Staged outcomes of the hierarchical medical system for hypertensive patients covered by medical alliances / 中华医院管理杂志

ABSTRACT

Objective:With Beijng Chao-Yang hospital′s medical alliances taken as an example, to explore the outcomes of phased development of the hierarchical medical system via analysis of the changes of outpatient visits and average outpatient expenses of patients with chronic diseases.Methods:27 983 medical records of hypertensive patients of Chao-Yang hospital in 2014 and 2016 were collected from two communities within Chao-Yang hospital medical alliance and two communities outside. Outpatient visits, outpatient expenses per visit, and drug expenses per visit were analyzed. All these data were subject to descriptive method and double difference method in statistical analysis.Results:Since the implementation of chronic disease management program within the alliance, the number of visits and number of patients with hypertension in the experimental group decreased by about 30%, and the per-visit expenses of hypertensive outpatients within the alliance at tertiary hospitals increased by 18.45 yuan.Conclusions:The medical alliance has begun to help guide patients with chronic diseases to visit initially their community health centers; the alliance is conducive to the functional positioning of medical institutions; long-term working mechanism of urban medical alliances is yet to be formed.