Study on the cognition status of implementing case-based payment policy among healthcare providers:A case in Chengdu, Sichuan Province
10.3969/j.issn.1674-2982.2014.04.007
- VernacularTitle:医疗服务提供方对按病种定额付费政策的认知现状--以四川省成都市为例
- Author:
Guihong TAN
;
Xiaohui REN
;
Zhijun LIU
;
Ningxiu LI
;
Jing WANG
- Publication Type:Journal Article
- Keywords:
Case-based payment;
Effect;
Evaluation;
In-depth interview
- From:
Chinese Journal of Health Policy
2014;(4):38-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the implementation status of case-based payment among healthcare provid-ers and their cognition on the matter. Methods:Semi-structured interview was conducted on 30 purposely selected staff from 9 hospitals in Chengdu. Results:After one-year implementation of case-based payment, hospitals at different level carried out the policy vigorously:executed corresponding expense control measures and management. Neverthe-less, the proportion of cases that were paid with case-based payment was low, moreover the inclusion criteria for case was of disunity and the formulation of the expense standard was ambiguous to some extent. Conclusion:Certain achievements were accompanied with problems, so it is essential to refine reimbursement standards, improve case-based payment, make clear the inclusion criteria for case and extend the covering range of case-based payment in Chengdu. In addition, the medical insurance agency should strengthen the supervision of healthcare providers,and guide them to set up effective incentive mechanism.
