北京大学学报（医学版）Issue(3)：445-449,5.DOI:10.3969/j.issn.1671-167X.2014.03.020
向基层机构倾斜的门诊报销制度对高血压患者门诊服务利用的影响
Impact of primary care oriented outpatient benefit package design in new rural cooperative medical system on hypertension outpatient services utilization
汤淑女 1简伟研 2Winnie C-M Yip 3郭岩2
作者信息
- 2. 北京大学公共卫生学院卫生政策与管理学系，北京 100191
- 3. Blavatnik School of Government，University of Ox-ford，Oxford OX1 4JJ，UK
- 折叠
摘要
Abstract
Objective:To study the impact of primary care oriented outpatient benefits package design of outpatient services coverage and ladder reimbursement of county , town and village levels in the new ru-ral cooperative medical system ( NRCMs) on hypertension outpatient services utilization .Methods:The panel data of treatment and control groups in 2009 and 2011 before and after the policy reform were drawn from the household survey data of the innovative payment system project .The difference in difference ( DID) method was used for data analysis .The outcome indicators included the utilization of outpatient services of patients with self-reported hypertension and their main treatment locations .Results:The pri-mary care oriented outpatient benefit package design in the NRCMs reduced the probability of no treat-ment in the latest three months of hypertension by 10.2 percent points.Meanwhile, it increased the prob-ability of choosing village clinic as the preferred location by 15 .7 percent points .Conclusion: Primary care oriented outpatient benefits package design lead patients with hypertension to use the nearest outpa -tient services at low risk of disease .关键词
保险/健康/高血压/卫生服务利用/双重差分法Key words
Insurance/health/Hypertension/Health services utilization/Difference in differences分类
医药卫生引用本文复制引用
汤淑女,简伟研,Winnie C-M Yip,郭岩..向基层机构倾斜的门诊报销制度对高血压患者门诊服务利用的影响[J].北京大学学报（医学版）,2014,(3):445-449,5.
