By Lulu Zhang, Meina Li, Feng Ye, Tao Ding, Peng Kang
This ebook offers a complete knowing of public medical institution reform in China, that's a scorching subject for China’s new around of health and wellbeing zone reform. The authors use wealthy facts from either future health supplier aspect and repair person facet and behavior a cross-sectional learn in China with a few comparative research among diversified destinations. It presents the viewers with a huge photo of China’s public medical institution and different parts of healthiness process besides. The publication reports the most coverage measurements within the public sanatorium reforms and evaluates how those regulations impression public hospitals' practices, specifically on sanatorium governance and inner administration.
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Extra resources for An Investigation Report on Large Public Hospital Reforms in China
3 (continued) Pilot city Weifang Shenzhen Qitaihe Wuhu Content Ways to improve service price: The other 82 % should be completed by adjusting the diagnosis and examination expenses; for example, the diagnosis and examination expenses of deputy director doctors can be changed from 11 yuan to 18 yuan. After this price adjustment, the expenses should be paid by medical insurance; thus, local patients with medical insurance will not suffer greater financial burdens. The increasing diagnosis and examination expenses of residents with insurance in Xiamen after adjustment will be paid by overall medical insurance funds Separation of prescriptions from dispensing of drugs: Based on the 2011 drug purchase prices of pilot public hospitals, the prices of western medicine and patterned Chinese herbal products increased by 15 %, while that of traditional Chinese medicine increased by 25 % Financial input: First, each county finance department takes on 20 % of the increasing income; all eight pilot counties have included this in their 2013 financial compensation budget.
Chinese Health Resources, 1, 020. , & Mills, A. (1999). Evaluating payment mechanisms: How can we measure unnecessary care? Health Policy and Planning, 14, 409–413. Ting, P. (2013). Studying on urban health services system based on system dynamics. Chinese Health Service Management, 6, 005. , & Hsiao, W. C. (2009). China’s health system and its reform: A review of recent studies. Health Economics, 18, S7–S23. Yip, W. , & Sun, X. (2010). Realignment of incentives for health-care providers in China.
2 Patterns of legal-person-governed systems in pilot cities Pattern Objective responsibility system (the traditional operational pattern which determines the responsibilities of hospitals and the government) City Baoji, Beijing, Zhuzhou, Weifang, Shenzhen Advantage This practice is convenient and does not require changing of the traditional operation pattern of public hospitals; the government and hospital managers need only clarify their boundaries through a contract Trusteeship system (an independent third party manages hospitals within the area) Shanghai, Wuhu, Ma’anshan, Zunyi, Shenzhen, Xining, Anshan, Qitaihe, Ezhou, Luoyang, Xiamen The council system (hospitals establish their own councils, and operate on their own) Kunming, Beijing University Shenzhen Hospital, Zhenjiang The government remains the ownership of the public hospitals, clarifies the relationship between the government and medical service organizations, and between the government and mediating agencies of the medical and health industry; meanwhile, organization and management specialists operate hospitals, thus improving the efficiency of the public hospitals greatly.