Study on the outcome differences of the payment policy"fix out of pocket"under the back-ground of separation between revenue and expenditure
10.3969/j.issn.1674-2982.2017.12.013
- VernacularTitle:收支两条线背景下海南基层医疗卫生机构"限费医疗"政策实施效果研究
- Author:
Li-Yue HE
1
;
Wen-Li PAN
;
Ying LIN
;
Hai-Ying JI
;
Feng ZHAO
;
Li YANG
Author Information
1. 北京大学公共卫生学院(北京大学医学部卫生政策与技术评估中心) 北京 100191
- Keywords:
Fix out of pocket;
Separation between revenue and expenditure;
Policy effect
- From:
Chinese Journal of Health Policy
2017;10(12):73-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aimed to evaluate the impacts of the separation between revenue and expendi-ture on the outcome of the payment policy"fix out of pocket". Methods: Using descriptive analysis, difference in difference(DID) model based on data from Wanning county where the new policy has been carried out,Ledong coun-ty where has not,including claim data and hospital utilization data from Nov 2010 to Oct 2014. We also supplemen-ted and interpreted the results of quantitative analysis combined with qualitative data from the interview recording ma-terial;Results:As for the two most common hospitalized diseases(hypertension and pneumonia),the number of in-patient visits in primary medical institutions didn't change respectively. From DID model, the policy only increased out of pocket(OOP) in Wanning by 11% and 28% and decreased average medical expense in Qionghai by 66% and 67% respectively. Conclusion:The separation between revenue and expenditure make the"fix out of pocket"pay-ment policy have better performance on the control of medical expense.
