Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China.

ABSTRACT:

Aim

This work aimed to evaluate a pre/post-reform pilot study from 2015 to 2018 in a rural county of Zhejiang Province, China to realign the provider payment system for primary health care (PHC).

Methods

Data were extracted from the National Health Financial Annual Reports for the 21 township health centers (THCs) in Shengzhou County. An information system was designed for the reform. Differences among independent groups were assessed using Kruskal-Wallis H-test. Dunn's post hoc test was used for multiple comparisons. Differences between paired groups were tested by Wilcoxon signed-rank test. Two-tailed P < 0.05 indicated statistical significance. Data were processed and analyzed using R 3.6.1 for Windows.

Findings

First, payments to THCs shifted from a "soft budget"

SUBMITTER: Pu X 

PROVIDER: S-EPMC7577833 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature