scholarly journals Effects of Public Hospital Reform on Inpatient Expenditures in Rural China

2016 ◽  
Vol 26 (4) ◽  
pp. 421-430 ◽  
Author(s):  
Yuting Zhang ◽  
Qianheng Ma ◽  
Yingchun Chen ◽  
Hongxia Gao
Keyword(s):  
Public Hospital ◽  
Rural China ◽  
Hospital Reform ◽  
Public Hospital Reform

scholarly journals Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data

2021 ◽  
Vol 18 (15) ◽  
pp. 8037
Author(s):  
Fangye Du ◽  
Jiaoe Wang ◽  
Haitao Jin
Keyword(s):  
Smart Card ◽  
Public Hospital ◽  
Tertiary Hospital ◽  
Small Sample ◽  
Health Seeking ◽  
Spatiotemporal Resolution ◽  
Hospital Reform ◽  
Health Seeking Behaviors ◽  
Smart Card Data ◽  
Public Hospital Reform

The effects of public hospital reforms on spatial and temporal patterns of health-seeking behavior have received little attention due to small sample sizes and low spatiotemporal resolution of survey data. Without such information, however, health planners might be unable to adjust interventions in a timely manner, and they devise less-effective interventions. Recently, massive electronic trip records have been widely used to infer people’s health-seeking trips. With health-seeking trips inferred from smart card data, this paper mainly answers two questions: (i) how do public hospital reforms affect the hospital choices of patients? (ii) What are the spatial differences of the effects of public hospital reforms? To achieve these goals, tertiary hospital preferences, hospital bypass, and the efficiency of the health-seeking behaviors of patients, before and after Beijing’s public hospital reform in 2017, were compared. The results demonstrate that the effects of this reform on the hospital choices of patients were spatially different. In subdistricts with (or near) hospitals, the reform exerted the opposite impact on tertiary hospital preference compared with core and periphery areas. However, the reform had no significant effect on the tertiary hospital preference and hospital bypass in subdistricts without (or far away from) hospitals. Regarding the efficiency of the health-seeking behaviors of patients, the reform positively affected patient travel time, time of stay at hospitals, and arrival time. This study presents a time-efficient method to evaluate the effects of the recent public hospital reform in Beijing on a fine scale.

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 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
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