Utilization and expenses of outpatient services among tuberculosis patients in three Chinese counties: an observational comparison study.

ABSTRACT: BACKGROUND:The China-Gates TB project Phase II implemented case-based payment reform in three Chinese counties in 2014, designed specifically for patients diagnosed with Tuberculosis (TB). This study aimed to examine the changes in utilization and expenses of outpatient services before and after the reform implementation, among TB patients in the three counties in China. METHODS:We collected quantitative data using surveys in 2013 (baseline year) and 2015 (final year). We used outpatient hospital records to measure service utilization and medical expenses of TB patients. We conducted qualitative interviews with local health authorities, officers of health insurance agencies, and hospital managers (n = 18). We utilized three focus group discussions with hospital staff and TB doctors and nur

SUBMITTER: Wang XX 

PROVIDER: S-EPMC6777024 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature