The effect of APG payment on doctors'medical behavior based on experimental economics
10.3969/j.issn.1674-2982.2024.09.004
- VernacularTitle:基于实验经济学的APG支付对医生医疗行为的影响研究
- Author:
Qing-Li TAN
1
;
Shu-Rui LING
Author Information
1. 广东药科大学医药商学院 广东中山 528400;广东药科大学卫生经济与健康促进研究中心 广东广州 510006
- Keywords:
Medical insurance payment reform;
Ambulatory Patient Groups;
Fee-for-service;
Medical behavior
- From:
Chinese Journal of Health Policy
2024;17(9):22-27
- CountryChina
- Language:Chinese
-
Abstract:
This paper collects questionnaires from graduates and graduate students of clinical-related majors through economic experiments,and discusses the impact of different payment modes on the quantity and quality of medical services provided by doctors by simulating the decision of medical students to provide medical and health services to patients with different health conditions and disease types under two medical insurance payment methods:Fee-for-service(FFS)and Ambulatory Patient Groups(APG).The results showed that there were significant differences in the number of health services provided by doctors to patients with different health conditions and patients with different disease types under two different payment models.Physicians are motivated by the FFS model to provide too many medical and health services to patients,and APG can restrain doctors from providing excessive medical services,and the number of optimal health care service decisions made by doctors in the APG model is significantly higher than that of the FFS model.Compared with APG,the FFS model can better protect the medical needs of cases with poor health and complex conditions,and provide more comprehensive medical and health services.Finally,the paper puts forward suggestions such as using the APG payment mode as much as possible for routine outpatient clinics and common cases,and promoting FFS payment as a supplementary payment method for complex and severe cases.
