistant Research Professor of Global Health at Duke Kunshan University
DKU Faculty

Selected Publications

Progressing towards the 2030 health-related SDGs in ASEAN: A systematic analysis.

Journal Article PLoS Med · April 2025 BACKGROUND: The Sustainable Development Goals (SDGs) articulate an ambitious global agenda and set of targets to achieve by 2030. Among the health-related SDGs, many formidable challenges remain in settings like the Association of Southeast Asian Nations ( ... Full text Link to item Cite

Financing the introduction of new vaccines to the national immunisation programme in China: challenges and options for action.

Journal Article BMJ Glob Health · March 24, 2025 Ensuring adequate and sustainable financing of national immunisation programmes (NIPs) is one of the important elements to achieve the Immunisation Agenda 2030. Many middle-income countries ineligible for support from the Global Alliance for Vaccines and I ... Full text Link to item Cite

Hospital response to a new case-based payment system in China: the patient selection effect.

Journal Article Health Policy Plan · May 15, 2024 Providers have intended and unintended responses to payment reforms, such as China's new case-based payment system, i.e. Diagnosis-Intervention Packet (DIP) under global budget, that classified patients based on the combination of principal diagnosis and p ... Full text Open Access Link to item Cite

The Impact of a New Case-Based Payment System on Quality of Care: A Difference-in-Differences Analysis in China.

Journal Article Risk Manag Healthc Policy · 2024 PURPOSE: China has developed and widely piloted a new case-based payment, ie, the "Diagnosis-Intervention Packet" (DIP) payment, which has a granular classification system. We evaluated the impact of DIP payment on the quality of care in a large pilot city ... Full text Link to item Cite

Impact of the Diagnosis-Intervention Packet Payment Reform on Provider Behavior in China: A Controlled Interrupted Time Series Study

Journal Article International Journal of Health Policy and Management · January 1, 2024 Background: China has developed a novel case-based payment method called the diagnosis-intervention packet (DIP) to regulate healthcare providers’ behavior. G city, a metropolis in southeast China, has shifted its payment policy from fixed rate per admissi ... Full text Cite

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.

Journal Article BMC health services research · June 2023 BackgroundIn 2018, an innovative case-based payment scheme called Diagnosis-Intervention Packet (DIP) was piloted in a large developed city in southern China. This study aimed to investigate the impact of the new payment method on total medical ex ... Full text Open Access Cite

How do inpatients' costs, length of stay, and quality of care vary across age groups after a new case-based payment reform in China? An interrupted time series analysis.

Journal Article BMC health services research · February 2023 ContextA patient classification-based payment system called diagnosis-intervention packet (DIP) was piloted in a large city in southeast China in 2018.ObjectiveThis study evaluates the impact of DIP payment reform on total costs, out-of-p ... Full text Open Access Cite

The pilot of a new patient classification-based payment system in China: The impact on costs, length of stay and quality.

Journal Article Social science & medicine (1982) · November 2021 With the urgent need to regulate provider behaviors, China developed a novel patient classification with global budget payment system, expecting to achieve both easy implementation and cost containment. The new system, called "diagnosis-intervention packet ... Full text Open Access Cite

Anatomy of provincial level inequality in maternal mortality in China during 2004-2016: a new decomposition analysis.

Journal Article BMC Public Health · May 24, 2020 BACKGROUND: The maternal mortality ratio (MMR) is an important indicator of maternal health and socioeconomic development. Although China has experienced a large decline in MMR, substantial disparities across regions are still apparent. This study aims to ... Full text Open Access Link to item Cite