Reforming profit-seeking mechanism is the key to public hospital reform / 中国卫生政策研究

The profit-seeking mechanism which has emerged as an unexpected result of a series of policy choices during the market-oriented healthcare reform is the root cause of almost all problems among the public hospi-tals, and hence the key to the public hospital reform.The mechanism is comprised by three components including the pressure mechanism to create the revenue, the enlargement mechanism to reimburse costs, and the linkage mecha-nism between employee income and hospital surplus.Therefore, a comprehensive policy package should be adopted to undertake these three aspects among which the linkage mechanism is the crucial one.

Entrusted management of public hospitals and its implications / 中华医院管理杂志

Objective By analyzing the effect of adopting the responsibility system for entrusted asset management targets in some public hospitals the paper aims to explore the feasibility of doing so as to provide lessons for the reform of public hospitals in China. Methods Interviews of focus groups and surveys through questionnaires were conducted to find out about reform in the management of public hospitals in Wuxi City of Jiangsu Province, including successes and problems. Results Some problems remain to be solved while effects have been achieved in the entrusted management of public hospitals. Conclusion Reform of hospitals through entrusted management is currently a way of deepening the reform of public hospitals. Some preliminary conditions are already in place for reform in the system of public hospitals, yet support is stili needed in terms of sound policy and environment. In future reform should go a step further in personnel and distribution systems, supervised asset management, and the estabh'shment and perfection of the Corporation management structure. More efforts need to be made by the state in encouraging explorations and strengthening guidance.