Impact of zero-mark-up medicines policy on hospital revenue structure: a panel data analysis of 136 public tertiary hospitals in China, 2012–2020

ObjectiveTo quantify the overall and dynamic effects of the implementation of the zero-mark-up medicines policy on the proportionate revenue generated from medicines, medical services and government subsidies at Chinese tertiary public hospitals.MethodsThe revenue data of 136 tertiary public hospita...

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Bibliographic Details
Published in:BMJ global health 2021-11, Vol.6 (11), p.e007089
Main Authors: Cheng, Hanchao, Zhang, Yuou, Sun, Jing, Liu, Yuanli
Format: Article
Language:English
Subjects:
China
Chinese medicine
Compensation
COVID-19
Data Analysis
Drug Costs
Expenditures
Government subsidies
Health Care Reform
health economics
health policy
Health services
health services research
health systems
hospital-based study
Hospitals
Humans
Longitudinal studies
Maternal & child health
Original Research
Pharmaceuticals
Pricing policies
Provinces
Subsidies
Tertiary Care Centers
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Summary:ObjectiveTo quantify the overall and dynamic effects of the implementation of the zero-mark-up medicines policy on the proportionate revenue generated from medicines, medical services and government subsidies at Chinese tertiary public hospitals.MethodsThe revenue data of 136 tertiary public hospitals from 2012 to 2020 and the implementation-time framework of zero-mark-up medicines policy of these hospitals were obtained from the institutional survey of the third-party evaluation of the China Healthcare Improvement Initiative. The study adopted the time-varying difference-in-differences method and combined it with the event study approach to estimate the effects of the zero-mark-up medicines policy.ResultsFollowing the implementation of the policy, the proportionate medicines revenue decreased by 3.23% (p
ISSN:2059-7908
2059-7908
DOI:10.1136/bmjgh-2021-007089