Analysis on the Design and Effectiveness of Bundled Payment for the Full Treatment Course of Tuberculosis Patients

China Health Insurance ›› 2024, Vol. 0 ›› Issue (12) : 17-22.

China Health Insurance ›› 2024, Vol. 0 ›› Issue (12) : 17-22. DOI: 10.19546/j.issn.1674-3830.2024.12.003
Observation & Discussion

Analysis on the Design and Effectiveness of Bundled Payment for the Full Treatment Course of Tuberculosis Patients

Author information +
History +

Abstract

In 2022, Baoding City implemented a bundled payment policy, integrating outpatient and inpatient expenses for the full treatment course of tuberculosis patients into the medical insurance payment reform. Over the course of a year, this reform was accompanied by initiatives to enhance disease diagnosis and treatment capabilities, optimize medical quality assessment and management, and improve treatment plans, effectively stimulating the intrinsic motivation of healthcare providers and achieving notable outcomes. This study conducts a statistical and comparative analysis of tuberculosis treatment data before and after the reform in Baoding City. The results indicate that the bundled payment approach integrating outpatient and inpatient expenses significantly reduced the proportion of repeated hospitalizations, increased the utilization of outpatient services, and improved the detection rate of bacteriological positive patients. It facilitated the efficient utilization of healthcare services and the rational consumption of medical resources, while reducing healthcare costs.

Key words

bundled payment / global budget / payment reform / tuberculosis (TB) / full process medical service

Cite this article

Download Citations
Analysis on the Design and Effectiveness of Bundled Payment for the Full Treatment Course of Tuberculosis Patients[J]. China Health Insurance. 2024, 0(12): 17-22 https://doi.org/10.19546/j.issn.1674-3830.2024.12.003

References

[1] 张婧怡,胡星宇,高广颖,等.荷兰和美国的慢性病捆绑支付模式对我国结核病付费改革的启示[J].中国防痨杂志,2023,45(03):248-252.
[2] 邓明,张柠.美国捆绑式支付方式对完善我国连续性医疗服务体系的启示[J].中国卫生经济,2019,38(2):94-96.
[3] MUKHERJI SK, FOCKLER T.Bundled payment[J]. Journal of the American College of Radiology, 2014, 11(6): 566-571.
[4] 茅雯辉,陈文.捆绑支付及其对我国医疗支付方式改革的启示[J].中国卫生资源,2016,19(06):528-532.
[5] 陈曦,徐德斌,任今今,等.结核病门诊与住院整合支付实践研究——以河北省保定市为例[J].中国医疗保险,2023(08):89-95.

Accesses

Citation

Detail

Sections
Recommended

/