Research Article

Policy Evaluation of the Reform of Ambulatory Patient Groups Based on Access, Quality, and Cost of the Iron Triangle Value Chain in China

Table 1

Descriptive statistics of the APG reform’s evaluation system, 2019-2020, Jinhua, China.

First-level indicatorsSecond-level indicatorsThird-level indicatorsRate of changes (%)Category

AccessEmployee medical expensesFund spending for employees as a whole0.37
Coverage for hospital cost−3.72
Outpatient service fee7.45
General outpatient fee1.09
Outpatient expenses for chronic diseases−1.65
Outpatient expenses for special diseases21.12
Residents’ medical expensesFund spending for residents as a whole−5.28
Coverage for hospital cost−8.09
Outpatient service fee0.54
Outpatient expenses for general diseases−15.06
Outpatient expenses for chronic diseases2.01
Outpatient expenses for special diseases29.17
Number of visitsDischarged patients−9.90
Hospitalized patients for surgeries−1.59
Outpatient visits9.00
Outpatient visits for general diseases8.40
Outpatient visits for chronic diseases17.90
Outpatient visits for special diseases17.10
Outpatient visitsAPG accounts for outpatient visits−0.60A
Per capita budget accounts for outpatient visits18.10B
Proportion of medical institution expensesProportion of expenses of tertiary medical institutions−4.90
Proportion of expenses of secondary medical institutions−0.70
Proportion of expenses of primary healthcare institutions7

QualitySecurity of medical servicesQualified rate of prescriptions2.10
Rate of rational drug use in the outpatient department1.10
Patient satisfaction rate2.10B
Capacity of medical servicesSetting rate of health records2.30B
Dynamic management rate of health records1.60B
Enrolment rate of school-age children0B
Rate of neonatal visits0.40B
Health management rate for children0.10B
System management rate for children−1.10B
Filing rate of early pregnancy−0.20B
Maternal health management rate−0.20B
Postpartum visit rate−0.10B
Health management rate for the elderly5.50B
Completeness rate of health examination in the elderly0.90B
Health management rate of hypertensive patients−0.30B
Health management rate of diabetic patients2.10B

CostEfficiency of medical servicesAverage outpatient cost per visit1.90
Per capita budget of average outpatient cost per visit−6.50B
APG of average outpatient cost per visit12.30A
Proportion of medical service expensesProportion of western medicine cost−6.50
Proportion of cost of medical consumables0
Proportion of laboratory cost0
Proportion of treatment cost10
Proportion of examination cost3.80
Proportion of surgery and anesthesia costs0
Proportion of nursing cost0
Proportion of traditional Chinese medicine cost0
Proportion of cost of traditional Chinese medicine decoction pieces14.30
Proportion of other expenses0

Note. Category A stands for the data of APG payments; category B represents the data of the signed population with per capita budget; blank is two aggregated data.