Outcomes and obstacles of “treatment before payment” reform as viewed by medical managers

VernacularTitle:管理者视角下“先看病后付费”的实施效果及障碍调查
Author: Qianqian YU ; Wenqiang YIN ; Qiuxia WANG ; Dongmei HUANG
Publication Type:Journal Article
Keywords: Treatment before payment; Medical institutions; Implementation outcomes; Implementation obstacles
From: Chinese Journal of Hospital Administration 2014;30(4):269-273
CountryChina
Language:Chinese
Abstract: Objective To analyze implementation outcomes and obstacles of “treatment before payment” reform seen by medical institutions' managers,along with an optimal strategy proposed.Methods Quantitative survey and qualitative interviews were called into play,and the data so acquired are subject to evaluation of the radar chart and fishbone diagram analysis to learn the implementation outcomes and obstacles.Results The reform proves workable at hospitals of county and lower levels,achieving win-win for the people,hospitals and government.Obstacles found include poor allocation of designated funds for risk coverage,insufficient circulating funds in advance,poor risk aversion mechanism,and poor preparation for tertiary hospitals.Conclusion It is recommended to promote awareness of the reform,enhance inter-department cooperation,improve hospital information systems,clarify the screening standards of “purposely evasion offenders”,standardize the issuance and use of the NRCMS certificates,and better build the credit system of the society.