ArticleInternational journal for equity in health2020
Comparison of inpatient distribution amongst different medical alliances in a county: a longitudinal study on a healthcare reform in rural China.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Enhancing therapy monitoring and effectiveness for HIV patients in China's border regions through a healthcare consortium: an interrupted time series analysis.BMC infectious diseases · 2026Article
- The cream-skimming behaviors of tertiary hospitals under medical alliances: evidence from China.International journal for equity in health · 2025Article
- Can medical consortiums bridge the gap in health inequity in China? A propensity score matching analysis.Health policy and planning · 2025Article
- Primary health care reforms: a scoping review.Primary health care research & development · 2025Article
- Patient-centered evaluation of integrated care and health equity: evidence from county medical alliances in Henan province.International journal for equity in health · 2025Article
- Sanming Model of Medical Service Integration: Impact on Medical Expenditures, Service Provision, and Resource Allocation in China.Risk management and healthcare policy · 2025Article
- The effect of an innovative payment method on inpatient volume and bed resources and their regional distribution: the case of a central province in China.International journal for equity in health · 2024Article
- Trends in the mobility of primary healthcare human resources in underdeveloped regions of western China from 2000 to 2021: Evidence from Nanning.BMC primary care · 2024Article
- Comparison of the market share of public and private hospitals under different Medical Alliances: an interrupted time-series analysis in rural China.BMC health services research · 2024Article
- Does a new case-based payment system promote the construction of the ordered health delivery system? Evidence from a pilot city in China.International journal for equity in health · 2024Article
- Effects of medical consortium policy on health services: an interrupted time-series analysis in Sanming, China.Frontiers in public health · 2024Article
- The Effects of the Multi-Hospital Global Budget Payment on Medical Expenditure and Service Volume: The Evidence from Dangyang County, China.Risk management and healthcare policy · 2024Article
- Equity and efficiency of health resource allocation in township health centers in Sichuan Province, China.PloS one · 2024Article
- Supporting and retaining competent primary care workforce in low-resource settings: lessons learned from a prospective cohort study.Family medicine and community health · 2023Article
- The Impact of County Medical Community Reform on the Medical Service Efficiency of County-Level Public General Hospitals in China: A Case Study of Shanxi Province.International journal of environmental research and public health · 2022Article
- Effects of Healthcare Policies and Reforms at the Primary Level in China: From the Evidence of Shenzhen Primary Care Reforms from 2018 to 2019.International journal of environmental research and public health · 2022Article
- "Patient-Centered" Self-Efficacy and Chronic Disease Management: Associations with Doctors' Intentions and Perceived Treatment Effectiveness.Inquiry : a journal of medical care organization, provision and financingArticle
- Process and Outcome Evaluation of Integrating Primary Eye Care into Primary Healthcare: A Quasi-Experimental Study in Rural China.International journal of integrated careArticle
- The "Iron Triangle" of Healthcare Services: Evaluating an Integrated Healthcare Alliance's Impact on Primary Care in Shenzhen, China.International journal of integrated careArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChina has launched the medical alliances (MAs) reform to drive the development of primary medical institutions and decrease health inequality in rural areas. Three different types of MAs were built to promote township hospitals in Y County. This study aims to evaluate the actual effect of China's MAs reform in rural areas on inpatient distribution especially amongst different types of MAs.
methodsWe obtain 2008-2015 claims data from the New Cooperative Medical Scheme (NCMS) in Y County, Hubei Province of China. We consider January 2008-December 2010 as the pre-reform period and January 2011-December 2015 as the post-reform period. We use independent sample t-test and single-group interrupted time series analysis (ITSA) to compare the number of inpatients per month in the three MAs, including three county and 10 township hospitals before and after the reform. We use paired t-test and multiple-group ITSA between seven township hospitals within MAs and seven township hospitals outside MAs.
resultsThe MAs reform in Y County increased the number of inpatients in county and township hospitals within MAs. After the reform, the number of inpatients per month in county hospitals had an upward trend, with a slope of 31.01 person/month (P < 0.000). Approximately 19.99 new inpatients were admitted to township hospitals monthly after the reform (P < 0.000). Furthermore, township hospitals within MAs had a substantial increase in the number of inpatients (10.45 new inpatients monthly) compared with those outside MAs.
conclusionThe MAs reform in Y County significantly improved the capability of medical institutions within MAs. After the reform, township hospitals within MAs had greater development advantages than those outside MAs. However, it also caused further imbalance in the county region, which contained the new health inequality risk.
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