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Analysis on the Impact of Resource Allocation on Basic Public Health Service Provided by Township Health Centers

Chinese Health Economics.2013;(11):44-46. doi:10.7664/CHE20131114

Objective: To describe the status of the basic public health service in township health centers, analyze the resource allocation which influences the supply of basic public health service. Methods: The data is based on monitoring project surveys collected by the health statistical information center, Spss13.0 and Excellare applied to make descriptive statistic analysis. Results:Overall, basic public health service has been carried out well in each area, but there are differences among the application rates of different basic public health service items; basic public health service can be effected by the level of basic public health input and the number of public health workers.

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Comparative Study on Allocation Levels of Health Resources in Different Provinces of China

Haiyuan KANG ; Yanlin SUN

Chinese Health Economics.2013;(11):41-43. doi:10.7664/CHE20131113

Objective:Through comparing per capita allocation level of health resources in 31 provinces of China, the characteristics and the influencing factors of health resource allocation in each province are reveled. Methods: Selecting 7 representative indexes and using cluster analysis methods to divide per capita allocation level of 31 provinces into 5 grades; the influencing factors of per capita allocation level are proposed based on 5 grades and the ordered Probit model is built and estimated. Results: Beijing, Shanghai and Tibet respectively marked the first, the fourth and the fifth grade, 7 provinces ( including Tianjin) belong to the second grade, 21 provinces ( including Hebei ) belong to the third grade; four factors such as per capita GDP , family disposable income and so on all significantly affect per capita allocation level. Conclusion: Economic development and per capita allocation level of health resources are not balanced. The proportion of government health expenditure is negatively correlated with per capita allocation level of health resources.

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Study on Equivalent Value of Rural Main Cancer Treatment Costs

Haiping ZHOU ; Haiying ZHOU ; Shuifu LI ; Xiaobo GAO

Chinese Health Economics.2013;(11):67-68. doi:10.7664/CHE20131123

In order to understand the cost of cancer in rural area, to evaluate the cost burden, the project content and treatment status. Typical sampling and random sampling survey are combined to investigate and account major expenditure and economic loss of cancer treatment and related items, analyzes its rationality and scientific, provide references for improving the level of cancer prevention and treatment.

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Theoretical Research on Disease Pricing for Medical Service in China

Liai ZOU ; Zhao LONG

Chinese Health Economics.2013;(11):60-62. doi:10.7664/CHE20131120

Objective: To propose essential thought for the disease pricing and to provide theoretical and methodological references for promoting disease pricing in China. Methods: Utilizing literature research method and theoretical deduction method are used to comb and analyze the theory of disease pricing theory. Results: On the basis of the research for disease cost calculation, key process of pricing like disease groups is proposed, benchmark disease and relative weight of diseases price and draws into degree of risk factors and technical difficulties. At the same time, it proposes the manipulation of cases outside the lines and pricing adjustment system. Conclusion: The research is scientific, prospective and innovative.

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Situation, Problems and Policy Suggestions of Salary System for Medical Personnel Salary in China

Chen WANG ; Aitian YIN

Chinese Health Economics.2013;(11):15-17. doi:10.7664/CHE20131105

As the basic resource in the China medical system, the importance of medical personnel’s enthusiasm is graduate playing significant role in the process of health reform. Through the prospective of salary system for medical personnel, it analyzed the current situation and problems of the low salary of medical staff, the unreasonable distribution of salary elements, the imbalanced structure of salary and so on. It also put forward the following proposals as to determine the reasonable salary with dynamic regulation for the medical staff, to ascend the position value and to establish a guaranteed and flexible salary structure and so on.

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Analysis on the Advantages, Disadvantages and Main Mode of “Medical separation”

Dongli CHAI ; Yong CHEN

Chinese Health Economics.2013;(11):13-14. doi:10.7664/CHE20131104

The new round of medical and health system reform proposed the need to explore effective ways to gradually reform the mechanism of “using medicine costs to supply medical care”, through the implementation of “medical separation”, solve patients’ problem of “difficult and expensive”. While implementing the mode of the “medical separation”, according to exploring and practicing the actual situation of the region, it describes on the main mode of “medical separation”, analyzes the advantages and disadvantages, and proposes policy recommendations of “medical separeation” according to analysis of different modes.

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Evaluation and Improvement Strategies on Chronic Disease Prevention and Control Efficiency of Primary Health Service Institutions in Shandong

Shanshan JING ; Chang YIN ; Aitian YIN

Chinese Health Economics.2013;(11):79-81. doi:10.7664/CHE20131128

Objective: To analyze the efficiency of chronic disease prevention and control of primary health service institutions in Shandong, and provide policy references. Methods:Using CRS and VRS models from DEA to analyze the representative input and output indicators in primary health Service institutions. Results: The overall efficiency of chronic disease prevention and control in primary health service institutions is low, and the actual output was insufficient compared with the target output. Conclusion: Strengthening chronic disease control measures in high-risk group and establishing management mechanism leaded by the goal of chronic prevention and control in order to achieve optimal allocation of resources.

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The Analysis of Economic Operation Status of County-Level Hospitals in Yulin Area of Shanxi

Ning ZHAO ; Zongjiu ZHANG ; Jing FAN ; Pengqian FANG

Chinese Health Economics.2013;(11):76-78. doi:10.7664/CHE20131127

Objective: To summarize the experiences and problems in economic management of county-level hospitals in Yulin area, provide decision foundation for the further reform of the county health service system in China. Methods: Using descriptive study to analyze the economic operation condition of the 5 pilot county-level hospitals. Results: The effect and issues of the reform both exist in financial input, pharmacy income, asset utilization and operation capabilities in pilot county-level hospitals. Conclusion: It is needed to deepen the operation mechanism and compensation mechanism of public hospitals, reform the “using drug to compensate the medicine” mechanism, strengthen the hospital asset management and optimize liability structure.

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Analysis on the Influence of Carbon Emissions to the Health Expenditure of Urban Residents

Yuanming OU ; Shaofu ZHOU

Chinese Health Economics.2013;(11):8-9. doi:10.7664/CHE20131102

Objective: To analyze the cluster effect of urban health care expenditure and the impact of carbon emissions. Methods:Calculating spatial correlation Moran index and building spatial panel econometric model. Results: There are significant spillover effects of health care expenditure from 2007 and 2010; per capita carbon emissions, per capita income and age structure significantly affect health care expenditure. Conclusions:It is needed to pay more attention to environmental protection.

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Consumer Health Investment Analysis under Uncertain Lifetime Condition

Kexue PU

Chinese Health Economics.2013;(11):5-7. doi:10.7664/CHE20131101

Objective:As the main component of human capital, health capital's dynamic path has been generally received attention. Methods: According to Grossman’s theory of health capital, the health investment return is defined as the monetary benefits and psychological benefits and the optimum control theory is used to study the optimal path of health investment. Results:The optimum path of health investment has sole saddle point equilibrium with both stability and uniqueness. Conclusion: The maximum utility of consumers depends on the their subjective judgment of future life. As a rational consumer, it needs to consider that health risk rises with age gradually, health investment should be increased to maximize lifetime utility.

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