Health Policy in Asia

2021 ◽  
Author(s):  
M. Ramesh ◽  
Azad S. Bali
Keyword(s):  
Public Hospital ◽  
Policy Design ◽  
Public Hospitals ◽  
Large Share ◽  
Hospital System ◽  
Private Providers ◽  
Efficient Management ◽  
Design Perspective ◽  
Public Hospital System ◽  
Core Issues

The book assesses the policy actions of select Asian governments (China, India, Hong Kong, South Korea, Singapore and Thailand) to address critical health system functions from a policy design perspective. The findings show that all governments in the region have made tremendous strides in focussing their attention on the core issues and, especially, the interactions among them. However, there is still insufficient appreciation of the usefulness of public hospitals and their efficient management. Similarly, some governments have not made sufficient efforts to establish an effective regulatory framework which is especially vital in systems with a large share of private providers and payers. A well-run public hospital system and an effective framework for regulating private providers are essential tools to support the governance, financing, and payment reforms underway in the six health systems studied in this book.

scholarly journals Dentists’ Entrepreneurial Intention and Associated Factors in Public Hospitals in Southeastern China: A Cross-sectional Study

2020 ◽  
Author(s):  
Jiabi Wang ◽  
Bin Peng ◽  
Hongzhi Zhou ◽  
Jing Hua Zhang
Keyword(s):  
Public Hospital ◽  
Entrepreneurial Intention ◽  
Individual Characteristics ◽  
Public Hospitals ◽  
Snowball Sampling ◽  
Southeastern China ◽  
Cross Sectional ◽  
Hospital System ◽  
The Public ◽  
Public Hospital System

Abstract Background: Due to the rising demand and fast growth opportunities, the private dental care sector in China tried to attracted experienced dentists from the public hospital system, which hence are faced with challenges of talents outflow and shortage.Methods：A dentist’s entrepreneurial intention (EI) was represented by his/her intention of leaving the public hospital system to be engaged in the private sector..Dentists from public hospitals in 9 major cities of 5 provinces in Southeastern China were surveyed in this study. Through a snowball sampling method, a total of 336 questionnaires were collected. The association between the dentists’ EI and their individual characteristics (basic demographic and professional characteristics, entrepreneurial behaviors) were analyzed using logistic regression analysis.Results: In the public hospitals in China studied, female dentists are consistently less likely to report entrepreneurial intention (EI) (OR=0.365, p=0.001). Dentists in the age group of 36 to 45 and those aged over 45 reported much stronger EI (OR=14.205, p=0.012; OR=8.45, p=0.066) than those in 20’s did. Compared with intern dentists, Attending Dentists (OR=7.812, p=0.016) and Associate/Chief Dentists (OR=9.857, p=0.021) were significantly more likely to report EI. Those with master level (OR=0.221, p=0.021) or Doctorate degrees (OR=0.118, p=0.005) are much less likely to report EI. Meanwhile, those in small hospitals ( with employee numbers < 50) reported much stronger EI than those in large hospitals (OR=2.398, p=0.044). Additionally, dentists’ entrepreneurial behaviors, risk aversion attitudes and their family background all have significant associations.Conclusions: The small public hospitals in China especially face a high risk of talented dentist outflow. As an offsetting strategy, these hospitals may consider more active recruiting policy for female dentists or those holding post-graduate degrees due to their good possibility of long term career path in the public hospital system.

scholarly journals Costs Related to Skin Cancer Prevention in Victoria and Australia

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 9s-9s
Author(s):  
S. Shih ◽  
R. Carter ◽  
S. Heward ◽  
C. Sinclair
Keyword(s):  
Skin Cancer ◽  
Cancer Treatment ◽  
Cancer Prevention ◽  
Public Hospital ◽  
Public Hospitals ◽  
Skin Cancer Prevention ◽  
Hospital System ◽  
Investment Return ◽  
Public Hospital System ◽  
The Cost

Background: The aim of this presentation is to provide an update on the economic evaluation of the Australian SunSmart program as well as outline the cost of skin cancer treatment to the Victorian public hospital system. This follows the publication of two recently released published economic evaluations that discusses the potential effects of skin cancer prevention inventions. Aim: 1. To highlight the cost effectiveness of skin cancer prevention in Australia 2. To highlight the costs of skin cancer treatment in the Victorian public hospital system 3. To provide strong evidence to inform governments of the value of skin cancer prevention to reduce the costs of treatment in future years. Methods: Program cost was compared with cost savings to determine the investment return of the program. In a separate study, a prevalence-based cost approach was undertaken in public hospitals in Victoria. Costs were estimated for inpatient admissions, using state service statistics, and outpatient services based on attendance at three hospitals in 2012-13. Cost-effectiveness for prevention was estimated from 'observed vs expected' analysis, together with program expenditure data. Results: With additional $AUD 0.16 ($USD 0.12) per capita investment into skin cancer prevention across Australia from 2011 to 2030, an upgraded SunSmart Program would prevent 45,000 melanoma and 95,000 NMSC cases. Potential savings in future healthcare costs were estimated at $200 million, while productivity gains were significant. A future upgraded SunSmart Program was predicted to be cost-saving from the funder perspective, with an investment return of $3.20 for every additional dollar the Australian governments/funding bodies invested into the program. In relation to the costs to the Victorian public hospital system, total annual costs were $48 million to $56 million. Skin cancer treatment in public hospitals ($9.20∼$10.39 per head/year) was 30-times current public funding in skin cancer prevention ($0.37 per head/year). Conclusion: The study demonstrates the strong economic credentials of the SunSmart Program, with a strong economic rationale for increased investment. Increased funding for skin cancer prevention must be kept high on the public health agenda. This would also have the dual benefit of enabling hospitals to redirect resources to nonpreventable conditions.

scholarly journals Eliciting Patients’ Health Concerns in Consulting Rooms and Wards in Vietnamese Public Hospitals

2018 ◽  
Vol 7 (2) ◽  
pp. 121
Author(s):  
Huong Thi Linh Nguyen ◽  
Gavin Austin ◽  
Dung Duc Chau ◽  
Hien Quang Nguyen ◽  
Khanh Hoang Bao Nguyen ◽  
...  
Keyword(s):  
Public Hospital ◽  
Public Hospitals ◽  
Health Concern ◽  
General Level ◽  
Clinical Settings ◽  
Hospital System ◽  
Doctor Patient Communication ◽  
Epistemic Stance ◽  
Public Hospital System

This article examines the doctor’s elicitation of the patient’s presenting health concern in two clinical settings in the Vietnamese public hospital system: the consulting room and the ward. The data were taken from 66 audio-recorded consultations. Our analysis shows that the elicitors used by the doctor in the consulting room often communicate a weak epistemic stance towards the patient’s health issue, while those used in the ward tend to signal a strong epistemic stance. In addition, this contrast between the elicitors employed in the consulting room and the ward is evident in our data regardless of whether the consultation is a first visit or a same follow-up (in which the doctor is the same one that treated the patient on their last visit), though the contrast is less clear for different follow-ups (in which the doctor has not treated the patient before). An additional finding is that the clinical setting has some bearing on the use of inappropriate elicitation formats (in which the doctor opens the visit with an elicitor which is more appropriate for another type of visit). The precise way in which each of the consulting room and the ward operates is, of course, a feature of the Vietnamese public hospital system itself. Hence, the overall contrast between the elicitors and elicitation formats used in these two settings illustrates how, on a more general level, the institutional context can have an impact on doctor-patient communication.

scholarly journals Differences in Treating Tobacco Use Across National, State, and Public Hospital System Surveys

2018 ◽  
Vol 15 ◽  
Author(s):  
Michael D. Celestin ◽  
Tekeda Ferguson ◽  
Edward C. Ledford ◽  
Tung-Sung Tseng ◽  
Thomas Carton ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Public Hospital ◽  
National State ◽  
Hospital System ◽  
Public Hospital System

The cost to perform uterine fibroid embolisation in the Australian public hospital system

2019 ◽  
Vol 64 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Warren Clements ◽  
Heather K Moriarty ◽  
Jim Koukounaras ◽  
Tim Joseph ◽  
Tuan Phan ◽  
...  
Keyword(s):  
Uterine Fibroid ◽  
Public Hospital ◽  
Hospital System ◽  
Public Hospital System ◽  
The Cost ◽  
Uterine Fibroid Embolisation

scholarly journals Dentists’ entrepreneurial intention and associated factors in public hospitals in major cities in Guangdong (South China): a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jiabi Wang ◽  
Bin Peng ◽  
Hongzhi Zhou ◽  
Jing Hua Zhang
Keyword(s):  
Family Background ◽  
Entrepreneurial Intention ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Public Hospitals ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Hospital System ◽  
Knowledge Intensive ◽  
Public Hospital System

Abstract Background A rapid growth in private dentistry in China has been observed during recent years. Promoting the entrepreneurship of dentists has increasingly received attention in both dentistry and dental education worldwide. However, understanding about the unique features of entrepreneurial behaviors of dentists remains inadequate. Methods This study examines dentist’s entrepreneurial intention (EI), which was represented by his/her intention of leaving the public hospital system to be engaged in the private sector. Through a snowball sampling method, a total of 336 questionnaires from public hospitals in five major cities in Guangdong Province (China) were collected. The association between the dentists’ EI and their individual characteristics were analyzed using a logistic regression model. Results In the sample studied, 35.7% of the respondents reported to have EI. Female dentists are less likely to report EI (OR = 0.365, p = 0.001). Dentists in the age group of 36 to 45 years (OR = 14.205, p = 0.012) and those aged over 45 years (OR = 8.45, p = 0.066) reported respectively a much stronger EI than those in their 20s. Compared with intern dentists, attending dentists (OR = 7.812, p = 0.016) and associate/chief dentists (OR = 9.857, p = 0.021) were significantly more likely to report EI. Those with master level (OR = 0.221, p = 0.021) or doctorate degrees (OR = 0.118, p = 0.005) are much less likely to report EI. Meanwhile, those in mid-large hospitals (with 101–200 employees) (OR = 3.554, p = 0.036) and small hospitals (with < 50 employees) (OR = 2.398, p = 0.044) reported a stronger EI than those in large hospitals. Additionally, dentists’ entrepreneurial behaviors, risk aversion attitudes and their family background all have significant associations. Conclusions Since dentistry is a knowledge-intensive industry, dentists’ entrepreneurial behaviors have their own features. The findings by this study suggest that, accumulation of practical skills in a dental career, as implied by age, professional qualifications and leadership skills, help to promote EI, whereas an academic oriented education degree per se does not. Dentists in mid-large and small hospitals, rather than in top large hospitals in China, have higher EI. Additionally, female dentists may need more social supports to develop a higher EI. These findings have practical implications for the promotion of EI among dentists.

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