tailieunhanh - Evaluating the results of applying case based payment method for normal delivery cases at Thanhnhan hospital, Hanoi (2012-2014)

Objectives: To evaluate the results from the implementation of case-based payment method for normal delivery at Thanhnhan Hospital, 2012 - 2014, to compare the length of stay and level of drugs used between two groups of women applying and not applying case-based payment method and evaluate the service’s quality and acceptability to the new payment method. | JOURNAL OF MILITARY PHARMACO-MEDICINE N09-2017 EVALUATING THE RESULTS OF APPLYING CASE-BASED PAYMENT METHOD FOR NORMAL DELIVERY CASES AT THANHNHAN HOSPITAL, HANOI (2012 - 2014) Chu Phuc Thi*; Pham Le Tuan**; Hoang Hai*** SUMMARY Objectives: To evaluate the results from the implementation of case-based payment method for normal delivery at Thanhnhan Hospital, 2012 - 2014, to compare the length of stay and level of drugs used between two groups of women applying and not applying case-based payment method and evaluate the service’s quality and acceptability to the new payment method. Subjects and methods: This is a study of hospital cost analysis, using both quantitative and qualitative methods. Data related to treatment costs of all women giving births at Thanhnhan Hospital from January 2012 to December 2014, who voluntarily chosen the payment methods, were collected and analyzed using SPSS . Information from in-depth interviews with health care providers, mothers and health insurance experts was analyzed and cited according to subject matters. Results: Applying case-based payment method has encouraged the hospital to use resources reasonably and controlled cost raising of normal delivery cases. Group of normal delivery women applying case-based payment method had average length of stays lower than that of group which did not apply, ranging from to ; the average costs of drug was also lower among the mothers applying case-based payment method at about to ; average of total cost in the group applying case-based payment method was lower than that of women who do not apply from to . All comparisons were significant at p value = . The women in both groups had satisfied with the quality of services received and the stakeholders do support the new payment mechanism. Conclusions : The casebased payment method could be an appropriate option for Vietnamese hospitals for controlling and limiting the cost increase. * Keywords: .