Whether tiered medical care system is effective in saving costs?Cost savings estimation of the medical care system after tiered optimization in Zhejiang Province based on system dynamics model
10.3969/j.issn.1674-2982.2017.07.003
- VernacularTitle:分级诊疗能节省成本吗?——基于系统动力学模型的浙江省诊疗系统分级优化成本测算
- Author:
Hao ZHANG
;
Yue LIU
;
Shuyan GU
;
Xuemei ZHEN
;
Yuhang ZENG
;
Yuxuan GU
;
Hengjin DONG
- Keywords:
Hierarchical diagnosis and treatment system;
System dynamics;
Healthcare cost
- From:
Chinese Journal of Health Policy
2017;10(7):13-21
- CountryChina
- Language:Chinese
-
Abstract:
The experience of various countries proves that the hierarchical diagnosis and treatment model can lead to reasonable resources allocation and utilization, however, the waste of China''s disordered treatment model has not been estimated.Nowadays, it is very important to establish a hierarchical diagnosis and treatment system during China''s healthcare system reform.Therefore, it is necessary to estimate the benefit the reform may bring.We take Zhejiang Province as an example, and adopted the system dynamics model to build the health delivery system, to emulate the hierarchical diagnosis and treatment model and the disordered model, and to evaluate the benefit.Results showed that if first option at the primary health institutions increased 10%, it could save 0.251 billion yuan, and if increased 15%, it could save 0.39 billion yuan.If the first option at the primary health institution reached 72.35% and the treatment in county reached 90%, the outpatient in tertiary hospital could reduce by 13 million, and those in primary healthcare institutions could increase by 74 million yuan.The direct healthcare cost could reduce 3.016 billion Yuan.
