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| Comparative analysis of medical expenses before and after the reform of county medical alliance: A case study of Funan county in Anhui province |
| YANG Baoshun, HAN Chunlei, YUAN Jing, WANG Guangcheng*, SHAN Haifeng, LIANG Xiaotian, DING Susu |
| School of Public Health and Management, Binzhou Medical University, Yantai 264003, Shandong, P.R.China |
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Abstract Objective To understand the changes in medical costs brought by the county reform to patients, evaluate the impact of the medical community policy, and clarify the welfare and impact of the medical community reform on the grass-roots people.Methods The amount of hospitalization, total medical expenses, reimbursable expenses, actual medical expenses and personal expenses before and after the reform of Funan county medical community were statistically described. The paired t test was used to compare the changes before and after the reform. Results After the comparison of the data before and after the reform, it was found that the amount of hospitalization increased by 26.7% in the year after the reform, the growth rate of the per capita total medical expenses was 9.2% before the reform and 1.8% after the reform, and the growth rate of the per capita total medical expenses was greatly reduced. The real cost per capita of health insurance continued to rise; The annual growth rate of per capita personal expenditure decreased from 12.0% before the reform to 6.7% after the reform. After the reform, the total medical expenses in the county were all higher than those before the reform, while the per capita individual cost was lower than that before the reform (P<0.01).Conclusion The medical community reform has effectively controlled the rise of personal total medical expenses, increased the input of medical insurance, and brought benefits to grass-roots citizens. The implementation of the medical community reform is conducive to the rational allocation and use of medical resources, reducing the burden of medical care in various localities, and reducing the treatment costs of the people at the grass-roots level, and achieving the purpose of rational use of medical insurance costs.
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Received: 05 November 2020
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