Does a new case-based payment system promote the construction of the ordered health delivery system? Evidence from a pilot city in China.
Autor: | Shi, Huanyu, Cheng, Zhichao, Liu, Zhichao, Zhang, Yang, Zhang, Peng |
---|---|
Předmět: |
MEDICAL care use
POLICY sciences PROSPECTIVE payment systems INSURANCE RESEARCH funding MEDICAL care HEALTH policy LOGISTIC regression analysis HOSPITALS TIME series analysis TERTIARY care DESCRIPTIVE statistics HEALTH care reform GOVERNMENT programs LABOR incentives HEALTH promotion CASE studies PAY for performance REGRESSION analysis |
Zdroj: | International Journal for Equity in Health; 3/14/2024, Vol. 23 Issue 1, p1-14, 14p |
Abstrakt: | Background: The construction of the ordered health delivery system in China aims to enhance equity and optimize the efficient use of medical resources by rationally allocating patients to different levels of medical institutions based on the severity of their condition. However, superior hospitals have been overcrowded, and primary healthcare facilities have been underutilized in recent years. China has developed a new case-based payment method called "Diagnostic Intervention Package" (DIP). The government is trying to use this economic lever to encourage medical institutions to actively assume treatment tasks consistent with their functional positioning and service capabilities. Methods: This study takes Tai'an, a DIP pilot city, as a case study and uses an interrupted time series analysis to analyze the impact of DIP reform on the case severity and service scope of medical institutions at different levels. Results: The results show that after the DIP reform, the proportion of patients receiving complicated procedures (tertiary hospitals: β |
Databáze: | Complementary Index |
Externí odkaz: | |
Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |