Study on optimizing the reimbursement scheme under the New Rural Cooperative Medical System, based on Monte Carlo simulation

科研成果详情

题名	Study on optimizing the reimbursement scheme under the New Rural Cooperative Medical System, based on Monte Carlo simulation
作者	Xuehui Meng; Yixiang Huang; Shaolong Wu; Qing Liu
发表日期	2014-06-01
发表期刊	Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi 影响因子和分区
语种	英语
摘要	Objective:To explore the application of Monte Carlo simulation in optimizing and adjusting the reimbursement scheme with regard to the New Rural Cooperative Medical System (NCMS) to scientific steering practice. Optimization of the reimbursement scheme in rural areas of China was also studied. Methods:A multi-stage sampling household survey was conducted in Sihui county, with 4 433 rural residents from 1 179 households from 13 towns in Guangdong province surveyed by self-designed questionnaire. Probit Regression Model was applied in fitting data and then estimating the own-price elasticity and cross elasticity of healthcare demand for both outpatients and inpatients. Monte Carlo simulation model was constructed to estimate the reimbursement effects of various alternative reimbursement schemes, by replicated simulation for one thousand times and each sampling on five hundred households. In this way, optimization of the implemented reimbursement scheme in Sihui county was conducted. Results:Own-priced elasticity of demands for outpatient visit, inpatient visit in the township hospital center, secondary hospital and tertiary hospital were -0.174, -0.264, -0.675 and -0.429, respectively. Outpatient demand was affected by the per-visit price of township hospital center and secondary hospital. The cross-priced elasticity of demands for outpatient visit appeared to be 0.125 and 0.150. The reimbursement effects of Scheme B7 showed that the efficiency of NCMS fund was 17.85% , the reimbursement ratio for healthcare was 25.63%, and the decreased percentages of poverty caused by illness was 18.25%, more than 9.37%, from the implemented scheme A. So the implemented scheme was in need for optimization. Conclusion:Monte Carlo simulation technique was applicable to simulate the effects of the optimized alternative reimbursement scheme of NCMS and it provided a new idea and method to optimize and adjust the reimbursement scheme.
ISSN	0254-6450
卷号	35 期号:6 页码:664-8.
收录类别	PUBMED
URL	查看原文
PubMed ID	25174468
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/55525
专题	仁济学院_人文与管理学部
作者单位	Department of Health Service Management, Humanities and Management School, Wenzhou Medical University, Wenzhou 325000, China
第一作者单位	仁济学院_人文与管理学部
第一作者的第一单位	仁济学院_人文与管理学部
推荐引用方式 GB/T 7714	Xuehui Meng,Yixiang Huang,Shaolong Wu,et al. Study on optimizing the reimbursement scheme under the New Rural Cooperative Medical System, based on Monte Carlo simulation[J]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi,2014,35(6):664-8..
APA	Xuehui Meng, Yixiang Huang, Shaolong Wu, & Qing Liu. (2014). Study on optimizing the reimbursement scheme under the New Rural Cooperative Medical System, based on Monte Carlo simulation. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi, 35(6), 664-8..
MLA	Xuehui Meng,et al."Study on optimizing the reimbursement scheme under the New Rural Cooperative Medical System, based on Monte Carlo simulation".Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi 35.6(2014):664-8..