scholarly journals Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China

2020 ◽  
Vol 17 (18) ◽  
pp. 6763
Author(s):  
Juan Du ◽  
Shuhong Cui ◽  
Hong Gao
Keyword(s):  
Public Hospital ◽  
Public Hospitals ◽  
Productivity Improvement ◽  
Medical Reform ◽  
Tertiary Hospitals ◽  
Overall Performance ◽  
Implementation Effect ◽  
The Government ◽  
Public Hospital Reform

As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system.

scholarly journals Longitudinal Evaluation on the Operation Index Applied to Public Hospitals in Pudong New District of Shanghai, China

2018 ◽  
Vol 55 ◽  
pp. 004695801879059
Author(s):  
Shanshan Liu ◽  
Jiaoling Huang ◽  
Yanting Li ◽  
Jincheng Fan ◽  
Hong Liang ◽  
...  
Keyword(s):  
Financial Risk ◽  
Public Hospital ◽  
Risk Index ◽  
Condition Index ◽  
Public Hospitals ◽  
Operating Index ◽  
The Public ◽  
Management Condition ◽  
Service Operation ◽  
Public Hospital Reform

The public hospital reform has lasted 5 years in China; however, the operation development status and trends of public hospitals have not been systematically evaluated in Pudong New District. We first applied the technology of longitudinal index to assess the development of public hospitals there. The quantitative data were mainly gathered by taking health statistics database from 2009 to 2014. The results showed that overall operating index presented a down-up trend, with the highest point in 2014 and the lowest point in 2012. Overall operating index, development foundation index, and management condition index were found to be statistically different ( P = .010, P = .016, P = .031) in different years, whereas the service operation index and financial risk index were not so ( P = .543, P = .228). Moreover, the results demonstrated that no obvious difference was observed in the overall operating index between the general and specialized hospitals ( P = .327), which was the same in the 4 first-class indexes. However, there were statistical differences in the overall operating index and development foundation index among these 5 years ( P = .018, P = .036), but none in the service operation index, management condition index, and financial risk index ( P = .503, P = .062, P = .177). No interaction effects were discovered between year and hospital categories in the current study ( P = .673, P = .375, P = .885, P = .152, P = .288).

scholarly journals The feasibility of implementing an electronic prescribing decision support system: a case study of an Australian public hospital

2006 ◽  
Vol 30 (3) ◽  
pp. 380 ◽  
Author(s):  
David Bomba ◽  
Tim Land
Keyword(s):  
Decision Support ◽  
Public Hospital ◽  
Improve Patient Safety ◽  
Public Hospitals ◽  
Electronic Prescribing ◽  
System A ◽  
South Wales ◽  
Area Health ◽  
Improve Patient

Medication errors are common in public hospitals, with the majority at the prescribing stage of the medication pathway. Electronic prescribing decision support (EPDS) is a rules-based computer system that can be used by clinicians to warn against such errors to improve patient safety and support staff workflows. Despite its apparent advantages, this technology has not been widely adopted in Australian public hospitals for inpatient prescribing. A case study using Sauer?s (1993) Triangle of Dependencies Model was conducted in 2003 into the feasibility of implementing an EPDS system at an Australian public hospital in New South Wales. It was found not feasible to implement an EPDS at the hospital studied due to the legacy patient administration system, low availability of information technology on the wards, differing stakeholder views, legislation, and the Independent Pricing and Regulatory Tribunal of NSW report recommendations. A statewide standard was preferred, with an agreed specification framework identifying basic core data items and functions that an EPDS must meet which can then be used by area health services to: (i) choose a solution which best meets their contextual needs; and (ii) engage vendors to tender for building an open source (non-proprietary) system based on the specification framework.

scholarly journals Assessment of Healthcare Institutions and Socio-Economic Welfare: A Survey of Secondary and Tertiary Hospitals in Rivers State, Nigeria

2021 ◽  
pp. 11-21
Author(s):  
Dennis B. Ewubare ◽  
Kelechi C. Nnamdi
Keyword(s):  
Service Delivery ◽  
Federal Government ◽  
State Government ◽  
Health Workers ◽  
Sampling Technique ◽  
Public Hospitals ◽  
Quality Healthcare ◽  
Tertiary Hospitals ◽  
The Government ◽  
Rivers State

The purpose of this paper is to access healthcare institutions and the welfare experience of patients and workers in public Secondary and Tertiary Hospitals in Rivers State, with ownership across Federal Government, State Government and the Military. From a stratified sampling technique, a representative survey sample of 90 respondents was involved. Our findings shows that Tertiary hospitals in Rivers state relies on funding by Federal Government, State Government, internally generated funds and grants, in their decending order. Budgetary cut on health institution is perceived to reduce service delivery and health workers motivation, though a cut in funding is expected by few, as a result of the prevalent fall in global oil price. The analysis also shows that the price of health services and medicines have increased in recent times, but we could not establish the symptom of inflation on the prices of healthcare consumption. It was established that the level of qualified health workers without gainful employment has slightly increased, owing to low absorptive capacity of government owned hospital, low renumeration from non-public-owned hospitals. The study found that the populace prefers public hospitals over private hospitals, mainly because of affordability and availability of specialists. Although there is evidence of inadequate workforce, bureaucratic holdup and poor ambience. The study concludes that the government is the provider of very affordable and quality healthcare in Nigeria. It was therefore recommended that there should be proper accountability by the hospital management on the proceeds and expenses. Efforts should be made to strenghten internally generated revenue, while a public-private partnership, improved efficiency and quality of service delivery will attract funds.

scholarly journals Have the Pilot County Hospitals’ Service Capability Been Improved Since the Healthcare Reform? An Analysis of 370 Hospitals in China

2019 ◽  
Author(s):  
Yinhong Dong ◽  
Xingyi YANG ◽  
Pengqian FANG ◽  
Zhengqiong PAN ◽  
Zhenni LUO
Keyword(s):  
Public Hospital ◽  
Healthcare Reform ◽  
Current Situation ◽  
Public Hospitals ◽  
Analysis Method ◽  
Hospital Reform ◽  
Comprehensive Service ◽  
Service Capability ◽  
Public Hospital Reform ◽  
Better Than

Background: County public hospital reform is one of the major tasks proposed in Chinese Healthcare Reform., and the evaluation of hospital reform effectiveness is very important and beneficial since it helps the government to understand the current situation of pilot county public hospitals and smoothly start the reform in all county hospitals. Methods: This study used hospitals data from 2009 to 2012 to evaluate the effectiveness of county public hospital reform through comprehensive service capability. Descriptive analysis method was used, and factor analysis method was used to extract the main factors associated with service capabilities as well as to calculate a composite score. The t-test of two independent-samples methods was used to comparison analyze. Results: The differences of common factor scores (hospital scale and service capacity, treatment quality, service quality, and services efficiency) between pilot and non-pilot hospitals were not statistically significant (P>0.05). The service capability score in 2012 was better than that in 2009 either in pilot or non-pilot group (P<0.05). The pilot hospitals’ service capability score was better than that in non-pilot groups either in 2010 or 2012 (P<0.05). However, the differences from 2009 to 2012 of service capability score between pilot and non-pilot hospitals were not statistically significant. Conclusion: The comprehensive service capability of both pilot and non-pilot group all got improvement. However, county public hospital reform did not significantly play a due good role in improving the service capability in pilot group. The reform was helpful to improve the hospital current situation, but it has not completely achieved policy objectives in the sample hospitals of this study.

scholarly journals Performance Comparison of Public Hospitals Between 2014 and 2018 in Different Regions of Guangdong Province, China, Following 2017 Medical Service Price Reforms

2021 ◽  
Vol 9 ◽  
Author(s):  
Kai-Yuan Weng ◽  
Feng Xia ◽  
Wen-Qi Lin ◽  
Yi-Bao Wang
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Medical Service ◽  
Guangdong Province ◽  
Performance Comparison ◽  
Public Hospitals ◽  
Level Of Economic Development ◽  
Tertiary Hospitals ◽  
The Government ◽  
The Pearl River

This study analyzed performance of public hospitals and regional differences in performance following reform of medical service prices in Guangdong province, China. From three cities in four regions, we randomly selected a total of 12 traditional Chinese medicine hospitals and 12 general tertiary hospitals. Six questionnaires were completed by the hospitals, using 2014–2018 internal data. Principal components analysis was used to compare performances of the hospitals and regions following price reform. The extent to which medical service prices were adjusted varied considerable for different procedures in the same region and for the same category of procedures among regions. After reform, compensation for medical services in public hospitals reached the target of 80%, except in the Western region. However, annual growth of costs to patients was generally above 4%; the burden on patients was not alleviated by fee control. Reforms were more effective for comprehensive than Chinese traditional medicine hospitals. Performance scores of general hospitals in the Pearl River Delta, Eastern, Western, and Northern regions were 1.24, 1.16, −0.22, and −1.01, respectively. This is consistent with ranking by level of economic development of each region. The government should implement a regional medical service pricing mechanism. Additionally, comprehensive and traditional Chinese medicine hospitals should each have appropriate pricing policies. Future policies should focus on controlling costs incurred by patients.

scholarly journals Empirical Analysis on Environmental Regulation Performance Measurement in Manufacturing Industry: A Case Study of Chongqing, China

2020 ◽  
Vol 5 (1) ◽  
pp. 25-34
Author(s):  
Pengfei Zhou ◽  
Qiao Fan ◽  
Jia Zhu
Keyword(s):  
Performance Measurement ◽  
Environmental Pollution ◽  
Environmental Regulation ◽  
Empirical Analysis ◽  
Manufacturing Industry ◽  
Manufacturing Industries ◽  
Average Efficiency ◽  
Overall Performance ◽  
The Government

AbstractIn recent years, China’s environmental pollution is serious, manufacturing industry has become one of the main targets of government environmental regulation. This paper uses the SBM model to calculate efficiency value of 29 manufacturing industries from 2008 to 2017. The results show that the overall performance of environmental regulation in manufacturing industry is high (the average efficiency value is 0.7806), but it shows a declining trend. The efficiency of environmental regulation also varies widely. The government should consider focusing on the 11 industries with low SBM value in the next step to improve the performance of environmental regulation.

scholarly journals Impact of China's Public Hospital Reform on Healthcare Expenditures and Utilization: A Case Study in ZJ Province

PLoS ONE ◽  
2015 ◽  
Vol 10 (11) ◽  
pp. e0143130 ◽  
Author(s):  
Hao Zhang ◽  
Huimei Hu ◽  
Christina Wu ◽  
Hai Yu ◽  
Hengjin Dong
Keyword(s):  
Public Hospital ◽  
Healthcare Expenditures ◽  
Hospital Reform ◽  
Public Hospital Reform

scholarly journals Collective and decentralized management model in public hospitals: perspective of the nursing team

2011 ◽  
Vol 19 (4) ◽  
pp. 1003-1010 ◽  
Author(s):  
Andrea Bernardes ◽  
Luiz Carlos de Oliveira Cecilio ◽  
Yolanda Dora Martinez Évora ◽  
Carmen Silvia Gabriel ◽  
Mariana Bernardes de Carvalho
Keyword(s):  
Public Hospital ◽  
Public Hospitals ◽  
Management Model ◽  
Thematic Content Analysis ◽  
Collective Management ◽  
Innovative Management ◽  
Decentralized Management ◽  
The City

This research aims to present the implementation of the collective and decentralized management model in functional units of a public hospital in the city of Ribeirão Preto, state of São Paulo, according to the view of the nursing staff and the health technical assistant. This historical and organizational case study used qualitative thematic content analysis proposed by Bardin for data analysis. The institution started the decentralization of its administrative structure in 1999, through collective management, which permitted several internal improvements, with positive repercussion for the care delivered to users. The top-down implementation of the process seems to have jeopardized workers adherence, although collective management has intensified communication and the sharing of power and decision. The study shows that there is still much work to be done to concretize this innovative management proposal, despite the advances regarding the quality of care.

PP076 Research On Drug Policy Change In China Since 2009 New Medical Reform

2017 ◽  
Vol 33 (S1) ◽  
pp. 106-107
Author(s):  
Yingfeng Ye ◽  
XiaoHua Ying
Keyword(s):  
Traditional Medicine ◽  
Policy Change ◽  
Drug Policy ◽  
Public Hospitals ◽  
Basic Drug ◽  
Medical Reform ◽  
Dynamic Factors ◽  
Drug Policies ◽  
The Government

INTRODUCTION:Drugs are a special commodity for treating diseases and protecting health. There are problems in China's drug research, production, distribution and use (1) thus the national drug policies, including government long-term frameworks and specific policies, play an important role (2). This study summarized and analyzed drug policies in China since the New Medical Reform, to determine patterns of policy change, and aiming to provide theoretical support for drug policy making for the world.METHODS:We downloaded all drug policies issued between April 2009 to December 2016 on State Council, National Development and Reform Commission, National Health and Family Planning Commission, China Food and Drug Administration websites. These documents were combined with academic articles to extract data, which was processed in Microsoft Excel 2013. We also use the Advocacy Coalition Framework to analyze dynamic factors for drug policy change in China.RESULTS:There are 113 drug policies during last 8 years on 4 websites; 76 of them are released by a single ministry. Thirteen, ten, ten, fifteen, seven, fourteen, twenty-six and eighteen policies are issued each year, respectively. Fifteen are classified in long-term frameworks, while the other ninety-eight are specific policies. And fourteen of ninety-eight policies are focusing on basic drug systems, while six are on centralized purchases, nine on public hospitals reform, seven on drug safety, sixteen on prices, fourteen on distribution, twelve on administration, five on traditional medicine, and fifteen on specific drugs.CONCLUSIONS:After the basic drug system was built in 2009, the government started to focus on its distribution over the next 7 years. Policies on centralized purchases are mainly issued in 2010 and 2015, and creative modes have been coming up since 2015. The Government cares not only about production safety, but also safety in sales. Prices were decided by government at first but then follow the market forces. Work focus shifted from the above contents to drug distribution, price, management and traditional medicine after 2012. The peak of policy releases occurred when the great reform took place, such as 2009 when reform began, and in 2012 the Twelfth Five-year plan began. There was a decrease in 2013 due to national leadership change (3). Overall, dynamic factors for policy change mainly are social conditions, public issues and opinions, and feedback on former policy effects.

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