Comparative Study on the Differences in Average Transaction Costs Per-referral of Patients in Different Models of Integrated Delivery Systems
Hu Chunping
Cui Jinxin
Zhu Dongfang
Zhao Qiuping
Wang Pengfei
Wu Jian
Niu Yadong
Miao Yudong
Abstract：Objective To compare the differences in the average transaction costs per-referral patients under different models of Integrated Delivery Systems(IDS).Methods Using a typical case sampling method,it selected referred patients from three IDS models:the county medical alliance in D City(Qinghai Province),the urban medical consortium in J District(Zhengzhou City,Henan Province),and the health management coalition in N County(Shandong Province).Structured questionnaires collected demographics,average transaction costs per-referral and cost perceptions.t-tests and ANOVA assessed cost differences;generalized linear regression identified influencing factors.Results Among 915 patients,the average transaction costs per-referral were 1 035.05 yuan(county alliance),195.31 yuan(urban consortium),and 700.97 yuan(health management coalition),with statistically significant differences(P＜0.05).The urban consortium exhibited lower time costs and specialized input costs.Key influencing factors included older age(county alliance),education level,employment status,and referral travel time(urban consortium),as well as urban-rural disparities(health management coalition).Patients'cost perceptions significantly differed across models(P＜0.05).Conclusion The urban medical consortium demonstrated the lowest patient the average transaction costs,highlighting its institutional advantage in minimizing financial burdens.
Keywords：Integrated Delivery Systemreferred patientsaverage transaction costs per-referral
Publication Date：2025-09-05
Online Publishing Date：2025-09-18(First online date of this platform, not the publication date of the document)
Pages：6( 46-50,56 )