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Impact of Beijing healthcare reform on the curative care expenditure of outpatients with noncommunicable diseases based on SHA2011 and interrupted time series analysis
Liu, Liming1; Xu, Yue1; Jiang, Yan1; Zhao, Liying1; Yin, Xuejun2; Shen, Chen1; Yang, Yong1; Bai, Qian3; Man, Xiaowei1,4; Cheng, Wei1,4
2021-12-01
Source PublicationBMC HEALTH SERVICES RESEARCH
ISSN1472-6963
Volume21Issue:1Pages:1045
Abstract

Background: To analyse the changes in curative care expenditure (CCE) associated with noncommunicable diseases (NCDs) before and after the Beijing healthcare reform, thus providing a reference for the healthcare system. Methods: A total of 60 medical institutions were selected using multistage stratified cluster random sampling in Beijing, China. The records of approximately 100 million outpatients with NCDs in 2016–2018 were extracted. System of Health Accounts 2011 (SHA2011) was used to estimate the CCE. The segmented regression model was established to observe both the instant change and the slope change of intervention in interrupted time series analysis (ITSA). The study was conducted from December 2019 to May 2020 in Beijing, China. Results: From SHA2011, we found that the CCE for outpatients with NCDs in Beijing were 58.59, 61.46 and 71.96 billion RMB in 2016, 2017 and 2018, respectively. The CCE continued to rise at all hospital levels, namely, tertiary, secondary, and community-level hospitals. However, the proportion of CCE in tertiary hospitals decreased. From ITSA, we can also conclude that the CCE showed a significant increasing trend change at the three hospital levels after the intervention. The drug proportion showed a significant decreasing trend change in secondary and tertiary hospitals. Conclusions: Beijing healthcare reform does have an impact on the CCE of NCDs.

KeywordBeijing Healthcare Reform Curative Care Expenditure Interrupted Time Series Analysis Noncommunicable Diseases Outpatient System Of Health Accounts 2011
DOI10.1186/s12913-021-07059-y
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaHealth Care Sciences & Services
WOS SubjectHealth Care Sciences & Services
WOS IDWOS:000702781400002
Scopus ID2-s2.0-85116331143
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Citation statistics
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorMan, Xiaowei; Cheng, Wei
Affiliation1.Beijing University of Chinese Medicine, Beijing, China
2.The George Institute for Global Health, University of New South Wales, Beijing, China
3.Institute of Chinese Medical Sciences, University of Macau, Taipa, Macao
4.National Institute of Chinese Medicine Development and Strategy, Beijing, China
Recommended Citation
GB/T 7714
Liu, Liming,Xu, Yue,Jiang, Yan,et al. Impact of Beijing healthcare reform on the curative care expenditure of outpatients with noncommunicable diseases based on SHA2011 and interrupted time series analysis[J]. BMC HEALTH SERVICES RESEARCH, 2021, 21(1), 1045.
APA Liu, Liming., Xu, Yue., Jiang, Yan., Zhao, Liying., Yin, Xuejun., Shen, Chen., Yang, Yong., Bai, Qian., Man, Xiaowei., & Cheng, Wei (2021). Impact of Beijing healthcare reform on the curative care expenditure of outpatients with noncommunicable diseases based on SHA2011 and interrupted time series analysis. BMC HEALTH SERVICES RESEARCH, 21(1), 1045.
MLA Liu, Liming,et al."Impact of Beijing healthcare reform on the curative care expenditure of outpatients with noncommunicable diseases based on SHA2011 and interrupted time series analysis".BMC HEALTH SERVICES RESEARCH 21.1(2021):1045.
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