DOI: 10.7664/CHE20170209
Analysis of the Inpatient Flow and Hospital Cost Among New Rural Cooperative Medical System in Gansu
Abstract：Objective:To analyze the hospitalization rates,patient flow and cost burden in Gansu from 2010 to 2015,It explored the causes for the over-increasing of hospitalization costs and problems of new rural cooperative medical system(NCMS).Methods:The data and annual reports about the NCMS operating status from 2010 to 2015 were collected from NCMS management office and Huadong company.Chi-square analysis and descriptive statistical analysis were applied.Results:The hospitalization rates of NCMS decreased from 6.37％ to 11.85(x2=503 005.45,P=0.000).The flow of patients chose to visit hospitals outside the county was obvious.The flow of county-level medical institutions increased from 41.05％ to 52.08％(x2=103 245.25,P=0.000).Hospitalization expenses outside the county accounted for 58％ and township accounted for 7.53％.The average compensation ratio of township,county,and outside were 79.25％,66.30％ and 49.52％ respectively.Conclusion:The NCMS received certain achievements while there were still problems including unreasonable inpatient flow.The reimbursement number and expenses mainly flowed to the county and outside the county.It needed to control the over-increased medical expenses,continuously improve the reimbursement level and reasonably lead the flow of visiting doctors.
Keywords：new rural cooperative medical systeminpatient flowhospitalization expensereimbursement rateGansu
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 33-35 )