Effects of expanding outpatient benefit package on the rationality of medical service utilisation of patients with hypertension: a quasi-experimental trial in rural China.

ABSTRACT:

Objective

To estimate the effects of expanding outpatient benefit package on ameliorating the issues of over-reliance on inpatient services and seeking higher level medical services in rural China.

Design

A quasi-experimental design.

Setting and participants

1673 pairs of patients with hypertension were selected after using propensity score matching from Dangyang county (intervention group) and Zhijiang (control group) county, Hubei province.

Intervention

The outpatient annual reimbursement capping line was expanding from ¥300 to ¥600, daily capping line from ¥10/12 to ¥150. The compensation scope and institution were also enlarged from January 2016.

Outcome measures

The difference-in-differences model was used to estimate the effects on medical service

SUBMITTER: He R 

PROVIDER: S-EPMC6527979 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature