中国
合并(版本控制)
成文法
付款
业务
全民覆盖
精算学
健康保险
透视图(图形)
公共经济学
医疗保险
医疗保健
财务
经济
经济增长
计算机科学
地理
人工智能
考古
情报检索
法学
政治学
作者
Jianxing Yu,Yue Qiu,Ziying He
出处
期刊:Health Economics, Policy and Law
[Cambridge University Press]
日期:2018-08-06
卷期号:15 (1): 56-71
被引量:20
标识
DOI:10.1017/s1744133118000385
摘要
Abstract China has achieved nearly universal social health insurance (SHI) coverage by implementing three statutory schemes, but gaps and differences in benefit levels are apparent. There is wide agreement that China should merge the three schemes into a universal and uniform SHI. However, data on the medical expenses of all inpatients in 2014 at a public Tier-three hospital suggests that supply-induced demand (SID) is a serious concern and that, under the design of the current schemes, a higher benefit level has a greater impact on the total expenses of insured patients. Thus, if SID is not effectively controlled, a universal and uniform SHI may be more harmful than beneficial in China. Finally, we suggest that China should substitute the existing fee-for-service design with a suite of bundled provider payment methods; furthermore, China should replace its current system of pricing drugs that encourages hospitals and doctors to use costlier medications.
科研通智能强力驱动
Strongly Powered by AbleSci AI