Comparative Study on the Differences in Average Transaction Costs Per-referral of Patients in Different Models of Integrated Delivery Systems
- VernacularTitle:不同模式整合型医疗卫生服务体系转诊患者次均交易费用差异比较研究
- Author:
Chunping HU
1
;
Jinxin CUI
;
Dongfang ZHU
;
Qiuping ZHAO
;
Pengfei WANG
;
Jian WU
;
Yadong NIU
;
Yudong MIAO
Author Information
1. 华中科技大学同济医学院附属同济医院 湖北 武汉 430030
- Publication Type:Journal Article
- Keywords:
Integrated Delivery System;
referred patients;
average transaction costs per-referral
- From:
Chinese Hospital Management
2025;(9):46-50,56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the differences in the average transaction costs per-referral patients under different models of Integrated Delivery Systems(IDS).Methods Using a typical case sampling method,it selected referred patients from three IDS models:the county medical alliance in D City(Qinghai Province),the urban medical consortium in J District(Zhengzhou City,Henan Province),and the health management coalition in N County(Shandong Province).Structured questionnaires collected demographics,average transaction costs per-referral and cost perceptions.t-tests and ANOVA assessed cost differences;generalized linear regression identified influencing factors.Results Among 915 patients,the average transaction costs per-referral were 1 035.05 yuan(county alliance),195.31 yuan(urban consortium),and 700.97 yuan(health management coalition),with statistically significant differences(P＜0.05).The urban consortium exhibited lower time costs and specialized input costs.Key influencing factors included older age(county alliance),education level,employment status,and referral travel time(urban consortium),as well as urban-rural disparities(health management coalition).Patients'cost perceptions significantly differed across models(P＜0.05).Conclusion The urban medical consortium demonstrated the lowest patient the average transaction costs,highlighting its institutional advantage in minimizing financial burdens.
