Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
- VernacularTitle:医保打包支付对县域医共体患者经济负担及满意度的影响
- Author:
Yanhong GUO
1
;
Liangying ZHU
;
Jian WANG
;
Erdan HUANG
;
Yanchun ZHANG
;
Sheng NONG
Author Information
1. 右江民族医学院 广西 百色 533000
- Keywords:
packaged payment of medical insurance;
medical community;
financial burden;
satisfaction
- From:
Chinese Health Economics
2024;43(7):42-46,58
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.