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| The changes of outpatient expenses in Alzheimer disease patients before and after the medical reform in a third-grade class-A Chinese medicine hospital |
| XIE Qixin1 CHENG Wei2 NI Jingnian3 ZHAO Xuan1 SHI Jing3 TIAN Jingzhou3 |
1.College of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China;
2.College of Management, Beijing University of Chinese Medicine, Beijing 100029, China;
3.Ward Three, Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100007, China |
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Abstract Objective To investigate the cost burden of outpatient Alzheimer disease in a third-grade class-A Chinese medicine hospital in Beijing City and assess the changes before and after the medical reform. Methods Retrospective methods were used to collect the outpatients mainly diagnosed as Alzheimer disease in the third-grade class-A Chinese medicine hospital in Beijing city from January 2016 to August 2017. The direct medical expenses related to diseases such as Western medicine, proprietary Chinese medicine, Chinese herbal medicine, and examination fees for a single visit were recorded, and the costs before and after the medical reform were analysed. Statistical methods such as quantitative description and One-way ANOVA were used to analyze the data. Results The average cost for a single visit was 1644.30 yuan, of which, Western medicine was 681.52 yuan, Chinese medicine was 851.49 yuan, and the proportion of total medicine was 93.81%. There was no statistically significant difference in the average cost of patients before and after medical reform (1666.39 yuan before medical reform, 1584.74 yuan after medical reform, P ＞ 0.05). There were only statistically significant differences in the costs of Western medicine, Chinese herbal medicine, Granules, self-paying drugs, and medical treatment fees before and after medical reform (P ＜ 0.05). There were no statistical differences in other fees(P ＞ 0.05). It was estimated that patients would receive annual direct medical expenses for 25 181 yuan. Conclusion Before and after the medical reform of the annual outpatient clinic for Alzheimer disease in a third-grade class-A Chinese medicine hospital in Beijing city, there is no significant difference in the total average cost. Medical reform has reduced the cost of Western medicine for Beijing medical insurance patients, and has little effect on self-paying medical patients.
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