The Effects of County Public Hospital Reform on the Consumption and Costs of Antibiotics: Evidence from a Quasinatural Experiment in Jiangsu, China

Table 1

Key components of county public hospital reform in Jiangsu province.

Key components	Before reform	After reform	Objectives
Zero-markup policy on the sale of drugs	Adding a 15% profit margin on the sale of drugs	Removing the markup on the sale of drugs	To cut off the economic incentives and improve affordability of medicines
Price adjustment policy on medical service	Keeping consultation fees low	Increasing fees for consultations and skilled services	To compensate for the loss of drug sales and optimize salary system for medical personnel
Finance subsidy policy on county public hospitals	Reducing the amount of the government subsidies to county public hospitals	Increasing the financial subsidies to county public hospitals	To compensate for the loss of drug sales
Payment reform of health insurance	A purely fee-for-service (FFS) system	A mixed payment system that included prospective payment methods	To control the rapid increasing of medical cost