Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (9): 95-102.doi: 10.6040/j.issn.1671-7554.0.2020.0581

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Influence of compensation mechanism reform on the hospitalization expenses of a county-level public hospital in Shandong Province

JIANG Xiaofeng1,2, YAO Jingjing1, ZHU Dawei3, HE Ping3, SHI Xuefeng4, MENG Qingyue3   

  1. 1.School of Health Care Management, Shandong University, NHC Key Lab of Health Economics and Policy Research(Shandong University), Jinan 250012, Shandong, China;
    2.Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    3. China Center for Health Development Studies, Peking University, Beijing 100020, China;
    4. School of Management, Beijing University of Chinese Medicine, Beijing 100029, China
  • Online:2020-09-10 Published:2020-08-30

Abstract: Objective To analyze the impact of compensation mechanism reform on the per-visit inpatient services in a county-level public hospital in Shandong Province, and offer evidence for further development and adjustment of the reform. Methods Interrupted time series segmented regression model was used to analyze the instant change which took place on October 1, 2014 and trend of per-visit inpatient expense, hospital stay and surgical rate, based on data of diabetes, pneumonia, appendicitis and lumbar discherniation collected from a county-level public hospital in Shandong Province. Results After the reform, there were statistically significant in the changes of inpatient drug expense and medical service expense in this hospital; there were no statistical significance in the changes of per-visit inpatient expense, medical consumables expense and diagnosis expense; there were no statistical significance in the changes of hospital stay and surgical rate. Conclusion Although compensation mechanism reform reduces the per-visit inpatient drug expense, the trend of rising inpatient expense and other indicators have not been effectively controlled.

Key words: Compensation mechanism reform, County public hospital, Inpatient expense, Interrupted time series, Piecewise linear regression

CLC Number: 

  • R197.1
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