A survey on the attitudes of doctors towards health insurance payment in the medical consortium.

Ge Shi; Tao WU; Wei-guo XU

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A survey on the attitudes of doctors towards health insurance payment in the medical consortium.

Author: Ge SHI ¹ ; Tao WU ; Wei-Guo XU
Author Information

1. Antai School of Management, Shanghai Jiaotong University, Shanghai 200052, China.
Publication Type:Journal Article
MeSH: Capitation Fee; China; Fee-for-Service Plans; Insurance, Health; Insurance, Health, Reimbursement; Physicians; psychology; Surveys and Questionnaires
From: Chinese Medical Journal 2011;124(2):223-226
CountryChina
Language:English
Abstract:
BACKGROUNDMedical consortium is a specific vertical integration model of regional medical resources. To improve medical resources utilization and control the health insurance costs by fee-for-service plans (FFS), capitation fee and diagnosis-related groups (DRGs), it is important to explore the attitudes of doctors towards the different health insurance payment in the medical consortium in Shanghai.
METHODSA questionnaire survey was carried out randomly on 50 doctors respectively in 3 different levels medical institutes.
RESULTSThe statistical results showed that 90% of doctors in tertiary hospitals had the tendency towards FFS, whereas 78% in secondary hospitals towards DRGs and 84% in community health centers towards capitation fee.
CONCLUSIONSThere are some obvious differences on doctors' attitudes towards health insurance payment in 3 different levels hospitals. Thus, it is feasible that health insurance payment should be supposed to the doctors' attitudes using the bundled payments along with the third-party payment as a supervisor within consortium.