An empirical study on the effect of Beijing's separation of clinic from pharmacy reform / 中华医院管理杂志
Chinese Journal of Hospital Administration
;
(12): 881-885, 2014.
Artigo
em Chinês
| WPRIM
| ID: wpr-475527
ABSTRACT
Objective To evaluate the effect of Beijing' s separation of clinic from pharmacy reform.Methods Use difference-in-difference method based on dataset on patients having Urban Worker Medical Insurance from twelve state-owned hospitals.Results The reform incurs a decrease in the outpatient and inpatient expenditure on medicine per visit (30% and 21%,respectively),a decline in hospital's pharmaceutical ratio (9 percentages and 4 percentages,respectively); reduces the outpatient and inpatient expenditure per visit (19 % and 8 %,respectively),with a decrease in the out-of-pocket part (23% and 3%,respectively),and a slight increase in the Medical Insurance's part (2%); raises hospital's turnover (11%),outpatient's visits (22%),and inpatient visits (43%).Conclusion The reform encourages physicians to prescribe more scientifically,and hence reduces patient 's expenditure on medicine and hospital's pharmaceutical ratio; leads to a decrease in patience' s expenditure per visit;raises hospital's turnover; and doesn't cause a significant increase in the expenditure from social medical insurance.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Chinês
Revista:
Chinese Journal of Hospital Administration
Ano de publicação:
2014
Tipo de documento:
Artigo
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