Impact of capitation prepayment on the medical expenses and health service utilization of patients with coronary heart disease: a community policy intervention program in a county in China.

Both groups showed a downward trend by year in the proportion of visits to rural medical institutions but an increasing trend in the proportion of visits to county health facilities (Table 1 ).

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DID analysis of medical expenses and health service utilization for CHD outpatients The DID model in Table 5 showed that in the first year of implementing the capitation prepayment reform, compared to the control group, total outpatient expenses reduced by CNY 13.953 and drug expenses decreased by CNY 11.289 in the pilot group; the Medicare payment in the pilot group declined by CNY 8.707 and out-of-pocket expenses did not change significantly; there was a decreasing trend in treatment expenses, examination expenses and laboratory expenses in the pilot group, but the difference was not statistically significant.

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