A survey on the attitudes of doctors towards health insurance payment in the medical consortium / 中华医学杂志(英文版)

ABSTRACT

<p><b>BACKGROUND</b>Medical consortium is a specific vertical integration model of regional medical resources. To improve medical resources utilization and control the health insurance costs by fee-for-service plans (FFS), capitation fee and diagnosis-related groups (DRGs), it is important to explore the attitudes of doctors towards the different health insurance payment in the medical consortium in Shanghai.</p><p><b>METHODS</b>A questionnaire survey was carried out randomly on 50 doctors respectively in 3 different levels medical institutes.</p><p><b>RESULTS</b>The statistical results showed that 90% of doctors in tertiary hospitals had the tendency towards FFS, whereas 78% in secondary hospitals towards DRGs and 84% in community health centers towards capitation fee.</p><p><b>CONCLUSIONS</b>There are some obvious differences on doctors' attitudes towards health insurance payment in 3 different levels hospitals. Thus, it is feasible that health insurance payment should be supposed to the doctors' attitudes using the bundled payments along with the third-party payment as a supervisor within consortium.</p>