Evaluation on the Effect of Comprehensive Reform of Medical Prices in Public Hospitals of Traditional Chinese Medicine in Jiangsu Province / 中国医院管理

Objective To evaluate the effect of the comprehensive reform of medical prices of traditional Chinese medicine hospitals in Jiangsu Province,to provide empirical support for the effectiveness of the reform of government drug prices,and to provide suggestions for further deepening the reform.Methods Based on the effect model of Wei Tang's public policy evaluation model,according to the comprehensive reform goal of medical price,analyzing the effect before and after the implementation of the policy.Results After the reform,the financial subsidy income,medical insurance income and service income have increased,the proportion of drug revenue has dropped by 3.3％,and some medical control fee indicators have reached the policy standards,but the asset liability ratio has increased.Conclusion The reform has achieved some initial results.The income compensation is basically reasonable,but still not enough.The income structure is obviously optimized.The control of medical expenses has improved,but it has not reached the ideal state.

An analysis on the relationship between health self-evaluation and healthcare seeking decision for the patients with hypertension / 中国卫生政策研究

Objective:To analyze the factors and problems of health self-evaluation on their healthcare seeking decision for hypertension patients, and to provide the relevant suggestions and strategies for improving their health quality of life. Methods:Data from the 2016 Residents Dynamic Monitoring Survey of Health Service Utilization,u-sing the Anderson's Behavioral model as the theoretical basis, This study examined the predisposing, enabling, and need factors that determine the Single factor analysis,and construct the logistic regression model to analyze main fac-tors affecting medical treatment decisions in patients with hypertension. Results:During multi -factor analysis about the factors chiefly selected were age,urban and rural, commercial medical insurance,annual income,VAS,self-care ability. Conclusion:Enabling factor is the main factor affecting medical decision-making in patients with hyperten-sion;hypertension health self-evaluation on their medical decisions have important effect;hypertension patients with different demographic characteristics tendency to seek different medical treatments,and factors of need to promote the behavior of hypertension. It is suggested that policy makers should pay attention to the healthy self-evaluation of pa-tients with hypertension,the problems of depression and anxiety in hypertensive patients,and to improve the utiliza-tion of medical services of patients with hypertension in urban and rural areas.