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Chinese Journal of Antituberculosis ›› 2023, Vol. 45 ›› Issue (3): 248-252.doi: 10.19982/j.issn.1000-6621.20220444

• Special Topic • Previous Articles     Next Articles

The inspiration of bundled payment for chronic diseases in Netherlands and the United States for tuberculosis payment reform in China

Zhang Jingyi1, Hu Xingyu2, Gao Guangying1(), Chen Yingchun3, Zhang Xin4, Deng Qian1   

  1. 1School of Public Health,Capital Medical University,Beijing 100069,China
    2Division of Medical Services Management Healthcare Security Bureau of Shenzhen Municipality,Shenzhen 518040,China
    3School of Medicine and Health Management, Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
    4School of Health Management, Harbin Medical University, Harbin 150081,China
  • Received:2022-11-08 Online:2023-03-10 Published:2023-03-07
  • Contact: Gao Guangying E-mail:gaogy@nsd.pku.edu.cn
  • Supported by:
    National Natural Science Foundation of China(71874113);National Health Commission of China-Bill and Melinda Gates Foundation TB Collaboration Project(INV004900)

Abstract:

Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis (MTB) infection. TB patients need to take multiple drugs and stay in treatment for a long time, which places a great burden on individuals and their families, and even the whole society. Measures which can reduce the economic burden of disease are urgently needed. The payment system has a restrictive effect on medical expenses by influencing the behavior of the supplier. However, the current payment methods for TB in China are inconsistent with the characteristics of the diagnosis and treatment of the disease, and it has not yet achieved the expected goal of effective fee reduction. In such a general background, the authors summarized and studied the internationally popular bundling payment mode for chronic diseases, systematically analyzed the specific practices of bundling payment for chronic diseases in the Netherlands and the United States, and analyzed the adaptability of bundling payment for tuberculosis based on the characteristics of tuberculosis diagnosis and treatment and the prevention and treatment system, so as to provide a valuable reference for the reform of payment methods for TB.

Key words: Tuberculosis, Fees and charges, Bundled payment, Review literature as topic

CLC Number: