Practice of Huzhou in promoting the reform of countywide medical and health governance system / 中华医院管理杂志

The construction of a countywide community for medical and health services is designed to upgrade the service capacity of primary medical and health institutions, to promote resource sharing and collaborative services, and promote the hierarchical medical system. Huzhou of Zhejiang province has launched its initiative in building a countywide community for medical services since 2018. The authors summarized its main practices in promoting the integration of the management system and optimizing operating mechanism of countywide medical and health institutions, promoting the reform of the county medical and health governance system, as well as the achievements and shortcomings, with a view to providing reference for promoting the high-quality development of the countywide medical and health service system.

Contractual arrangements in the cattle beef chain: an analysis of trust / Arranjos contratuais na cadeia da carne bovina: uma análise da confiança

ABSTRACT: In Brazil, the conflict between cattlemen and the slaughterhouse industry is evident and historic in the beef cattle Agribusiness System, in which opportunistic behavior is commonplace. Accordingly, the role of trust is significant in trade decisions, which makes the analysis of trust in the construction process of governance structure an important factor. The present article aimed to identify the influence of trust in selecting the contractual arrangement in transactions between cattle ranchers and abattoirs. This qualitative and descriptive study used semi-structured interviews, done in loco, along with 30 beef cattle ranchers and five abattoirs in the west of São Paulo State. It was observed that transactions involve opportunistic behavior, and that trust is critical in selecting the contractual arrangement.

RESUMO: O conflito entre pecuarista e indústria frigorifica é evidente e histórico no Sistema Agroindustrial da carne bovina no Brasil, sendo comum a presença de comportamento oportunista. Nesse sentido, o papel da confiança se apresenta como significativo na decisão de troca, o que torna a análise da confiança no processo de construção da estrutura de governança um fator importante. O presente artigo teve como objetivo identificar a influência da confiança na escolha do arranjo contratual nas transações entre pecuaristas e frigoríficos. O estudo qualitativo e descritivo empregou entrevistas semi-estruturadas, realizadas in loco, junto a 30 pecuaristas de gado de corte e cinco frigoríficos localizados no Oeste Paulista. Observou-se que as transações envolvem comportamento oportunista, e que a confiança exerce fator significativo na escolha pelo arranjo contratual.

Viabilidade econômica da produção de frangos de corte sob diferentes estruturas de governança / Economic viability of broiler production under different governance structures

Objetivou-se verificar a viabilidade econômica da produção de frangos de corte sob mecanismos de governança híbrida e hierárquica. Estudos de caso foram escolhidos para avaliação da atividade em núcleos de empresas integradoras e de produtores rurais integrados. Realizou-se pesquisa de campo para coleta de dados em 36 unidades de produção em Minas Gerais. Informações provenientes de 216 lotes produzidos entre agosto de 2015 e agosto de 2016 foram utilizadas nas análises econômicas. O cálculo dos custos baseou-se na metodologia proposta pela Embrapa - CNPSA e IEA - SP. As análises econômicas se realizaram conforme proposto pelo DAE - Ufla e pela Conab. Constatou-se que o custo com mão de obra causou maior impacto sobre o desempenho econômico de núcleos com estruturas de governança distintas. No modelo de produção via governança hierárquica, mesmo se considerando receitas secundárias ao processo de produção de aves, verificou-se prejuízo financeiro na atividade. Concluiu-se que a estrutura de governança híbrida representou melhor alternativa econômica que a internalização do processo de criação de frangos pelas empresas integradoras. Assim, sugere-se que empresas integradoras esgotem as possibilidades de produção via contrato de integração antes de investirem recursos em instalações próprias de criação.(AU)

The objective was to verify the economic feasibility in the production of broilers under hybrid and hierarchical governance mechanisms. Case studies were used to evaluate the activity of the integrating company and the integrated rural producers. The primary data about costs, income, and zootechnical indicators were collected in 36 poultry production units belonging to an integrated company and five rural producers, in state of Minas Gerais. Data from 216 batches of broilers produced between August 2015 and August 2016 were used in the economic analysis. Costs calculation was based on the methodology proposed by EMBRAPA - CNPSA and IEA - SP. The economic analyzes were carried out as proposed by DAE UFLA and CONAB. It was verified that the cost of labor caused the greatest impact on the economic performance of cores with different governance structures. In all breeding sites via hierarchical governance, even considering secondary revenues, there was a financial loss in the activity. It was concluded that the hybrid governance represented a better economic alternative than the internalization of the broiler production by integrating companies. Thus, it is suggested that integrating companies deplete the production possibilities through an integration contract before investing resources in their own breeding facilities.(AU)

Explorations of the healthcare group reform: Edong Healthcare Group / 中华医院管理杂志

Edong Healthcare Group is cited as an example to introduce the founding background, and summarize its successful practices and outcomes in corporate governance, internal operation management mechanism, and optimized resources deployment within the group.Win-win mechanism is proposed as the key to a successful grouping reform, and further experiment with the hierarchical medical system is recommended for deeper reform in building groups of public hospitals.

Empirical study on the relationship between hospital governance structure and social responsibility / 中华医院管理杂志

This paper sampled 79 TCM hospitals above county level in Jiangsu Province for research.With hospital ownership,board governance and hospital directors as three dimension of internal governance structure,the multiple regression model was used to investigate the impact of such structure on its social responsibility performance.Education level,number of hospital directors,and their values are found to be significant factors on their social responsibility performance.

Practice and insight of corporate governance structure at Jiangsu Kangfu Medical Group / 中华医院管理杂志

Establishing a corporate governance structure is an important goal in this round of public hospital reform.The “group plus corporate governance” model in Zhenjiang is highly typical and significant for building such a structure.This paper introduced the main measures of the group,analyzed the main problems found and proposed policies correspondingly.

Research and practice on corporate governance of public hospitals / 中华医院管理杂志

The paper reviewed basic concepts of corporate governance.Based on these concepts,the authors proposed the general strategy and practices for introducing corporate governance structure at the hospital,and stated key characteristics of such a structural reform,thus making worthwhile attempts to this direction.

Practices and insights on building the corporate governance structure / 中华医院管理杂志

An retrospective review of the 16-year reforms made by Dongyang People's Hospital for building a corporate governance structure, implementing the president responsibility system under the board of directors, and consolidating the independent legal person status of hospitals. Practices made in the hospital prove that a well-functioning corporate governance structure is key to the separation of hospital administration from service, that of hospital management from operation, and that of hospital ownership from operation right. Moreover, it also serves as an effective model for consolidating the independent legal person status of public hospitals, and promoting their sustainable development, in an effort to carry out reforms in such hospitals.

Theoretical thoughts on corporate governance structure in public hospitals / 中华医院管理杂志

The paper systematically elaborated the concept of corporate governance structure of public hospitals and theories in relation. In addition, it analyzed the status quo and problems existing in corporate governance structure of public hospitals in China, proposing the basic principles and the council model of corporate governance structure. The authors emphasized the following responsibilities and rights of the council, the president, and the board of supervisors in such a framework: 1) As the hospital's highest decision-maker, the council exercises the rights of ownership, playing a decisive role in hospital management; 2) the president is appointed and dismissed by the council, and authorized to run the hospital; 3) the supervisors are responsible for overseeing the council and senior management. In the end, this paper summarized the external environment required for building corporate governance structure of public hospitals.