Impact of an Innovative Financing and Payment Model on Tuberculosis Patients’ Financial Burden: is Tuberculosis Care More Affordable for the Poor?
Date
2019-03-24Author
Jiang, Wei-Xi
Long, Qian
Lucas, Henry
Dong, Di
Chen, Jia-Ying
Xiang, Li
Li, Qiang
Huang, Fei
Wang, Hong
Elbers, Chris
Cobelens, Frank
Tang, Sheng-Lan
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Abstract
Background: In response to the high financial burden of health services facing tuberculosis (TB) patients in China, the China-Gates TB project, Phase II, has implemented a new financing and payment model as an important component of the overall project in three cities in eastern, central and western China. The model focuses on increasing the reimbursement rate for TB patients and reforming provider payment methods by replacing fee-for-service with a case-based payment approach. This study investigated changes in out-of-pocket (OOP) health expenditure and the financial burden on TB patients before and after the interventions, with a focus on potential differential impacts on patients from different income groups.