Table 1 Implementation process of the research
Time | Content | People | Source/references |
|---|---|---|---|
July 2016 | Dehui City, Jilin Province, was identified as a pilot city | China-Bill & Melinda Gates project | |
November 2016 | We conducted a baseline survey and collected the PTB-related policies, number of visits, medical expenses, etc | Our team | Health information system (HIS), medical record management system and medical insurance settlement system of Dehui Tuberculosis Hospital |
January 2017 | The clinical path of PTB was determined, include standard PTB diagnosis and treatment process | The expert group formed by Beijing Chest Hospital | "Diagnostic criteria for TB (WS288-2008)", "Guidelines for Implementing the National Tuberculosis Control Program in China (2008)", "Management Work Plan for Multidrug-resistant Tuberculosis Prevention and Control" and other documents and books |
July 2017 | The service package and payment standards of the hospital were determined (Table 2) | Our team | According to the established standard clinical path, combined with the actual diagnosis and treatment cost of the hospital from 2015 to 2017 |
August 2017 | We proposed a capitation compensation mechanism with a full period of treatment | Our team | Based on the above research and argumentation |
December 2017 | The model was officially launched | Dehui Tuberculosis Hospital | After many discussions with relevant leaders of the hospital |
July 2018 | The model was over | The “China-Bill & Melinda Gates project” was completed |