[ Impact de la tarification forfaitaire sur la fréquentation de l’Hôpital Général de Référence de Tandala, de 2019-2020, RDC ]
Volume 33, Issue 1, June 2021, Pages 194–201
Nkakala Kabuiku Aimé1, Daniel Matili Widobana2, and Jean Bosco Boso Mozanga3
1 Docteur en Médecine, MPH en Santé Publique, Université Protestante de l’Ubangi, Gemena, RD Congo
2 Licencié en Gestion des Institutions de Santé et Licencié en Economie de Gestion, RD Congo
3 Licencie en Gestion des Institutions de Santé, Institut Supérieur des Techniques Médicales de Gemena, RD Congo
Original language: French
Copyright © 2021 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This study is carried out in the Tandala Health Zone, DPS of Sud-Ubangi in the DRC on the impact of flat rate pricing on attendance at the Tandala general referral hospital, In response to this concern that the government of the Democratic Republic of Congo has set up a health project called the PDSS Health System Development Project in acronym created in 2005 and whose official implementation took place in August 2016 reporting directly to the study management and of the planning of the Ministry of Public Health and mainly financed by the World Bank. The results of This study showed that in terms of financing of health services, the impact on improving the use of hospital services remains the flat-rate pricing also called «payment per episode», which constitutes a strict rationalization of care. Heath care based on solidarity between complicated and uncomplicated cases, which allows groups to pay the same price. This especially demonstrated that the flat-rate pricing applied to the Tandala general referral hospital allowed complicated cases which would normally have to pay unaffordable amounts of subsidy for uncomplicated cases, a rationalization of health structures and take into account all acts. To put the patient down without adding additional charges, to promote continuity of care, to keep the population aware of the costs to pay and to ensure the viability and sustainability of the structures providing care.
Author Keywords: Impact of flat rate pricing.
Volume 33, Issue 1, June 2021, Pages 194–201
Nkakala Kabuiku Aimé1, Daniel Matili Widobana2, and Jean Bosco Boso Mozanga3
1 Docteur en Médecine, MPH en Santé Publique, Université Protestante de l’Ubangi, Gemena, RD Congo
2 Licencié en Gestion des Institutions de Santé et Licencié en Economie de Gestion, RD Congo
3 Licencie en Gestion des Institutions de Santé, Institut Supérieur des Techniques Médicales de Gemena, RD Congo
Original language: French
Copyright © 2021 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
This study is carried out in the Tandala Health Zone, DPS of Sud-Ubangi in the DRC on the impact of flat rate pricing on attendance at the Tandala general referral hospital, In response to this concern that the government of the Democratic Republic of Congo has set up a health project called the PDSS Health System Development Project in acronym created in 2005 and whose official implementation took place in August 2016 reporting directly to the study management and of the planning of the Ministry of Public Health and mainly financed by the World Bank. The results of This study showed that in terms of financing of health services, the impact on improving the use of hospital services remains the flat-rate pricing also called «payment per episode», which constitutes a strict rationalization of care. Heath care based on solidarity between complicated and uncomplicated cases, which allows groups to pay the same price. This especially demonstrated that the flat-rate pricing applied to the Tandala general referral hospital allowed complicated cases which would normally have to pay unaffordable amounts of subsidy for uncomplicated cases, a rationalization of health structures and take into account all acts. To put the patient down without adding additional charges, to promote continuity of care, to keep the population aware of the costs to pay and to ensure the viability and sustainability of the structures providing care.
Author Keywords: Impact of flat rate pricing.
Abstract: (french)
Cette étude est menée dans la Zone de Santé de Tandala, DPS du Sud-Ubangi en RDC sur l’impact de la tarification forfaitaire sur la fréquentation de l’hôpital général de référence de Tandala, En réponse à cette préoccupation que le gouvernement de la République Démocratique Du Congo a mis en place un projet de la santé dénommé Projet de Développement de Système de Santé PDSS en sigle crée en 2005 et dont la mise en œuvre officielle est intervenu en août 2016 relevant directement de la direction d’étude et de la planification du Ministère De La Sante Publique et financé essentiellement par la banque mondiale. Les résultats de cette étude a montré qu’en matière financement des services de santé impact pour l’amélioration de l’utilisation de services à l’hôpital demeure la tarification forfaitaire également appelée « paiement par épisode», qui constitue une rationalisation stricte des soins de santé basée sur la solidarité entre les cas compliques et les cas non compliques, ce qui permet aux groupes de payer le même prix. Cette a surtout démontré que la tarification forfaitaire appliquée à l’hôpital général de référence de Tandala a permis aux cas compliqués qui normalement devraient payer des sommes inabordables de subside les cas non compliquées, à une rationalisation des structure sanitaire et prendre en compte tous les actes à poser le malade sans lui ajouter de charges supplémentaires, de favoriser la continuité des soins, de maintenir la population consciente des couts à payer et d’assurer la viabilité et la pérennité des structures de l’offre des soins.
Author Keywords: Impact de tarification forfaitaire.
How to Cite this Article
Nkakala Kabuiku Aimé, Daniel Matili Widobana, and Jean Bosco Boso Mozanga, “Impact of flat rate pricing on attendance at Tandala General Referral Hospital, from 2019-2020, DRC,” International Journal of Innovation and Applied Studies, vol. 33, no. 1, pp. 194–201, June 2021.
