Principals of selecting designated hospitals for inpatients of NRCMS with critical illness

VernacularTitle:新农合重大疾病定点医疗机构确定原则探讨
Author: Shanquan CHEN ; Yao PAN ; Kai CHEN ; Lan YAO ; Qiang YAO ; Zhiyong LIU ; Li XIANG
Publication Type:Journal Article
Keywords: Critical illness; New Rural Cooperative Medical Scheme; Designated medical institutions
From: Chinese Journal of Hospital Administration 2014;30(1):16-20
CountryChina
Language:Chinese
Abstract: Objective To explore how to determine the designated hospitals for critical illness scientifically and reasonably.Methods Analyzing the choice of medical providers by inpatients with critical illness,by means of the database of NRCMS in 2009～2010 in one county,Guangxi province.And analyzing the current policies on the basis of general principals used in health policy analysis.Results The choices of medical providers made by inpatients with critical illness are influenced by various factors.Choice of such hospitals should only be dependent on scientific and reasonable determination of patients' reasonable medical needs,instead of on the medical competency of the hospitals only.Conclusion Maximal cost-effectiveness should prevail,be it the class-1 demand of complete healing which is highly dependent on medical technology,or class-2 demand requiring repeated hospitalizations and not highly dependent on medical technology.Reasonable designation of hospitals for critical illness should be based on reasonable medical needs of patients,instead of medical competency of hospitals only.