Effect of contracting contracts of "1+1+1" medical institutions based on propensity score

JI Hui

doi:10.16766/j.cnki.issn.1674-4152.002905

Volume 21 Issue 3

Mar. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(3): 449-453

JI Hui. Effect of contracting contracts of '1+1+1' medical institutions based on propensity score[J]. Chinese Journal of General Practice, 2023, 21(3): 449-453. doi: 10.16766/j.cnki.issn.1674-4152.002905

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JI Hui. Effect of contracting contracts of "1+1+1" medical institutions based on propensity score[J]. Chinese Journal of General Practice, 2023, 21(3): 449-453. doi: 10.16766/j.cnki.issn.1674-4152.002905

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Effect of contracting contracts of "1+1+1" medical institutions based on propensity score

doi: 10.16766/j.cnki.issn.1674-4152.002905

JI Hui

Huaihai Middle Road Community Health Service Center, Huangpu District, Shanghai, Shanghai 200025, China

Funds:

HKM201732

Received Date: 2022-03-30
Available Online: 2023-04-19

Abstract

Abstract

Objective To evaluate the effect of the "1+1+1" medical institution combination contract in a community in Huangpu District, Shanghai, and point out for the next step of optimisation direction. Methods From June 2019 to October 2019, based on the length of contract signing and the number of visits, 603 cases of residents in a community in Huangpu District, Shanghai, were hierarchically and randomly selected, and the medical visits and cost information of the study subjects between 2018 and 2019 were collected in November 2019 and June 2020, respectively. Results A total of 602 cases of contracted and non-contracted residents were obtained. Significant differences in the degree of trust in the community health service centre, willingness for first consultation, convenience, service attitude, service effect and views on family doctor cost management were observed between the two groups (all P < 0.05), and the residents in the contract group highly expressed trust, willingness, satisfaction, hope for early implementation and other positive attitudes. Before and after propensity score matching, the two groups of residents had significant differences in the number of community visits, the difference between the number in two years, and the total drug expenditure in 2018 and 2019 (all P < 0.05). No significant difference in the total cost difference and out-of-pocket expenses in 2018 and 2019 was observed (all P > 0.05). This difference between out-of-pocket expenses in 2018 and 2019 was significantly different before matching but not after matching. Conclusion The contracted service satisfies the needs of residents in the community who have high subjective evaluations of community health centres and high drug dispensing needs and promotes their community visits, but it has not formed a word-of-mouth transmission effect and a driving effect. Furthermore, family doctors have not yet used the contract service to control the cost, and the contract service is still in the stage of promoting the establishment of management service relationships between family doctors and residents.
- Sign the contracts with "1+1+1" combination of medical institutions,
- Effect,
- Consultation,
- Fee

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References(18)

References

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Effect of contracting contracts of "1+1+1" medical institutions based on propensity score

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