The key point of public hospital reform:Based on the investigation and research of public hos-pital presidents / 中国卫生政策研究

Objective:To understand the concerns and attitudes of large public hospital presidents in China to-wards the main hospital reform measures.Methods:A cross-sectional survey was conducted on 200 randomly selected third-class public hospital presidents to learn the managers,perspectives on public hospital reform.Results:The most concerned problem for public hospital presidents was increasing government investment,and the number of followers accounted for 83.7%;the least concerned problem for public hospital presidents was implementing clinical pathway, and the number of followers accounted for only 19.7%.The hospital presidents believed that the government invest-ment should account for 50.8%of the total hospital income,and 55.1% of the hospital presidents thought that the government should invest in public hospitals in the way of project investment.82.0%of the hospital presidents as-sumed that the lack of increase in income was the main factor affecting the active participation of medical staff in hos -pital reform,and only 14.5% hospital presidents were satisfied with their current income level.Conclusion: The presidents of tertiary public hospitals are most concerned with the reform measures related to the operation of hospital. The hospital presidents are were also concerned about the compensation system reform,and the reform on responsibil-ity and rights of hospital presidents.Therefore,public hospital reform should establish a scientific and rational medi-cal service price system and a long-term government investment mechanism, and establish a job performance based compensation system to mobilize the enthusiasm of medical personnel of medical industry,and clarify the power and responsibility of hospital presidents,and the implementation of public hospital management autonomy.

Design and practice of public hospitals reform in Beijing / 中华医院管理杂志

Public hospitals reform is a key roadblock for the ongoing health reform.By means of such experiments as Three openings and three mechanisms,Beijing is practicing a separation of hospital regulation and management and separation of clinic and pharmacy,while building the mechanism of financial subscription for pricing,that of medical insurance adjustment,and that of hospital corporate governance.These measures aim at building a new management structure,operation mechanism and medical service model focusing on quality of care,efficiency and satisfaction.Separation of clinic and pharmacy has lowered drug proportion,average outpatient expense and out of-pocket payment of patients,as well as producing higher patient satisfaction,quality of care and hospital income.Other benefits include better management efficiency indirectly caused by separation of clinic and pharmacy,higher acceptance of the corporate governance,and service model innovation to better serve the people.