Analysis of the impact of county medical alliance on patient flows under the NRCMS: A case study of Dingyuan county of Anhui Province
10.3969/j.issn.1674-2982.2018.04.009
- VernacularTitle:县域医共体对新农合参合居民就诊流向的影响分析——以安徽省定远县为例
- Author:
Shuang LIU
1
,
2
;
Fang WANG
;
Miao-Miao TIAN
;
Meng JIA
;
Kai CHEN
;
Yan-Qing ZHAO
;
Xiang JIANG
;
Wen TAN
Author Information
1. 北京协和医学院 北京 100730
2. 中国医学科学院医学信息研究所 卫生体系与政策研究中心 北京 100020
- Keywords:
County medical alliance;
Patient flow;
The New Rural Cooperative Medical Scheme(NRCMS)
- From:
Chinese Journal of Health Policy
2018;11(4):45-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study is conducted to analyze the impact of county medical alliance on patient flows under the NRCMS in Dingyuan county of Anhui province. Methods: data on patient-flow were collected through the NRCMS information platform and related policy documents for 2015-2016, and interviews were conducted to study the main reform practices in the county medical alliance. Results: The patient flow under the NRCMS varied in the way of 1) the total number of inpatients seeking treatment outside of the county decreased by 3.31%;2) the treat-ment volume of county-level hospitals and township health centers were increasing,and the latter one is growing faster than the former,meanwhile,the treatment volume of the village clinics declined,and 3) the hospitalization expenses per inpatient for patients who seek treatment outside the county are much higher than the expenses incurred within the county. Conclusions:the development of county-level medical alliance has influence on patients with common disea-ses who used to seek treatment by helping to reduce the number of inpatients outside the county and reduce the pres-sure of the new rural cooperative fund. However, significant problems still exist such as shortage of talented practi-tioners,and lagging development of information technology system.
