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. 2026 Jan 7;26:170. doi: 10.1186/s12913-025-13967-0

Table 2.

Single-group interrupted time series analysis of monthly relative-value units per employee

Periods Parameters All PHIs
(95% CI)
Central town and street PHIs
(95% CI)
Remote countryside PHIs
(95% CI)
Other PHIs
(95% CI)

Period I

(Before the pilot reform#,

n = 24 months)

Baseline level (β0) 159.61 (132.94–186.27)*** 150.94 (114.90–186.98)*** 166.32 (113.28–219.37)*** 187.80 (156.62–218.99)***
Baseline trend (β1) 4.40 (2.40–6.40)*** 4.40 (1.86–6.93)*** 2.83 (−0.91–6.56) 3.79 (1.59–5.98)***

Period II

(After the pilot reform,

n = 36 months)

Level change after reform (β2) 25.20 (−11.22–61.60) 38.82 (−7.38–85.01) 10.72 (−57.28–78.70) −15.92 (−55.88–24.05)
Trend change after reform (β3) −1.55 (−3.78–0.68) −2.29 (−5.12–0.54) 7.58 (3.42–11.75)*** 0.76 (−1.69–3.21)
Trend after reform (β1 + β3) 2.86 (1.98–3.74)*** 2.53 (1.61–3.45)*** 11.04 (8.57–13.51)*** 4.93 (3.62–6.24)***

Period III

(After COVID-19 pandemic, n = 36 months)

Level change after the pandemic (β4) −19.55 (−51.55–12.45) −4.40 (−45.00–36.20) −96.14 (−155.90–−36.39)** −23.21 (−58.34–11.91)
Trend change after the pandemic (β5) −1.74 (−3.23 to −0.24)* −1.19 (−3.09–0.71) −9.35 (−12.14 to −6.55)***

−3.472

(−5.116 to −1.828)***

Trend after pandemic (β1 + β3 + β5) 1.12 (−0.47–2.71) 1.34 (−0.53–3.20) 1.69 (−1.76–5.13) 1.46 (−0.86–3.77)

Note: * p < 0.05, **p < 0.01, *** p < 0.001; #Pre-reform (2015–2016) monetary and RVU values were generated by a static micro-simulation model; seasonal pattern was adjusted by fitting Fourier terms in the regression model by two sine/cosine pairs