Asset Details
Do you wish to reserve the book?
Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China
Do you wish to request the book?
Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China
2025
Overview
Background
The Chinese government is advancing the development of the County Medical Community (CMC) to establish an integrated healthcare delivery network and ensure health equity. Recently, Global Budget (GB) economic incentives have been implemented in CMC. Although the impact of GB on medical expenditure has been demonstrated, there is little evidence on whether GB promotes collaboration among various providers.
Methods
This article takes Sanming City, a typical example of China's healthcare reform, as a case study, and uses data from 2016 to 2023 on the operation of CMC. Interrupted time series analysis was used to evaluate the long-term impact of GB on inpatient costs, cost structure and service delivery.
Results
The analyses indicate that, although the direct impact of the GB on inpatient costs is not significant, it sustains a rational structure of inpatient cost and optimizes the delivery of inpatient services at all levels of institutions. With respect to inpatient cost structure, the proportion of drug costs in secondary hospitals (SHs) (
β
3
= 0.127,
P
< 0.001) and tertiary hospitals (THs) (
β
3
= 0.120,
P
< 0.05) increased after the GB, the proportion of testing and inspection costs in primary healthcare institutions (PHIs) decreased (
β
3
= -0.215,
P
< 0.05). In terms of service delivery, the average length of stay in SHs (
β
3
= -0.053,
P
< 0.05) and THs (
β
3
= -0.032,
P
< 0.001) decreased, and the admission per 100 outpatients (
β
3
= 0.058,
P
< 0.001) in PHIs increased. The robustness analysis corroborated the robustness of the results.
Conclusions
This article provides empirical evidence that GB mechanisms can enhance service coordination among different levels of healthcare providers, which provides valuable lessons for promoting integrated healthcare and achieving health equity in China and in low- and middle-income countries.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Budget
/ Budgets
/ China
/ Delivery of Health Care, Integrated - economics
/ Delivery of Health Care, Integrated - organization & administration
/ Health Care Reform - economics
/ Humans
/ Integrated delivery networks
/ Integrated Healthcare Delivery System
/ Interrupted Time Series Analysis
/ Medicine
/ Methods
/ Vaccine
