Impact of Health Insurance Expense Management Measures on Medical Service Behaviors Under Total Budget Payment System
Abstract：Objective To understand and analyze the budget management measures taken by hospitals under total budget payment system,as well as the impact of these measures on physicians' behavior and patients' outcomes.Methods Doing questionnaire survey in combination with qualitative interview with KOLs.Results The study showed that the current budget management measures had unintended negative effects on healthcare quality and patient satisfaction,in addition to cost control.Conclusion More attention should be paid to the issues caused by total budget control.It is suggested to improve the budget control based on medical quality ensuring,optimized medical cost structure as well as refined budget control measures.
Keywords：volume controlmedical insurancemedical expense controlmedical service behaviorquality assurance
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 19-22 )