Evaluation Research on Efficiency and Accessibility of Comprehensive Reform of Linkage between Medical Services and Medical Supplies in Beijing

Corresponding author: leihaichao, leihc@bjchfq.gov.cn

DOI: 10.12201/bmr.202010.00846

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  Abstract: Objective: To evaluate the efficiency and accessibility of comprehensive reform of linkage between medical services and medical supplies in Beijing. Methods: Based on the evaluation indicators set, descriptive statistics combined with projection after-implementation comparative analysis method was used to analyze the indicators. Results: Six months after the implementation of comprehensive reform of linkage between medical services and medical supplies in Beijing, the efficiency of medical services was improved, and the number of surgeries in medical institutions of all levels increased significantly, the average discharge days of secondary and tertiary medical institutions were shortened; the income structure tended to be reasonable, the proportion of technical labor income increased significantly, and the proportion of medical materials income decreased; the construction of tiered diagnosis and treatment made certain progress, the proportion of outpatient and emergency patients in primary medical institutions increased; primary medical services were further improved, and the number of patients with chronic diseases and long prescriptions and drug shortage registration services increased rapidly; the medical burden of patients was reduced, but the cost of CT and MRI examination per discharged patients increased slightly. Conclusion: The implementation of the reform policy has improved the efficiency and accessibility of medical services, but there is still room for improvement. It is suggested that the allocation and use of large medical equipment should be further standardized to reduce the inspection income of large medical equipment in medical institutions; implement three measures of promotion, improvement and guidance to further strengthen the construction of hierarchical diagnosis and treatment; deepen the reform of health insurance system and centralized procurement policy, and strive to reduce the medical burden of patients.

  Key words: Efficiency; Accessibility; Projection after-implementation comparative analysis method; The comprehensive reform of linkage between medical services and medical supplies in Beijing

  Submit time: 3 February 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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