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Policy Evaluation of the Reform of Ambulatory Patient Groups Based on Access, Quality, and Cost of the Iron Triangle Value Chain in China.
- Source :
- Health & Social Care in the Community; 2/5/2024, p1-13, 13p
- Publication Year :
- 2024
-
Abstract
- Objective. As part of the efforts to build a practical, effective, and diversified medical insurance payment method, it is crucial for China to deepen the reform of ambulatory patient groups (APGs). This study was aimed to explore the mechanism and effect of this policy from three dimensions, including medical expenses, medical insurance funds, and medical services. Methods. In 2020, China's pilot reform of APG was initiated in Jinhua City, Zhejiang Province. Descriptive statistics, correlation analysis, and OLS regression analysis were utilized to evaluate the effect of the APG reform in Jinhua. Results. The implementation of the reform can contribute significantly to establishing a comprehensive medical service governance mechanism of classified settlement and coordinated promotion. It also plays a critical role in safeguarding people's lives and health by promoting the high-level development of medical insurance systems and public hospitals, optimizing the quality of medical services, and improving the efficiency of medical insurance funds. Conclusion. Through the lens of policy evaluation, our findings can provide useful experience for the implementation of the outpatient medical insurance payment method in developing countries. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH policy
MEDICAL quality control
RESEARCH
OUTPATIENT medical care
HEALTH services accessibility
MEDICAL care costs
MEDICAL care
REGRESSION analysis
HEALTH care reform
HEALTH insurance reimbursement
NATIONAL health services
CONCEPTUAL structures
HEALTH insurance
DESCRIPTIVE statistics
PUBLIC hospitals
QUALITY assurance
RESEARCH funding
FINANCIAL management
STATISTICAL correlation
DATA analysis software
INSURANCE
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 175276553
- Full Text :
- https://doi.org/10.1155/2024/5581353