Author(s)

Xiaowen Wan ,Qiang Ma ,Shuwei Gu

Corresponding Author

Xiaowen Wan

Abstract

Objective To evaluate the effect of different types of public hospitals in Nanchang after the reform of drug prices, and to provide empirical basis for eliminating the income compensation path of public hospitals after the drug bonus. Methods This paper analyzes the income and expenditure and compensation of three different representative public hospitals in Nanchang City before and after the reform by using the method of interval time series analysis. Result After the reform of service-dependent and drug-dependent hospitals, the proportion of drugs in outpatient and inpatient departments has decreased by about 8%-12%. The average cost of drugs for inpatients has decreased significantly. 23%-57%; after the total abolition of drug additions, the income of medical services and the average cost of treatment have increased; the proportion of total compensation in some hospitals is on the low side. Conclusion Different compensation schemes should be made for different types of hospitals to coordinate the implementation of relevant reform policies and schemes. At the same time, the government should do a good job in macro-control, establish a scientific and reasonable budget and dynamic compensation mechanism, and further rationally raise the price of medical services.

Keywords

Public hospitals;Medical price reform; Compensation mechanism; Time series method