摘要

Background: This study aims to estimate the impacts of NCMS that combined demand-side measures aimed at expanding health insurance and providing financial support to the patients on TB financial burden.
Methods: A village and facility questionnaire survey was conducted with 305 TB patients and 12 TB institutions. Qualitative in-depth interviews were implemented with 32 TB patients, 20 village doctors, 12 town doctors, 8 TB doctors and 8 TB program managers.
Results: Data from household, there is few patients to receive NCMS benefit packages to reduce financial barrier of access and cost of seeking treatment. Little impact is detected the use of NCMS on TB health care.
Conclusions: The cost of outpatient care and disease control institutions should be included into the scope of NCMS reimbursement. The operational issues of NCMS have to be well-designed, developed, and field-tested before being introduced on a large scale. China should consider changing the provider payment method from fee-for-service to a prospective payment method.