A preliminary effect analysis of family doctor and medical insurance payment coordination reform in Changning District of Shanghai, China.

ABSTRACT:

Background

Changning District of Shanghai pioneered in implementing Family Doctor and Medical Insurance Payment Coordination Reform. The survey aimed to assess the effect of the reform to provide a decision-making basis for ensuring the "gatekeeper" role of the family doctor.

Methods

A cross-sectional survey was conducted using a self-designed questionnaire in Changning District of Shanghai during January and February in 2014. Multi-stage random cluster was applied and 3040 residents were selected. Comparisons were made with statistically test between the contracted and non-contracted residents in four policy targeted dimensions, doctor-visiting behavior, health management and status, medical cost control and satisfaction.

Results

Compared with the non-contracted resi

SUBMITTER: Huang J 

PROVIDER: S-EPMC6511160 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature