Analysis on the Effect of Inpatient Rehabilitation Payment Reform of Medical Insurance in Changsha City
Objective:To evaluate the effectiveness of inpatient rehabilitation payment reform in Changsha,summarize experi-ence at current stage and propose optimization schemes.Methods:It collected functional assessment as well as medical claims data of 5 469 inpatients from 25 pilot hospitals in Changsha.In addition,234 randomly selected rehabilitation inpatients from the pilot pro-gram were interviewed by telephone.The implementation effectiveness of reform was analyzed.Results:The overall impact of the pay-ment reform for inpatient rehabilitation in Changsha is positive,with the moderate consumption of medical resources,and relatively good quality of medical services.The average length of stay for rehabilitation increased,and inpatients'experience of rehabilitation hospitalization was improved.Conclusion:In the next stage,the scope of the pilot should be gradually expanded.Focusing on the re-habilitation needs of inpatients,the program should also make reasonable adjustments to rehabilitation phase setting and payment standards,the enthusiasm of grass-roots organizations can be mobilized,and a scientific and reasonable mechanism for evaluating the value of rehabilitation efficacy and payment can be established,so as to realize the refined payment management and value-added leadership of the rehabilitation medical insurance.
NETL
NSTL
万方数据
