政策变化前后中国儿科医院护理的个案研究

Jay J. Shen, Donghui Lou, B. Burston, G. Shan, C. Cochran, F. Yin, Lianying Wang, Ruiji Liu
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引用次数: 0

摘要

对中国北方某综合性公立三级医院2015 - 2018年所有医院儿科出院数据进行普查。采用广义线性回归,分析住院时间、每日收费、每次出院总收费、药费和医疗服务费占总收费百分比的变化,并将其作为两个自变量的函数进行分析,这两个自变量是两种医疗保险计划合并后的政策变化和零加价药品定价政策。这些变量被列入变动前后期间的虚拟变量。使用的协变量包括患者的年龄、性别和年份。
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Pediatrics Hospital Care in China Before and After Policy Change: A Case Study
A census of all hospital pediatric discharge data from 2015 to 2018 were collected from a general public tertiary hospital in Northern China. Using generalized linear regression, changes in charges for length of stay, daily charges, total charges per discharge, and drug charges and medical service fees as a percent of total charges were analyzed as a function of two independent variables policy changes regarding the merger of two health insurance programs, and the zero-markup drug pricing policy. These variables were included as dummy variables for the pre-and-post change periods. The covariates used included patient age, sex, and the year.
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