Public hospital reform:Historical evolution, institutional dilemma and the paths selection
10.3969/j.issn.1674-2982.2016.01.005
- VernacularTitle:公立医院改革--历史演进、制度困境与路径选择
- Author:
Fenglan WU
;
Yong SHEN
- Publication Type:Journal Article
- Keywords:
Public hospital;
Historical evolution;
Institutional dilemma
- From:
Chinese Journal of Health Policy
2016;9(1):34-39
- CountryChina
- Language:Chinese
-
Abstract:
From the Government’s fully guarantee stage to the stage of independent organization of medicine, then to the market-oriented reforms and the new health care reform exploration stages, the public hospitals reform fol-lows different institutional logics, but the institutional dilemma have emerged at all stages including the little coupling between the institutional arrangements and environment, the public welfare and benefit wandering, the management system instability, and the breakdown of the financial investment and control costs mechanisms. The Government should elaborate conditions for the spontaneous public hospitals reform on the institutional environment in order to em-bed intrinsic motivation of the induced institutional change into the imposed institutional change. There should be positive interaction between the government and the market in order to form a reasonable and orderly competitive land-scape to the market of medical services. Payment should be reformed which has significant influence on internal medi-cal service system incentives.
