ArticleFrontiers in public health2025
The impact of bundled payment on the economic burden and satisfaction of patients in Close-Knit County Medical Community in China.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Preference for inpatient services among the unemployed with multi-chronic conditions: a discrete choice experiment.BMC health services research · 2026Article
- A cross-sectional study on patient-centered outpatient service quality in the county-level integrated health organization of Yuhuan, Zhejiang province of China.Frontiers in public health · 2026Article
- National-level estimation of long-term economic burden for lung cancer patients in China.Frontiers in public health · 2026Article
- Knowledge, attitudes, and practices related to pulmonary rehabilitation and associated influencing factors among older adults with chronic obstructive pulmonary disease in a county medical community.Frontiers in public health · 2026Article
- Geographic and Socioeconomic Variability in Commercially Negotiated Pricing for Hip and Knee Arthroplasty.JB & JS open accessArticle
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Authors and funding
8 authors.
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Abstract
Background: China is setting up a Close-Knit County Medical Community (CCMC) to connect county hospitals, township health centers, and village clinics. The medical insurance agency will count the number of insured people in the CCMC area and distribute funds to the community as a whole. Then, the county hospital will work with local health facilities to decide how to use these funds. This reform aims to improve primary healthcare services, lower medical costs, support residents' health, and boost their satisfaction with healthcare. Methods: This study looked at data from counties in China monitored by County Medical Communities from 2018 to 2022. We used difference-in-differences (DID) to analyze how bundled payments affected patients' financial burdens, the income of healthcare providers and the satisfaction of patients and healthcare providers. Results: The bundled payment policy had no significant effect on the average cost per discharged patient ( Conclusion: Bundled medical insurance payments in the CCMC do not add financial stress for patients and help low-income families. They also boost the income of healthcare providers. However, there is still a need for improvements to enhance overall satisfaction with the healthcare system.
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