DOI: 10.7664/CHE20140306
The Effectiveness Evaluation of Capitation Reform in the New Rural Cooperative Medical Scheme Payment System Reform Based on Demanders’ Perspective
Abstract：Objective: It aims to evaluate effectiveness of capitation reform in NRCMS in Pudong New Area from demanders ’ perspective, and to provide more basis for implementing the reform. Methods: By collecting indicators’ related data of the benefit coverage, health service utilization, reimbursement degree, expense burden and resistance capabilities of participant in pilot areas, and doing statistical analysis; a questionnaire was designed to investigate the satisfaction of patients in 33 community health service centers and the survey was conducted twice in the same month in 2011 and 2012 for comparison. Results: After the implementation of the capitation, the benefit ratio and hospitalization benefit levels were improved, and the outpatient service utilization was guaranteed. The resistance capabilities were enhanced. Meanwhile measures to promote the capitation reform did not affect the satisfaction of participant. Conclusion: The capitation reform reduce the medical economic risk of participating farmers, the long-term effect of the reform still needs further study.
Keywords：new rural cooperative medical schemepayment reformcapitationdemandereffectiveness evaluation
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 21-24 )