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Is There a Difference in the Utilisation of Inpatient Services Between Two Typical Payment Methods of Health Insurance? Evidence from the New Rural Cooperative Medical Scheme in China
- Source :
- International Journal of Environmental Research and Public Health, Volume 16, Issue 8, International Journal of Environmental Research and Public Health, Vol 16, Iss 8, p 1410 (2019)
- Publication Year :
- 2019
- Publisher :
- MDPI, 2019.
-
Abstract
- This study aimed to evaluate the effects of the differences between two typical payment methods for the new rural cooperative medical scheme (NRCMS) in China on the utilisation of inpatient services. Interrupted time-series analysis (ITSA) and propensity score matching (PSM) were used to measure the difference between two typical payment methods for the NRCMS with regard to the utilisation of inpatient services. After the reform was formally implemented, the level and slope difference after reform compared with pre-intervention (distribution of inpatients in county hospitals (DIC), distribution of inpatients in township hospitals (DIT) and the actual compensation ratio of inpatients (ARCI)) were not statistically significant. Kernel matching obtained better results in reducing the mean and median of the absolute standardised bias of covariates of appropriateness of admission (AA), appropriateness of disease (AD). The difference in AA and AD of the matched inpatients between two groups was &minus<br />0.03 (p-value = 0.042, 95% CI: &minus<br />0.08 to 0.02) and 0.21 (p-value &lt<br />0.001, 95% CI: &minus<br />0.17 to 0.25), respectively. The differences in the utilisation of inpatient services may arise owing to the system designs of different payment methods for NRCMS in China. The causes of these differences can be used to guide inpatients to better use medical services, through the transformation and integration of payment systems.
- Subjects :
- Hospitals, County
Rural Population
Matching (statistics)
China
interrupted time-series analysis
new rural cooperative medical scheme
Health, Toxicology and Mutagenesis
media_common.quotation_subject
difference
lcsh:Medicine
payment method
Article
03 medical and health sciences
0302 clinical medicine
Health insurance
Medicine
Humans
030212 general & internal medicine
media_common
Inpatients
Insurance, Health
propensity score matching
business.industry
030503 health policy & services
lcsh:R
Public Health, Environmental and Occupational Health
Payment
Hospitals
Medical services
utilisation of inpatient services
Hospitalization
Propensity score matching
Rural Health Services
Health Expenditures
0305 other medical science
business
Delivery of Health Care
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 16604601 and 16617827
- Volume :
- 16
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....747dddc2a9e15a3340b8d6b3e02758e1