Health performance assessment modeling and its application to compact medical communities in China.

ABSTRACT: Some regions in China have already implemented capitation payment or capitation budget management for medical insurance funds. However, there remains a shortage of adequate tools and methodologies to accurately quantify differences in population health risks. Therefore, this paper constructs a health performance assessment model that comprises four steps. The first step is to categorize all participants into health risk groups based on whether they have contracted with a family doctor, their age, sex, and the type of consultation. The second step is to categorize health risk groups based on differences in healthcare resource utilization. The third step is to analyze health performance by examining healthcare resource utilization year over year. The fourth step is to apply the assessment re

SUBMITTER: Yu M 

PROVIDER: S-EPMC11362657 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature