Journal of Peking University(Health Sciences) ›› 2014, Vol. 46 ›› Issue (3): 445-449.

• Articles • Previous Articles     Next Articles

Impact of primary care oriented outpatient benefit package design in new rural cooperative medical system on hypertension outpatient services utilization

TANG Shu-nv1, JIAN Wei-yan1, Winnie C-M YIP2, GUO Yan1△   

  1. (1. Department of Health Policy and Administration, Peking University School of Public Health, Beijing 100191, China; 2. Blavatnik School of Government, University of Oxford,Oxford OX1 4JJ, UK)
  • Online:2014-06-18 Published:2014-06-18

Abstract: Objective:To study the impact of primary care oriented outpatient benefits package design of outpatient services coverage and ladder reimbursement of county, town and village levels in the new rural cooperative medical system (NRCMs) on hypertension outpatient services utilization. Methods: The panel data of treatment and control groups in 2009 and 2011 before and after the policy reform were drawn from the household survey data of the innovative payment system project. The difference in difference (DID) method was used for data analysis. The outcome indicators included the utilization of outpatient services of patients with self-reported hypertension and their main treatment locations. Results: The primary care oriented outpatient benefit package design in the NRCMs reduced the probability of no treatment in the latest three months of hypertension by 10.2 percent points. Meanwhile, it increased the probability of choosing village clinic as the preferred location by 15.7 percent points. Conclusion: Primary care oriented outpatient benefits package design lead patients with hypertension to use the nearest outpatient services at low risk of disease.

Key words: Insurance, health, Hypertension, Health services utilization, Difference in differences

[1] Chu-yun CHEN,Peng-fei SUN,Jing ZHAO,Jia JIA,Fang-fang FAN,Chun-yan WANG,Jian-ping LI,Yi-meng JIANG,Yong HUO,Yan ZHANG. Related factors of endogenous erythropoietin and its association with 10-year risks of cardiovascular disease in a community-based Chinese study [J]. Journal of Peking University (Health Sciences), 2023, 55(6): 1068-1073.
[2] Zhe LIANG,Fang-fang FAN,Yan ZHANG,Xian-hui QIN,Jian-ping LI,Yong HUO. Rate and characteristics of H-type hypertension in Chinese hypertensive population and comparison with American population [J]. Journal of Peking University (Health Sciences), 2022, 54(5): 1028-1037.
[3] Yu-chao HUANG-FU,Yi-qing DU,Lu-ping YU,Tao XU. Risk factors of persistent hypertension in primary aldosteronism patients after surgery [J]. Journal of Peking University (Health Sciences), 2022, 54(4): 686-691.
[4] Zhi-sheng LI,Hao-nan QIAN,Tian-yuan FAN. Preparation and in vitro evaluation of fused deposition modeling 3D printed compound tablets of captopril and hydrochlorothiazide [J]. Journal of Peking University (Health Sciences), 2022, 54(3): 572-577.
[5] XIAO Yun-shu,ZHU Feng-yun-zhi,LUO Lan,XING Xiao-yan,LI Yu-hui,ZHANG Xue-wu,SHEN Dan-hua. Clinical and immunological characteristics of 88 cases of overlap myositis [J]. Journal of Peking University (Health Sciences), 2021, 53(6): 1088-1093.
[6] Hang YANG,Lin-cheng YANG,Rui-tao ZHANG,Yun-peng LING,Qing-gang GE. Risks factors for death among COVID-19 patients combined with hypertension, coronary heart disease or diabetes [J]. Journal of Peking University (Health Sciences), 2020, 52(3): 420-424.
[7] Hong-chen ZHENG,En-ci XUE,Xue-heng WANG,Xi CHEN,Si-yue WANG,Hui HUANG,Jin JIANG,Ying YE,Chun-lan HUANG,Yun ZHOU,Wen-jing GAO,Can-qing YU,Jun LV,Xiao-ling WU,Xiao-ming HUANG,Wei-hua CAO,Yan-sheng YAN,Tao WU,Li-ming LI. Bivariate heritability estimation of resting heart rate and common chronic disease based on extended pedigrees [J]. Journal of Peking University (Health Sciences), 2020, 52(3): 432-437.
[8] Wen-ying MENG,Wan-tong HUANG,Jie ZHANG,Ming-yuan JIAO,Lei JIN,Lei JIN. Relationship between serum vitamin E concentration in first trimester and the risk of developing hypertension disorders complicating pregnancy [J]. Journal of Peking University (Health Sciences), 2020, 52(3): 470-478.
[9] Ying LIU,Xiang-zhu ZENG,Zheng WANG,Han ZHANG,Xi-lin WANG,Hui-shu YUAN. Cerebral blood flow measurements in patients with comorbid hypertension and depression using 3D arterial spin labeling [J]. Journal of Peking University(Health Sciences), 2019, 51(2): 260-264.
[10] GUO Xiao-yue, SHAO Hui, ZHAO Yang-yu. A case of systemic lupus erythematosus in pregnancy complicated by pulmonary hypertension [J]. Journal of Peking University(Health Sciences), 2018, 50(5): 928-931.
[11] DONG Yan-hui, SONG Yi, DONG Bin, ZOU Zhi-yong, WANG Zheng-he, YANG Zhao-geng, WANG Xi-jie, LI Yan-hui, MA Jun. Association between the blood pressure status and nutritional status among Chinese students aged 7-18 years in 2014: based on the national blood pressure reference for Chinese children and adolescents [J]. Journal of Peking University(Health Sciences), 2018, 50(3): 422-428.
[12] ZHAO Yun, SU Bai-ge, XIAO Hui-jie, ZHANG Hong-wen, LIU Xiao-yu, WANG Fang, DING Jie. Clinical characteristics of glucocorticoid-induced eye adverse reactions in children with primary nephrotic syndrome [J]. Journal of Peking University(Health Sciences), 2017, 49(5): 794-797.
[13] LIU Xue-qin, YAN Hui, QIU Jian-xing, ZHANG Chun-yu, QI Jian-guang, ZHANG Xin, XIAO Hui-jie, YANG Yan-ling, CHEN Yong-hong, DU Jun-bao. Pulmonary arterial hypertension as leading manifestation of methylmalonic aciduria: clinical characteristics and gene testing in 15 cases [J]. Journal of Peking University(Health Sciences), 2017, 49(5): 768-777.
[14] ZHANG Hu-yang, JIAN Wei-yan, FANG Hai. Analysis of substitutional effect of outpatient expenditure on inpatient expenditure in hypertensive patients with rural new cooperative medical scheme [J]. Journal of Peking University(Health Sciences), 2016, 48(3): 472-477.
[15] SHAN Jiao, LI Hong-yu, LIU Guo-feng, YANG Xuan, DONG Wei, JIAN Wei-yan, DENG Fu-rong, GUO Xin-biao. Effect of air pollution on health service demand of the elderly and middle-age patients with hypertension, cardiovascular and cerebrovascular diseases: based on analysis of data from CHARLS [J]. Journal of Peking University(Health Sciences), 2016, 48(3): 460-464.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!