Qualitative analysis of direction of public hospital reforms in China.
10.1007/s11684-017-0534-7
- Author:
Dahai ZHAO
1
;
Zhiruo ZHANG
2
Author Information
1. School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, 200030, China.
2. School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China. zhangzhiruo@sjtu.edu.cn.
- Publication Type:Journal Article
- Keywords:
government hospital;
operation mechanism;
public funding;
public hospital
- MeSH:
China;
Focus Groups;
Health Care Reform;
organization & administration;
Health Personnel;
economics;
Hospitals, Public;
classification;
economics;
trends;
Humans;
Qualitative Research
- From:
Frontiers of Medicine
2018;12(2):218-223
- CountryChina
- Language:English
-
Abstract:
Reforms in public hospitals are among the most important improvements in China's health care system over the last two decades. However, the reforms that should be implemented in public hospitals are unclear. Thus, a feasible direction of reforms in Chinese public hospitals is suggested and reliable policy suggestions are provided for the government to reform public hospitals. The data used in this study were mainly derived from a qualitative study. Focus group discussions and in-depth interviews were conducted in Shanghai, Guangdong, and Gansu between May and December 2014. Government funding accounted for approximately eight percent of the total annual revenue of public hospitals in China, and the insufficient government subsidy considerably affects the operation mechanism of public hospitals. However, solely increasing this subsidy cannot address the inappropriate incentives of public hospitals in China. The most crucial step in setting the direction of reforms in public hospitals in China is transforming inappropriate incentives by implementing a new evaluation index system for directors and physicians in public hospitals.
