"Outpatient+inpatient"bundled integrated payment on the utilization of health services for ordinary tuberculosis patients:An empirical analysis based on a city in Hebei Province
10.3969/j.issn.1674-2982.2025.02.002
- VernacularTitle:"门诊+住院"捆绑整合支付对普通肺结核患者卫生服务利用的影响研究
- Author:
Peng-yu XU
1
;
Yao YAO
1
;
Lin-du ZHAO
1
Author Information
1. 东南大学经济管理学院 江苏 南京 211189
- Publication Type:Journal Article
- Keywords:
Medical reimbursement;
Bundled integrated payment;
Health service utilization;
Payment reform
- From:
Chinese Journal of Health Policy
2025;18(2):8-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the impact of the"outpatient+inpatient"bundled integrated payment reform on the utilization of health services for patients with ordinary tuberculosis,and to evaluate its effectiveness in resource allocation and cost containment.Methods:Based on the Andersen model,clinical and health insurance data from a city in Hebei Province were analyzed.An empirical study was conducted on 5 656 patients using Ordinary Least Squares(OLS)regression and Propensity Score Matching(PSM)to assess outpatient and inpatient service utilization and related costs.Results:Patients in the post-reform group showed a significant increase in outpatient visits and outpatient costs(an average increase of approximately 4.809 visits and 266.368 yuan,respectively,P<0.001),while inpatient visits,inpatient costs,and total medical costs significantly decreased(reductions of approximately 0.302 visits,3 638.647 yuan,and 3 372.279 yuan,respectively,P<0.001).Conclusion:The bundled integrated payment model effectively promotes outpatient service utilization,optimizes inpatient resource allocation,and reduces medical costs.However,the sharp increase in outpatient workload may pose a risk of overutilization.Recommendations:Future initiatives should establish a dynamic monitoring and evaluation system that emphasizes both service quality and clinical outcomes in outpatient and inpatient settings.Furthermore,refining incentive and regulatory mechanisms is essential to ensure that cost control measures do not compromise medical quality and patient safety.
