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Reform of Government Employee and Labor Health Insurance in China

Chinese Health Economics.2000;19(2):60-62.

This paper deals with the process of the reform and development of the social medical insurance scheme in urban China and the reasons for reform. At the same time, the paper presents the model of financing new urban employees' medical insurance in China.

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Application Prospect of EPR System in Total Cost Accounting of Hospitals

Jin ZHANG ; Tianrong ZHENG ; Jianfen FANG

Chinese Health Economics.2013;(9):93-94. doi:10.7664/CHE20130929

The cost accounting plays central role in enhancing financial management in the hospital. With the increasing hospital competition, conventional model of cost accounting is changing, and gradually replaced with a novel model of cost accounting-total cost accounting. With the wide spread of total cost accounting in all hospitals, it is found that the general operation of hospitals is limited by the original HIS information system. EPR system feathered with the advanced data administration and potent function of financial analysis holding promise in adoption and acceptance by hospitals, serving as information collector and analyzer following HIS system.

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Discussion on the Current Payment Status of Public Hospital Medical Insurance

Lina LIU ; Zhongxiang DU

Chinese Health Economics.2013;(9):50-51. doi:10.7664/CHE20130914

Objective: In order to provide references for drawing up related health policy reasonably, the current status of medical insurance payment in third level hospital. Methods: Through analyzing the payment situation of medical insurance in third level hospital from 2010 to 2012, to understand the related situation of gross prepayment system in large publich hospital since this year. Results: In recent years, the coverage rate of health insurance in the whole city is increasing continuously, while the rising extend of annual gross prepayment limit is not obvious, refusal in medical insurance fund is serious and the accounting method of prepay limit is not scientific. Conclusion: While satisfying the quality of patients’ visiting, it needs to implement gross prepay accounting method, enhance medical management and reduce the economic burden of the hospital.

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Study on the Weights Calculation Methodology of Constituted Factors of Medical Service Price Project in 2012 Edition

Xianzhong LU ; Mengya XU ; Linlin TAN

Chinese Health Economics.2013;(9):42-44. doi:10.7664/CHE20130911

Objective: To develop price framework of medical service price project and introduce the weights calculation method of the new edition medical service price project. Methods: According to the new instruction manuals of medical service price and the research of the resource costs based on the relative value(RBRVS)of the U.S. Health Care Financing Administration (HCFA) and the American Medical Association ( AMA ) , an analysis framework and dimension of medical service price was raised and authoritative international medical service project price methods w ere summarized. Results: Based on the percentages of constituted factors and the professional features, it found the weights calculation model could be constructed with the weights model, and it could calculate the weights of the elements. Conclusion: Medical service price can be measured and comprehensively researched from the different dimensions of the medical service price, so as to carry out the pricing work of medical service price project and provide better service for pharmaceutical reform.

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Health Equity and Health Performance of Urban Residents in China

Haijing GUAN ; Guoen LIU ; Xianjun XIONG

Chinese Health Economics.2013;(9):33-37. doi:10.7664/CHE20130909

Objective: To analyze the status and general trend of urban residents’ health equity and health performance. Methods:Adopting standardization of concentration index, the extended concentration index and health performance index. Results: Chronic disease and self-assessed health of urban residents in China gradually improved from 2007 to 2011, while disability of those people did not improve significantly. Health inequity exists among urban residents with different incomes. Chronic disease and disability are inclined to the poor while self-assessed health is inclined to the rich, but the unfair degree has decreased gradually by year; the self-assessed health and the health performance of chronic disease has been improved from the comprehensive health level and equity, the disability sustains serious condition. Conclusion: China’s new health care reform does not significantly improve the domestic urban residents’ health equity and health performance, the objective set of the health care reform in China should pay more attention to health equity.

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The Economic Growth Effects of Health Investment and Regional Differences

Bohang FU ; Qiyun FANG

Chinese Health Economics.2013;(9):30-32. doi:10.7664/CHE20130908

Objective: To study the effect and contribution of health investment to economic growth as well as the regional differences among eastern, central and western China. Methods: Based on the provincial panel data from 1997 to 2010, fixed effects model was established to empirically analyze the relationship between health investment and economic growth. Results: Health Investment has significant in promoting economic growth, while significant regional differences still exist, showing the decreasing order of eastern、 central and western China. Conclusion:While strengthening the regional medical health level of investment, it is needed to give preferential policies to the backward central and western regions, so that the differences between regional economic growth and physical condition of residents can be reduced while realizing health investment stimulating economic growth.

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Studies on Safeguard Measures of the Shortage of Essential Medicines Based on Database Model

Jia LV ; Zhenmin LUO ; Jisheng CHEN

Chinese Health Economics.2013;(9):25-29. doi:10.7664/CHE20130907

Objective: By building database model, to put forward measures to solve the shortage of basic drugs. Methods: There were five factors influencing medicine shortage have been researched, collecting data, using SPSS 18.0 software to build the database model of different parts, and then analyzed the existing problems and inner link, scientifically came up with the basic framework and main solutions of guarantee measures on shortages of essential medicines. Results: The database model of country and six areas in it have been built, and the influence factors of drug shortage in different region have been analyzed, and raised five aspects measures to secure reliable supplies of drugs, including selection, bid and procurement; production and flow; reserve and adjust;pricing and pay;use training. Conclusion: This study extends the application of database, enriches research ideas of drug policy, and the policy put forward to avoid drug shortages to a certain extent.

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Empirical Analysis on the Relationship of Total Health Expenditure, Physical Capital Investment and Economic Growth

Li NIE

Chinese Health Economics.2013;(9):13-15. doi:10.7664/CHE20130903

Objective: By analyzing the three variables relationship of GDP, total health expenditure and physical capital input, to provide basis for health economic policy and distribution system reform in China. Methods: Using the data from 1978 to 2011, the VAR model of the dynamic relationship is established. Results: The establishment of VAR model is stable by unit root test, there is Granger relation between the 3 variables, the result of the impulse response function is obtained that GDP will increase the input of health costs and physical capital, and physical capital and health expenditure have a reverse relation. Conclusion: Total health expenditure has greater effect on economic growth compared with physical capital, the government should allocate health costs, improve social benefits from the prospective of improving the quality of workers to promote economic growth.

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Convergence Study of Government Health Care Expenditure Based on the Provincial Panel Data

Haixiang XIAO ; Qi MOU

Chinese Health Economics.2013;(9):9-12. doi:10.7664/CHE20130902

Objective: To analyze the convergence trend of the government health care expenditure, propose political advices to improve the balanced collocation of the inter-area government health care expenditure. Methods: The data of 31 provinces of China in 10 years period between 2000 and 2010 are adopted, the fixed panel model are used to analyze the convergence trend. Results:Government health care expenditure per capita in China exists σ-convergence, while the absolute β-convergence does not exist. Conclusion:The provincial government health expenditure in China has a trend of convergence.

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Analysis on Evolution of the Demographic Structure and Government Expenditure on Health:based on GMM of dynamic

Lüji LIU ; Jing SHI

Chinese Health Economics.2013;(9):5-8. doi:10.7664/CHE20130901

To study the influences of the demographic evolution to government expenditure on health by using the method of generalized method of moment(GMM)by dynamic panel data of 31 provinces or cities from 1998 to 2011. The result showed that the elderly dependency ratio had a significant positive impact on government health expenditure, while the reduction of child dependency ratio would increase it. There were clear differences among regions. The elderly and child dependency ratio were both significantly positive for the eastern region, no significant effect for the central, and positive and negative respectively for the western. Therefore, it is needed to further improve the proportion of government health spending in total health expenditure, increase transfer payment, reduce regional differences and achieve the equalization of basic public health services.

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