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Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment
BACKGROUND: PTB is an infectious disease, which not only seriously affects people’s health, but also causes a heavier disease economic burden on patients. At present, reform of the medical insurance payment can be an effective method to control medical expenses. Therefore, our study is to explore th...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147343/ https://www.ncbi.nlm.nih.gov/pubmed/34034826 http://dx.doi.org/10.1186/s40249-021-00861-0 |
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author | Hu, Xing-Yu Gao, Guang-Ying |
author_facet | Hu, Xing-Yu Gao, Guang-Ying |
author_sort | Hu, Xing-Yu |
collection | PubMed |
description | BACKGROUND: PTB is an infectious disease, which not only seriously affects people’s health, but also causes a heavier disease economic burden on patients. At present, reform of the medical insurance payment can be an effective method to control medical expenses. Therefore, our study is to explore the compensation mechanism for pulmonary tuberculosis (PTB) patients with a full period of treatment, to alleviate the financial burden of PTB patients and provide a reference and basis for the reform of PTB payment methods in other regions and countries. METHODS: The quantitative data of PTB patients was collected from the first half of 2015 to the first half of 2018 in Dehui Tuberculosis Hospital in Jilin Province, and medical records of PTB patients registered in the first half of 2018 (n = 100) from the hospital was randomly selected. Descriptive analysis of these quantitative data summarized the number, cost, medication and compliance. Semi-structured in depth interviews with policymakers and physicians were conducted to understand the impact of interventions and its causes. RESULTS: After implementation of the compensation mechanism, the number of PTB patient visits in 2018 was increased by 14.2%, average medical costs for outpatients and inpatients were significantly reduced by 31.8% and 47.0%, respectively, and the auxiliary medication costs was reduced by 36.5%. Moreover, the hospital carried out standardized management of tuberculosis, and the patient compliance was very high, reaching almost 90%. CONCLUSIONS: The capitation compensation mechanism with a full period of treatment was a suitable payment method for PTB, and it is worthy of promotion and experimentation. In addition, the model improved patient compliance and reduced the possibility of drug-resistant PTB. However, due to the short implementation time of the model in the pilot areas, the effect remains to be further observed and demonstrated. [Image: see text] |
format | Online Article Text |
id | pubmed-8147343 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81473432021-05-26 Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment Hu, Xing-Yu Gao, Guang-Ying Infect Dis Poverty Research Article BACKGROUND: PTB is an infectious disease, which not only seriously affects people’s health, but also causes a heavier disease economic burden on patients. At present, reform of the medical insurance payment can be an effective method to control medical expenses. Therefore, our study is to explore the compensation mechanism for pulmonary tuberculosis (PTB) patients with a full period of treatment, to alleviate the financial burden of PTB patients and provide a reference and basis for the reform of PTB payment methods in other regions and countries. METHODS: The quantitative data of PTB patients was collected from the first half of 2015 to the first half of 2018 in Dehui Tuberculosis Hospital in Jilin Province, and medical records of PTB patients registered in the first half of 2018 (n = 100) from the hospital was randomly selected. Descriptive analysis of these quantitative data summarized the number, cost, medication and compliance. Semi-structured in depth interviews with policymakers and physicians were conducted to understand the impact of interventions and its causes. RESULTS: After implementation of the compensation mechanism, the number of PTB patient visits in 2018 was increased by 14.2%, average medical costs for outpatients and inpatients were significantly reduced by 31.8% and 47.0%, respectively, and the auxiliary medication costs was reduced by 36.5%. Moreover, the hospital carried out standardized management of tuberculosis, and the patient compliance was very high, reaching almost 90%. CONCLUSIONS: The capitation compensation mechanism with a full period of treatment was a suitable payment method for PTB, and it is worthy of promotion and experimentation. In addition, the model improved patient compliance and reduced the possibility of drug-resistant PTB. However, due to the short implementation time of the model in the pilot areas, the effect remains to be further observed and demonstrated. [Image: see text] BioMed Central 2021-05-25 /pmc/articles/PMC8147343/ /pubmed/34034826 http://dx.doi.org/10.1186/s40249-021-00861-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Hu, Xing-Yu Gao, Guang-Ying Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
title | Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
title_full | Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
title_fullStr | Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
title_full_unstemmed | Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
title_short | Evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
title_sort | evaluation of the effect of the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147343/ https://www.ncbi.nlm.nih.gov/pubmed/34034826 http://dx.doi.org/10.1186/s40249-021-00861-0 |
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