Status Research on the "Difficulty and High Cost of Getting Medical Services" after the Medical Reform of County-level Public Hospitals in Jilin

doi:10.7664/CHE20180212

Abstract：Objective:By analyzing the financial data and conducting a questionnaire survey in county-level public hospital of Jilin,to understand the status of the "difficulty and high cost of getting medical services" after the medical reform of county-level public hospitals in order to provide the basis for the medical reform policy.Methods:According to hospital HIS system,it collected the health cost data of county-level public hospitals in Jilin and conducted a questionnaire survey on 789 patients who visited county-level public hospitals.Results:From 2014 to 2016,hospital outpatient and emergency medical expenses,average hospitalization expenses,total hospital revenue,hospital medical income,hospital financial subsidy income and hospital medical insurance income were all increased by years.The proportion of hospital drug income in hospital total revenue,the proportion of hospital drug income accounted for hospital medical income,the proportion of individual out-of-pocket expenses of hospital patients in hospital total revenue,the proportion of the individual out-of-pocket expenses of hospital patients in hospital medical income all decreased by years.8.4％ of the patients surveyed believed that "it was difficult to get medical services".26.2％ surveyed patients believed that "it was expensive to get medical services",the medical insurance coverage reached to 96.7％,while 14.7％ of the patients were dissatisfied with the proportion of medical insurance reimbursement.Conclusion:After the medical reform of county-level public hospitals,the income had undergone structural changes.The problem of the difficulty of getting medical services had been improved significantly,but the problem of the high cost of getting medical services still needed to be further solved.