Analysis on the influence of single-disease payment method on medical service quality: bladder cancer as an example

Abstract

Objective To analyze the impact of medical service quality after single-disease payment method was in place at a number of tertiary hospitals in Tianjin. Methods Retrospective analysis and satisfaction questionnaire were used to choose 1 035 cases of bladder cancer from January 2015 to May 2017, consisting of 522 cases settled in conventional medical insurance payment prior to the reform, and 513 cases settled in the single-disease payment. 300 patients were selected from each type plus 128 doctors, for satisfaction questionnaire survey. Results The single-disease payment method, since in place, had cut back the average days of stay by 1.27 days, per-capita inpatient medical expenses by 1 237 yuan, average out-of-pocket payment by 3 890 yuan, and the non-payment amount by 11 yuan. Both patients and doctors were more satisfied than before to a different extent, with the difference statistically significant (P<0.05). Conclusions Single-disease payment method can control the cost obviously, thus conducive to the quality of medical services. Key words: Single-disease payment method; Medical insurance; Quality of medical services; Bladder cancer