Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (3): 109-114.doi: 10.6040/j.issn.1671-7554.0.2019.014

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An analysis of income compensation of public hospitals based on a quasi-experimental design ——a case study of a first-class hospital in Shandong Province

ZHANG Lu, XU Minxuan, YANG Xiaoxue, JIA Liying   

  1. School of Health Care Management, Shandong University;
    Key Laboratory of Health Economics and Policy Research of National Health Commission of the Peoples Republic of China;
    New Key Think Tank of Shandong University Health Management and Policy Research Center, Jinan 250012, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To evaluate the effects of the compensation mechanism reform in public hospitals on the income structure and to provide references for policy making. Methods The quasi-experimental study design was a time series study analyzing the monthly income changes of a provincial comprehensive public hospital in Shandong Province. The time from Jan. 2014 to Jun. 2016 was taken as the pre-reform, while the period between Jun. 2016 and Dec. 2017 as the post-reform. Results The monthly trend changes of the percentage of income from drugs, and income from medical services before and after the reform was -0.124% and 0.146%, respectively, and the differences were statistically significant(both P<0.01). After the reform, the median proportion of income from laboratory tests, examinations and health materials increased to 7.96%, 9.91% and 25.57%, respectively(all P<0.001). Conclusion The reform of com- 山 东 大 学 学 报 (医 学 版)57卷3期 -张璐,等.基于准试验设计的公立医院收入补偿情况分析——以山东省某三甲医院为例 \=-pensation mechanism is helpful to reduce the phenomenon of “feeding medicine with medicine” and enhance the labor value of medical workers. It is suggested that the prices of surgeries and nursing services should be raised, and a dynamic cost control mechanism should be established to improve the capacity of inner management.

Key words: Public hospitals, Income structure, Reform of the compensation mechanism, Quasi-experimental study, Interrupted time series

CLC Number: 

  • R197
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