Deconstruction and measurement of the public welfare connotation of public hospitals based on the theory of equal rights and responsibilities
10.3760/cma.j.cn111325-20240627-00532
- VernacularTitle:基于权责对等理论的公立医院公益性内涵解构与测量
- Author:
Ye MA
1
;
Mingzhu JIANG
;
Linan WANG
;
Xiaohua YING
Author Information
1. 复旦大学公共卫生学院，上海 200032
- Publication Type:Journal Article
- Keywords:
Hospitals, public;
Public welfare;
Social welfare;
Theory of equal rights and responsibilities;
Economic model
- From:
Chinese Journal of Hospital Administration
2025;41(4):268-275
- CountryChina
- Language:Chinese
-
Abstract:
This study started from the connotation of public welfare and, from the perspective of equal rights and responsibilities, interpreted the public welfare responsibilities and entitlements of hospitals. It developed corresponding quantitative measurement tools and constructed a Public Welfare Rights and Responsibilities Index. Public welfare responsibilities were reflected in the provision of equitable, accessible, appropriate, and reasonable basic medical and public health services. These responsibilities were quantified using the market price of basic medical services, the average cost per case-mix index unit, and public service expenditures. Entitlements were reflected in financial subsidies, tax exemptions, and land policy support. Based on this framework, the study applies the Public Welfare Rights and Responsibilities Index to evaluate 147 public hospitals in City S from 2019 to 2021. The results show that the overall level of public welfare among public hospitals in City S was relatively high (with an average index of 2.39), but showed a slight downward trend. Differences were observed across hospital grades and types, with secondary-level hospitals and general hospitals demonstrating relatively higher levels of public welfare. This study could provide a practical and quantifiable method for measuring hospital public welfare within an equal rights and responsibilities framework, offering a novel analytical tool and empirical evidence to support policy formulation and performance evaluation.
