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Improving the performance of social health insurance system through increasing outpatient expenditure reimbursement ratio: a quasi-experimental evaluation study from rural China

机译:通过提高门诊支出报销比例改善社会医疗保险体系的绩效:来自中国农村的一项半实验评估研究

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摘要

BackgroundChina has set up a universal coverage social health insurance system since the 2009 healthcare reform. Due to the inadequate funds, the social health insurance system reimbursed the inpatient expenditures with much higher ratio than outpatient expenditure. The gap in reimbursement ratios resulted in a rapid rising hospitalization rate but poor health outcomes among the Chinese population. A redistribution of social health insurance funds has become one of the main challenges for the performance of Social Health Insurance.
机译:背景自2009年医疗改革以来,中国已建立了覆盖全民的社会健康保险体系。由于资金不足,社会医疗保险体系以比门诊支出高得多的比例偿还了住院支出。报销比例的差距导致中国人的住院率迅速上升,但健康状况却很差。社会医疗保险资金的重新分配已成为社会医疗保险业绩的主要挑战之一。

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