DOI: 10.7664/CHE20170711
Impact Analysis of Outpatients' Medical Service Utility by the Policy Intervention of Capitation Payment
Abstract：Objective:To evaluate the effect of capitation payment policy intervention for medical service utility of the insured outpatients.Methods:To collect outpatients' medical service utility data before and after the capitation payment policy intervention in NCMS in Pudong New Area from the year of 2011 to 2015,and to analyze the intervention impacts on outpatients' medical service utility by comparison.Results:80％ outpatients' medical service utility happened in community health service centers (CHSCs) and 16％ was happened in secondary hospitals.The institution of outpatients' expense was roughly equally split between CHSCs and second & third degree hospitals.From the view of year-over-year growth,it resulted in a downward trend of outpatient cost per visit year by year after the intervention,and in the year of 2015 the mean outpatient cost per visit in second & third degree hospitals respectively were 275.46 yuan and 208.24 yuan.Conclusion:The times and fees of insured outpatients generally increased by year,especially in second & third degree hospitals.There was a well impact of the policy intervention in cost control of outpatient cost per visit,and also there was a more obvious downward trend in second & third degree hospitals.
Keywords：new rural cooperative medical systempayment reformcapitation paymentoutpatientservice utility
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( 41-43 )