OBJECTIVE: To conduct cost-effective analysis according to clinical trial results of foreign type 2 diabetic patients treated with insulin glargine and insulin determir in order to provide reference for application of basal insulin in China. METHODS: Cost-minimization analysis was used due to the clinical trial results that two kinds of basal insulin had no significant differences in glycemic control. The cost of treatment was detected and evaluated from the perspective of medical insurance. RESULTS: When insulin glargine and insulin determir had same effect on glycemic control and hypoglycemia risk, insulin glargine was 40.77% cheaper than insulin determir in terms of the yearly treatment cost. The cost of treatment of insulin glargine was cheaper than that of insulin glargine although some key factors were adjusted. CONCLUSION: As compared with insulin determir, the cost of treatment is decreased by using insulin glargine for type 2 diabetic patients. Moreover, effect of insulin glargine on glycemic control is the same to insulin determir, which is advantage for controlling the increase of health expenditure.

Summaries the opinions of hospital directors who have attended the training course in the UK-China Partners in Health Innovation Programme organized by China Ministry of Health on hospital reform,including aspects of objectives of the reform,health system,healthcare financing,hospital payment and health service delivery in order to provide information for relevant health decision makers.The hospital reform not only includes the reform on hospital internal system and management,but also includes aspects related to whole social system reform.Thus,all relevant partners should work together.It should be the one of government's main tasks,not the sole task of health sectors.The governments should take main roles in the internal market resulting in a purchaser/provider split.

The paper analyzes some of the major causes of the current confusion in medical service prices. These include: ①irrationality of the mechanism of medical service pricing; ②lag of the management of medical service prices; ③irrationality and limitations of the distribution system in hospitals; and ④confusion resulting from the traditional medical security system of free medical care. The countermeasures put forward to deal with the confusion include: ①establishing a rational pricing mechanism; ②strengthening the supervision and management of medical service prices; and ③further speeding up relevant medical systems.

In the course of hospital regrouping it is imperative to integrate medical functions, resource elements and hospital cultures. Yet the integration of hospital cultures plays a pivotal role, for the culture of a hospital is the basis of its survival and development and cultural integration can lead to the fusion of the staffs feelings, values and concepts and to the coordinated development of the hospitals hardware and software, which will produce greater benefits. Ways of cultural integration include: ①doing a good job of intention surveys and ideological persuasion prior to hospital regrouping; ②adopting different forms of cultural fusion for different forms of regrouping: with unbalanced regrouping, the cultures of the weaker hospitals should not be totally negated and attention should be paid to equality and impartiality, whereas with balanced regrouping, efforts should be made to enhance communications rather than to differentiate the primary and the secondary; ③giving full play to the role of informal organizations within the hospital in the fusion of different cultures.

Objective To find out about the current situation of the human assisted reproduction technology(ART) in China so as to provide basis for the formulation of relevant policies. Methods Investigations were conducted by means of epidemiological and sociological surveys. Results By the end of 1999, the number of institutions delivering IVF reached 70 or so and some other institutions were starting to or preparing to start to deliver it. However, the number of ART centers that were big in scale was very limited and the rate of complications of pregnancy via IVF was much higher than that of natural pregnancy. In addition, there were problems in the control of sperm, ovum, and impregnated ovum and many issues of ethicality and laws and regulations remained to be resolved in delivering ART. Overdevelopment of the technology resulted mainly from the drive for profits. Conclusion It is extremely urgent to strengthen control of ART. In particular, great attention must be paid to the safety of the IVF technology. Also, more efforts need to be made to speed up the formulation of relevant laws and regulations concerning ART.

Objective To find out universal problems in restructuring and explore relevant methodologies so as to provide the government with decision-making basis. Methods The method of partial quantification from statistics and operational research and the qualitative method from sociology were employed. Results Hospitals A and B assumed the functions of a second-tier hospital and satisfied the basic medical needs of District Z. With Hospital A being superior to Hospital B and inpatient service superior to outpatient service, the obstruction to the restructuring lay in the staffs of the two hospitals. If the restructuring should turn out to be successful, there would be more space for the expansion of their share of the medical market. The focus of the restructuring should be put on the advancement of technologies and the improvement of quality and efficiency. In particular, the basic medical needs of the residents in the areas concerned must be met. Conclusion In restructuring two hospitals, the model of loose cooperation and steady combination is recommended in the first place while the government ought to play the role of providing guidance, coordination and policy support.

This paper described the measures taken by Sir Run Run Shaw Hospital of Zhejiang University School of Medicine in development of general medicine,and differential care of acute and chronic diseases. Rational allocation of medical resources and leveraging of tertiary hospital′s advantages in medicine and education effectively improved the utilization ratio of medical resources for better health of the people.

Objective To comprehensively evaluate the development capacity of secondary public hospitals and provide hospital decision makers with objective and valid information.Methods By means of non-probability random sampling,13 secondary public hospitals were pinpointed nationwide,from which statistics of hospital development between 2005 to 2009 were collected for factor analysis of development capacity.EPIDATA3.1 and SAS9.2 were used for data input and analysis.Results Key development factors on development capacity of such hospitals are workload,hospital size,human resources and specialties.The hospitals vary in their development capacity factors to tell a difference.Conclusion Such factors as workload,size,staff makeup and specialty competence play a key role in development of such hospitals.

Analyzed in the paper is the current subsidy mechanism for public hospitals in Zhejiang province, with analysis of problems found. The authors recommended to build a mass fraction subsidy mechanism to cover up the insufficiency of government financial subsidy; to fully leverage the price compensation of medical services; to subsidize in view of the functional positioning of various medical institutions;and explore more channels for public hospitals′subsidies.

Thanks to the policies of resources to strengthen grassroots ,and innovative resource placement in Zhejiang province and the help of Zhejiang University School of Medicine ,Shaoxing regional medical center has achieved significant improvement in its medical capabilities .The cooperation features the following :active promotion of new medical ideas and key technologies ;overall enhancement of scientific and technological innovation ;talent training to advance disciplinary development ;and joint efforts to train postgraduates .The momentum ,however ,can only be maintained ,unless such problems as the means of resources placement ,disciplines alignment ,and medical workers development can be well addressed .