Objective:To evaluate the implementation effect of hepatitis C medical insurance reimbursement policy in Chengdu,and to provide reference and basis for hepatitis C prevention and treatment and medical insurance policy.Methods:The electronic medical record data of a three tertiary hospital in Chengdu from January 2014 to December 2020 were extracted,and the interrupted time series model was used to analyze the changes of diagnosis and treatment behavior and disease burden of hepatitis C patients from the aspects of diagnosis and treatment,medical expenses,drug use and treatment effect.Results:In terms of diagnosis and treatment,the number of visits and treatments increased instantaneously after the implementation of the outpatient reimbursement policy in Chengdu,and there was no significant change after the implementation of the single line payment policy for oral direct antiviral(DAA)drugs.In terms of medical expenses,the total cost of treatment,out of pocket expenses and drug expenses of hepatitis C patients have been significantly reduced after the implementation of the single line payment policy.Conclusion:Chengdu hepatitis C medical insurance reimbursement policy can promote hepatitis C patients to actively seek medical treatment,promote the widespread use of DAA scheme,reduce the burden of patients,and improve the treatment efficiency of hepatitis C.
关键词
丙型肝炎/政策绩效/报销政策/间断时间序列分析
Key words
hepatitis C/policy performance/reimbursement policy/interrupted time series
维普
万方数据