ABSTRACT
Further healthcare system reform calls for desirable pathway design. This paper introduced the logical framework of the new healthcare system reform pathway design and typical practical experience in Hangzhou.Known for " Internet+Smart healthcare" forerunner, Hangzhou has pioneered the reform of public hospitals and the construction of smart handy service for the public.With the aim of fully protecting the health rights and interests of urban and rural residents, comprehensive policy has been taken to deepen the reform of public hospitals; with the comprehensive promotion of contracted services and the primary level sharing of resources as a carrier, we will build a hierarchical medical service system of vertical linkage.We will also innovate and practice the governing philosophy of " Medicine has its limitations but we have the courage to overcome, service is boundaryless and we must pursue excellence".Promotion of party building in the industry also ranks high.Deepening the reform of " one visit for all" in the field of medical and health services as a measure to enhance people′s sense of gain; The " public-private partnership" to encourage the development of the social governance system and legalization in healthcare proves successful at this stage. However, there are still many challenges in the information security maintenance of smart healthcare, the balance of stakeholder interests in public hospitals, the all-round advancement of hierarchical medical service, standardizing and streamlining the reform of " one visit for all".
ABSTRACT
Objective: The study aimed to explore the initial effect of the Luohu Healthcare Group Reform in Shenzhen based on the employee’s perspective. Methods: The questionnaire survey was conducted to investigate the views of employees in 3 hospitals and 23 community health centers in Luohu district. Results: A total of 480 ques-tionnaires were distributed and only 412 valid questionnaires were collected and analyzed. The valid response rate was 85. 83% . 37. 21% of doctors responded that they had motive power to work in community health centers; 75. 38 per-cent of employees stated that their healthcare organization changed a lot; Employees’average work satisfaction scores, interpersonal relationship and healthcare organization development were all above 4. 20, and the consistency of em-ployee evaluation was high. Conclusions: Most of the surveyed employees evaluated the initial stage of the Luohu health reform positively. Since the hospital group started to operate two years ago, the development of the affiliated health facilities has been on an upward trend. The formation of vertical alliance within the hospital group has e-merged; and physicians of secondary and higher-grade hospitals have had increasing willingness of working at the community health centers, especially in the departments of internal medicine and traditional Chinese medicine. The hospital group has been guiding all affiliated facilities to develop its unique signature specialty so that facilities can col-laborate with each other and evolve as a whole. Group employees have expectations that the hospital group will coordi-nate and incorporate interests of all stakeholders, fulfill the commitments, and develop a better future for the group.
ABSTRACT
The reform of medical and healthcare system is the inevitable process for the medical and healthcare developing in China.The main contents of the reform include establishing a scientific and reasonable system of medical treatment and classification,a scientific and effective modern hospital management system,a universal medical insurance system with efficient operation,a standardized and orderly drugs and medical equipment supply,and a strict and standardized comprehensive supervision system.The national big data platform for medical and healthcare management can play an important role in the reform of medical and healthcare system in China.First,it can help to improve the treatment effect of the disease,improve the prognosis,reduce the morbidity and mortality rate,and improve the health level.Second,it can effectively control the risk of medical insurance funds,and reduce the fund operational risk.Third,it can improve the efficiency of healthcare services and medical service resource utilization,so as to reduce medical costs.Fourth,it can help to build the link between residents and family doctors and hospitals,and to promote the medical consortium and hierarchical medical system through electronic signatures,online booking,telemedicine,real-time health monitoring,and two-way referral.Fifth,it can help to establish a medicine and medical equipment circulation system with the characteristics of source-traceable,full controllable,risk-preventable,responsibility-assessable,performance-assessable,and open-and-transparent.Finally,it can effectively improve the quality evaluation and regulatory level of the medical system in China.The existing problems in medical reform in China were introduced,and the relationship and the significance of the national big data platform for medical and healthcare management to medical and healthcare system reform were analyzed.
ABSTRACT
Mainland China's healthcare system reform has achieved remarkable results. As the reform progresses ,more efforts could be made in policy-learning from other Chinese societies with more successful experiences. Hong Kong Special Administrative Region has an internationally renowned healthcare system, ranked at the top in the world's most efficient health systems. This paper reviews Hong Kong's health governance system, the challenges it has faced, its reform initiatives in the recent years, and discusses their implications for the mainland China. Heath governance in Hong Kong has fully realized the separation of regulationswith operation, thus overcoming major institutional barriers. The Hospital Authority of Hong Kong has demonstrated very high efficiency and managerial professionalism. However, Hong Kong's healthcare system is also facing various daunting challenges, and the government has introduced a series of reform initiatives, including the Voluntary Health Insurance Scheme, Public-Private Partnership, and Elderly Health Care Voucher. Many reform ideas and policy instruments can be of reference value for healthcare system reforms in the mainland.
ABSTRACT
Shanghai healthcare system reform is proceeded in the system engineering theory adopting the methods of making the overall plans, the combination of scientific design whole and part, the combination of microcosm and macrocosm, the combination of innovation and standard, the combination of qualitative analysis and quantitative analysis, the combination of structural optimization and improvement so as to promote the development of Shanghai healthcare system and provide successful experiences for our national healthcare system reform.
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The paper introduced the trials and experiences acquired in carrying out the essential drug system in Dongtai city, Jiangsu province, probing into specific practices of improving such a system and deepening the medical and healthcare reform. Practices prove as advocated by the author that the building and betterment of an essential drug system characterized of "Zero price margin" in unified bidding, procurement and distribution. Such a system can not only alleviate the financial burden of diseases of the people, but also enhance clinical drug use safety, encourage rational use of healthcare resources, and promote patient satisfaction in the end.