Impact of Chinese medical treatment reform on the equality and accessibility to public health facilities: A case study of Beijing

Authors: Chen Lyu*,
Topics: Geography and Urban Health
Keywords: hierarchy medical system, medical treatment reform, three stage two-step floating catchment area method, public health facilities, medical service accessibility
Session Type: Paper
Day: 4/6/2019
Start / End Time: 8:00 AM / 9:40 AM
Room: Tyler, Marriott, Mezzanine Level
Presentation File: No File Uploaded


Since 2015, Chinese government implemented a medical treatment reform in the hierarchical medical system by adjusting the insurance reimbursement rules to guide peoples` preference of hospitals choices. This medical scheme will have great impact on equality and accessibility to public health facilities. Taking Beijing as a case, we improved two-step floating catchment area method to three stages two-step floating catchment area method in order to make it adapt to the medical procedures in China. By setting different patient’s referral rates, we found out the effect of medical treatment reform on medical service accessibility and the equality changes The results showed that: 1) the hierarchical medical treatment reform improved total accessibility to public hospitals in Beijing, but at the same time increased the disparity of medical resourced accessibility among towns and streets; 2) With the increase of referral rates, total spatial accessibility to public medical facilities decrease firstly and then increase, and it demonstrated a U shape; 3) 90% referral rate from the secondary hospitals to tertiary hospitals can achieve the relatively equal chance of access to public medical service and high accessibility in the context of hierarchical medical treatment reform.

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