Cost Effects of Upgrading the General Outpatient Hierarchy for Urban and Rural Residents
- VernacularTitle:城乡居民普通门诊统筹层次提升的费用效应
- Author:
Juhua HUANG
1
;
Huawei TAN
;
Xiaochong HE
Author Information
1. 达州市中西医结合医院财务科 四川 达州 635000
- Publication Type:Journal Article
- Keywords:
urban and rural residents;
outpatient;
coordination;
cost effect
- From:
Chinese Health Economics
2025;44(7):40-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective:It aims to investigate the impact of enhancing the outpatient total cost for urban and rural residents on total outpatient costs and medication expenses,providing policy recommendations for improving outpatient coverage under city-level coordination.Methods:Using Pilot County as a case study and outpatient medical record data,the PSM-DID method is employed to evaluate the effect of raising the Outpatient Medical Insurance level on total outpatient costs and medication expenses per case.Results:After improving the Outpatient Medical Insurance level,total outpatient costs per case increased significantly by 3.87%(P＜0.05),while medication expenses per case decreased significantly by 10.90%(P＜0.001).For the elderly,total outpatient costs per case rose significantly by 6.08%(P＜0.05),while there is a increase for non-elderly patients(P＞0.05).Medication expenses per case for the elderly decreased significantly by 11.32%(P＜0.001),while non-elderly patients saw a 7.85%decrease(P＞0.05).Conclusion:The improvement in the outpatient coordinated hierarchy significantly increased the total cost for urban and rural residents while significantly reducing medication expenses.The impact on outpatient costs was more pronounced among the elderly.It is recommended that policy design for enhancing the general outpatient coordination level for urban and rural residents consider both equity and efficiency.
