European Journal of Environment and Public Health

Pediatrics Hospital Care in China Before and After Policy Change: A Case Study
Donghui Lou 1, Betty Burston 2, Guogen Shan 3, Christopher Cochran 2, Fuzai Yin 1, Lianying Wang 1, Ruiji Liu 1, Jay J. Shen 2 *
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1 First Hospital of Qinhuangdao, Qinhuangdao, Hebei, CHINA
2 Department of Health Administration, School of Public Health, University of Nevada, Las Vegas, NV, USA
3 Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA
* Corresponding Author
Research Article

European Journal of Environment and Public Health, 2022 - Volume 6 Issue 1, Article No: em0089
https://doi.org/10.21601/ejeph/11261

Published Online: 06 Oct 2021

Views: 282 | Downloads: 130

How to cite this article
APA 6th edition
In-text citation: (Lou et al., 2022)
Reference: Lou, D., Burston, B., Shan, G., Cochran, C., Yin, F., Wang, L., . . . Shen, J. J. (2022). Pediatrics Hospital Care in China Before and After Policy Change: A Case Study. European Journal of Environment and Public Health, 6(1), em0089. https://doi.org/10.21601/ejeph/11261
Vancouver
In-text citation: (1), (2), (3), etc.
Reference: Lou D, Burston B, Shan G, Cochran C, Yin F, Wang L, et al. Pediatrics Hospital Care in China Before and After Policy Change: A Case Study. EUROPEAN J ENV PUBLI. 2022;6(1):em0089. https://doi.org/10.21601/ejeph/11261
AMA 10th edition
In-text citation: (1), (2), (3), etc.
Reference: Lou D, Burston B, Shan G, et al. Pediatrics Hospital Care in China Before and After Policy Change: A Case Study. EUROPEAN J ENV PUBLI. 2022;6(1), em0089. https://doi.org/10.21601/ejeph/11261
Chicago
In-text citation: (Lou et al., 2022)
Reference: Lou, Donghui, Betty Burston, Guogen Shan, Christopher Cochran, Fuzai Yin, Lianying Wang, Ruiji Liu, and Jay J. Shen. "Pediatrics Hospital Care in China Before and After Policy Change: A Case Study". European Journal of Environment and Public Health 2022 6 no. 1 (2022): em0089. https://doi.org/10.21601/ejeph/11261
Harvard
In-text citation: (Lou et al., 2022)
Reference: Lou, D., Burston, B., Shan, G., Cochran, C., Yin, F., Wang, L., . . . Shen, J. J. (2022). Pediatrics Hospital Care in China Before and After Policy Change: A Case Study. European Journal of Environment and Public Health, 6(1), em0089. https://doi.org/10.21601/ejeph/11261
MLA
In-text citation: (Lou et al., 2022)
Reference: Lou, Donghui et al. "Pediatrics Hospital Care in China Before and After Policy Change: A Case Study". European Journal of Environment and Public Health, vol. 6, no. 1, 2022, em0089. https://doi.org/10.21601/ejeph/11261
ABSTRACT
Worldwide, healthcare policy change ranks among the top three issues in the public’s consciousness. This study introduces a case study of pediatric hospitalizations at one hospital in Northern China. It seeks to assess whether pediatric hospitalization access, costs, and costs structures favorably changed after selected health policy reforms were implemented in China.
A census of all hospital pediatric discharge data from 2015 to 2018 were collected from a general public tertiary hospital in Northern China. Using generalized linear regression, changes in charges for length of stay, daily charges, total charges per discharge, and drug charges and medical service fees as a percent of total charges were analyzed as a function of two independent variables - policy changes regarding the merger of two health insurance programs, and the zero-markup drug pricing policy. These variables were included as dummy variables for the pre-and-post change periods. The covariates used included patient age, sex, and the year.
After the policy implementation, significant decreases (P<.01) were found in the length of the hospital stay (-0.49 days) and drug and medical charges (-7.63%) as a percent of total charges. A significant decrease also occurred (P<.01) in the number and percent of pediatric patients served who were self-pay after the merger of the NCMS insurance plan into the URBMI. Drug costs as a proportion of total costs also decreased significantly (P<.01). Thus, the findings revealed that the zero-markup drug pricing policy was associated with a significant decrease (P<.01) in the mean percentage markup for drug charges (P<.01).
Accordingly, both health policy changes were associated with positive effects on pediatric healthcare expenditures, and access. This research suggests that as these two policies are fully implemented at public tertiary hospitals throughout China, pediatric hospital care may become even more accessible and drugs less costly.
KEYWORDS
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