The development, reform and implications of purchasing community care services in the Unit-ed Kingdom / 中国卫生政策研究

The United Kingdom is the longest-serving community in the welfare states, and has been serving for more than sixty years so far. The construction of community care service supply model in the United Kingdom is deeply influenced by the neo-liberalism and neo-managerialism, which dominated the reform and development of pur-chasing community care services. Presently, China is actively promoting the government to purchase pension services of public health care combined with the long-term care, especially policy and determination of community-based de-velopment of an elders' service model. Based on the purchased services experience of the United Kingdom combined with the situation in China, this paper puts forward some suggestions such as the repositioning the role of the govern-ment, actively supporting the development of civil service organizations and perfecting the legal system of care serv-ices to be purchased, supporting the development of proposals to reduce the burden on the government and enhance the efficiency of care services through improving their quality.

Risk exposure of county-level medical insurance system in China / 中华医院管理杂志

Medical insurance system plays a key role in China's social security system.In the social insurance system,medical insurance features the widest coverage and the most complex in mechanism,while China' s medical insurance system itself is found with many setbacks.This paper probed into such risks found in the county-level medical insurance system as excessive cost growth causing overpayment of the medical insurance fund and poor supervision of the fund.On such basis,the authors recommended such policy changes as payment reform,and enhanced supervision over the fund,the demand side,and the government,in an effort to optimize China' s medical insurance system for theoretical and decision reference of other county-level hospitals in their reforms.

Policy making considerations for abolishing drug price plus policy at county hospitals in Hubei Province / 中华医院管理杂志

Drug price plus policy had been in place at public hospitals since 1954 and began to phase out since 2009.Hubei province studied the profile and reform progress of 20 pilot county public hospitals before June 2012,and measured the drug income loss incurred by abolishment of this policy since 2012.It is recommended that the reform to abolish drug price plus policy in the province be made based on investigation,evaluation and academic research,prioritizing medical service pricing adjustment aided by government compensation.The authors proposed a new approach of medical service pricing to make up for the revenue gap caused by the abolishment.

Current status of medical workers at pilot county hospitals in Hubei province and their perception of the reform / 中华医院管理杂志

Objective To learn the present status of medical workers in pilot public hospitals in China and their response/perception of the health reform,and to analyze problems found in order to raise their satisfaction and incentives.Methods 1529 medical workers at 15 pilot county hospitals in Hubei province were surveyed by questionnaire.Results The data showed that nearly half of the doctors and nurses faced great stress and more than half of the medical workers' satisfaction was at a low level.Their responses indicated that they perceived themselves as having a low social status and nearly 80％ were dissatisfied with their income.About 30％of medical workers lack understanding of the policies for public hospitals reform and more than 60％of them were less positive on achievement of the reform goals.Conclusion It is necessary to reduce their work stress and raise their income,create an incentive mechanism,strengthen the communications on the health reform,and ignite the morality of medical workers.