Fixing the Public Hospital System in China
In recent years, Chinese health care has improved rapidly, especially in the areas of equity and accessibility of services, as well as the movement toward universal coverage. A new round of health care reform, which was announced in April 2009, began implementation in 2010, with reform pilots in 16 urban areas. This paper analyzes a key pillar of this ongoing reform process, public hospital management. First, the paper reviews the history of public hospital reform, discusses hospital functions and responsibilities, and describes the structure and supply of health services. Second, it describes the main policy issues facing public hospitals, including financing sources and the hospital market environment. Third, it examines organizational arrangements in public hospitals, focusing on decision rights and governance. Fourth, the paper offers an international perspective and framework for assessing hospital reform. Finally, it summarizes the main policy issues and suggests next steps for policy reform. The paper draws on recent publications, grey literature, media reports, and interviews with key stakeholders.
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dig-okr-1098627720 |
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| record_format |
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| institution |
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| countrycode |
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| databasecode |
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English en_US |
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ACUTE CARE ACUTE CARE HOSPITALS ADEQUATE FOOD ADMINISTRATIVE SERVICES AGING BABY BASIC HEALTH SERVICES BEDS BRAIN DRAIN CERTIFICATION CHILD CARE CHILD HEALTH CITIES CITIZENS CLINICIAN CLINICIANS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COUNSELING DESCRIPTION DEVELOPMENT STRATEGIES DIAGNOSIS DISASTERS DISEASE CONTROL DOCTORS DRUGS EARTHQUAKE ECONOMIC DEVELOPMENT ECONOMIC POLICY EMERGENCIES EMERGENCY CASES EMERGENCY MEDICAL SERVICES EMERGENCY SERVICES EMPLOYMENT EXPENDITURE CONTROL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEE-FOR-SERVICE FEES FOR SERVICES FINANCIAL MANAGEMENT FINANCING POLICIES FIXED COSTS GOVERNMENT DEPARTMENTS GOVERNMENT OFFICES GOVERNMENT POLICIES GOVERNMENT PROMOTION GOVERNMENT SUPPORT HEALTH ADMINISTRATION HEALTH AUTHORITIES HEALTH CARE HEALTH CARE REFORM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH PLANS HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH-SECTOR HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL MANAGERS HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSING HOUSING CONSTRUCTION HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE CONSTRUCTION INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INSURERS INTERVENTION LARGE CITIES LEASING LIFE EXPECTANCY LIVING STANDARDS LOCAL GOVERNMENTS MANAGEMENT SYSTEMS MANDATES MATERNAL HEALTH MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL STAFF MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORTALITY MORTGAGES NATIONAL DEVELOPMENT NATURAL DISASTERS NURSING NURSING HOMES NUTRITION OCCUPANCY OCCUPANCY RATES OPEN DOOR OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENTS PHARMACIES PHARMACY PHYSICIAN PHYSICIANS PHYSIOTHERAPY POOR FAMILIES PRACTITIONERS PRESCRIPTIONS PREVENTIVE HEALTH CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REGIONAL PLANNING REHABILITATION RESEARCH PROJECTS RURAL AREAS RURAL POPULATION RURAL RESIDENTS SAFETY SCREENING SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SET OF RECOMMENDATIONS SOCIAL HEALTH INSURANCE SOCIAL RESPONSIBILITIES SOCIAL SECURITY SOCIAL SUPPORT SOCIAL WELFARE SOCIALIZATION SURGERY TEACHING HOSPITALS TREATMENT SERVICES TREATMENTS URBAN AREAS USE OF RESOURCES VILLAGES VISITS VULNERABLE GROUPS WASTE WORKERS ACUTE CARE ACUTE CARE HOSPITALS ADEQUATE FOOD ADMINISTRATIVE SERVICES AGING BABY BASIC HEALTH SERVICES BEDS BRAIN DRAIN CERTIFICATION CHILD CARE CHILD HEALTH CITIES CITIZENS CLINICIAN CLINICIANS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COUNSELING DESCRIPTION DEVELOPMENT STRATEGIES DIAGNOSIS DISASTERS DISEASE CONTROL DOCTORS DRUGS EARTHQUAKE ECONOMIC DEVELOPMENT ECONOMIC POLICY EMERGENCIES EMERGENCY CASES EMERGENCY MEDICAL SERVICES EMERGENCY SERVICES EMPLOYMENT EXPENDITURE CONTROL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEE-FOR-SERVICE FEES FOR SERVICES FINANCIAL MANAGEMENT FINANCING POLICIES FIXED COSTS GOVERNMENT DEPARTMENTS GOVERNMENT OFFICES GOVERNMENT POLICIES GOVERNMENT PROMOTION GOVERNMENT SUPPORT HEALTH ADMINISTRATION HEALTH AUTHORITIES HEALTH CARE HEALTH CARE REFORM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH PLANS HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH-SECTOR HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL MANAGERS HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSING HOUSING CONSTRUCTION HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE CONSTRUCTION INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INSURERS INTERVENTION LARGE CITIES LEASING LIFE EXPECTANCY LIVING STANDARDS LOCAL GOVERNMENTS MANAGEMENT SYSTEMS MANDATES MATERNAL HEALTH MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL STAFF MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORTALITY MORTGAGES NATIONAL DEVELOPMENT NATURAL DISASTERS NURSING NURSING HOMES NUTRITION OCCUPANCY OCCUPANCY RATES OPEN DOOR OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENTS PHARMACIES PHARMACY PHYSICIAN PHYSICIANS PHYSIOTHERAPY POOR FAMILIES PRACTITIONERS PRESCRIPTIONS PREVENTIVE HEALTH CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REGIONAL PLANNING REHABILITATION RESEARCH PROJECTS RURAL AREAS RURAL POPULATION RURAL RESIDENTS SAFETY SCREENING SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SET OF RECOMMENDATIONS SOCIAL HEALTH INSURANCE SOCIAL RESPONSIBILITIES SOCIAL SECURITY SOCIAL SUPPORT SOCIAL WELFARE SOCIALIZATION SURGERY TEACHING HOSPITALS TREATMENT SERVICES TREATMENTS URBAN AREAS USE OF RESOURCES VILLAGES VISITS VULNERABLE GROUPS WASTE WORKERS |
| spellingShingle |
ACUTE CARE ACUTE CARE HOSPITALS ADEQUATE FOOD ADMINISTRATIVE SERVICES AGING BABY BASIC HEALTH SERVICES BEDS BRAIN DRAIN CERTIFICATION CHILD CARE CHILD HEALTH CITIES CITIZENS CLINICIAN CLINICIANS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COUNSELING DESCRIPTION DEVELOPMENT STRATEGIES DIAGNOSIS DISASTERS DISEASE CONTROL DOCTORS DRUGS EARTHQUAKE ECONOMIC DEVELOPMENT ECONOMIC POLICY EMERGENCIES EMERGENCY CASES EMERGENCY MEDICAL SERVICES EMERGENCY SERVICES EMPLOYMENT EXPENDITURE CONTROL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEE-FOR-SERVICE FEES FOR SERVICES FINANCIAL MANAGEMENT FINANCING POLICIES FIXED COSTS GOVERNMENT DEPARTMENTS GOVERNMENT OFFICES GOVERNMENT POLICIES GOVERNMENT PROMOTION GOVERNMENT SUPPORT HEALTH ADMINISTRATION HEALTH AUTHORITIES HEALTH CARE HEALTH CARE REFORM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH PLANS HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH-SECTOR HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL MANAGERS HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSING HOUSING CONSTRUCTION HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE CONSTRUCTION INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INSURERS INTERVENTION LARGE CITIES LEASING LIFE EXPECTANCY LIVING STANDARDS LOCAL GOVERNMENTS MANAGEMENT SYSTEMS MANDATES MATERNAL HEALTH MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL STAFF MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORTALITY MORTGAGES NATIONAL DEVELOPMENT NATURAL DISASTERS NURSING NURSING HOMES NUTRITION OCCUPANCY OCCUPANCY RATES OPEN DOOR OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENTS PHARMACIES PHARMACY PHYSICIAN PHYSICIANS PHYSIOTHERAPY POOR FAMILIES PRACTITIONERS PRESCRIPTIONS PREVENTIVE HEALTH CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REGIONAL PLANNING REHABILITATION RESEARCH PROJECTS RURAL AREAS RURAL POPULATION RURAL RESIDENTS SAFETY SCREENING SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SET OF RECOMMENDATIONS SOCIAL HEALTH INSURANCE SOCIAL RESPONSIBILITIES SOCIAL SECURITY SOCIAL SUPPORT SOCIAL WELFARE SOCIALIZATION SURGERY TEACHING HOSPITALS TREATMENT SERVICES TREATMENTS URBAN AREAS USE OF RESOURCES VILLAGES VISITS VULNERABLE GROUPS WASTE WORKERS ACUTE CARE ACUTE CARE HOSPITALS ADEQUATE FOOD ADMINISTRATIVE SERVICES AGING BABY BASIC HEALTH SERVICES BEDS BRAIN DRAIN CERTIFICATION CHILD CARE CHILD HEALTH CITIES CITIZENS CLINICIAN CLINICIANS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COUNSELING DESCRIPTION DEVELOPMENT STRATEGIES DIAGNOSIS DISASTERS DISEASE CONTROL DOCTORS DRUGS EARTHQUAKE ECONOMIC DEVELOPMENT ECONOMIC POLICY EMERGENCIES EMERGENCY CASES EMERGENCY MEDICAL SERVICES EMERGENCY SERVICES EMPLOYMENT EXPENDITURE CONTROL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEE-FOR-SERVICE FEES FOR SERVICES FINANCIAL MANAGEMENT FINANCING POLICIES FIXED COSTS GOVERNMENT DEPARTMENTS GOVERNMENT OFFICES GOVERNMENT POLICIES GOVERNMENT PROMOTION GOVERNMENT SUPPORT HEALTH ADMINISTRATION HEALTH AUTHORITIES HEALTH CARE HEALTH CARE REFORM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH PLANS HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH-SECTOR HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL MANAGERS HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSING HOUSING CONSTRUCTION HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE CONSTRUCTION INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INSURERS INTERVENTION LARGE CITIES LEASING LIFE EXPECTANCY LIVING STANDARDS LOCAL GOVERNMENTS MANAGEMENT SYSTEMS MANDATES MATERNAL HEALTH MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL STAFF MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORTALITY MORTGAGES NATIONAL DEVELOPMENT NATURAL DISASTERS NURSING NURSING HOMES NUTRITION OCCUPANCY OCCUPANCY RATES OPEN DOOR OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENTS PHARMACIES PHARMACY PHYSICIAN PHYSICIANS PHYSIOTHERAPY POOR FAMILIES PRACTITIONERS PRESCRIPTIONS PREVENTIVE HEALTH CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REGIONAL PLANNING REHABILITATION RESEARCH PROJECTS RURAL AREAS RURAL POPULATION RURAL RESIDENTS SAFETY SCREENING SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SET OF RECOMMENDATIONS SOCIAL HEALTH INSURANCE SOCIAL RESPONSIBILITIES SOCIAL SECURITY SOCIAL SUPPORT SOCIAL WELFARE SOCIALIZATION SURGERY TEACHING HOSPITALS TREATMENT SERVICES TREATMENTS URBAN AREAS USE OF RESOURCES VILLAGES VISITS VULNERABLE GROUPS WASTE WORKERS World Bank Fixing the Public Hospital System in China |
| description |
In recent years, Chinese health care has
improved rapidly, especially in the areas of equity and
accessibility of services, as well as the movement toward
universal coverage. A new round of health care reform, which
was announced in April 2009, began implementation in 2010,
with reform pilots in 16 urban areas. This paper analyzes a
key pillar of this ongoing reform process, public hospital
management. First, the paper reviews the history of public
hospital reform, discusses hospital functions and
responsibilities, and describes the structure and supply of
health services. Second, it describes the main policy issues
facing public hospitals, including financing sources and the
hospital market environment. Third, it examines
organizational arrangements in public hospitals, focusing on
decision rights and governance. Fourth, the paper offers an
international perspective and framework for assessing
hospital reform. Finally, it summarizes the main policy
issues and suggests next steps for policy reform. The paper
draws on recent publications, grey literature, media
reports, and interviews with key stakeholders. |
| format |
Policy Note |
| topic_facet |
ACUTE CARE ACUTE CARE HOSPITALS ADEQUATE FOOD ADMINISTRATIVE SERVICES AGING BABY BASIC HEALTH SERVICES BEDS BRAIN DRAIN CERTIFICATION CHILD CARE CHILD HEALTH CITIES CITIZENS CLINICIAN CLINICIANS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COUNSELING DESCRIPTION DEVELOPMENT STRATEGIES DIAGNOSIS DISASTERS DISEASE CONTROL DOCTORS DRUGS EARTHQUAKE ECONOMIC DEVELOPMENT ECONOMIC POLICY EMERGENCIES EMERGENCY CASES EMERGENCY MEDICAL SERVICES EMERGENCY SERVICES EMPLOYMENT EXPENDITURE CONTROL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEE-FOR-SERVICE FEES FOR SERVICES FINANCIAL MANAGEMENT FINANCING POLICIES FIXED COSTS GOVERNMENT DEPARTMENTS GOVERNMENT OFFICES GOVERNMENT POLICIES GOVERNMENT PROMOTION GOVERNMENT SUPPORT HEALTH ADMINISTRATION HEALTH AUTHORITIES HEALTH CARE HEALTH CARE REFORM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH PLANS HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH-SECTOR HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL MANAGERS HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSING HOUSING CONSTRUCTION HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE CONSTRUCTION INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INSURERS INTERVENTION LARGE CITIES LEASING LIFE EXPECTANCY LIVING STANDARDS LOCAL GOVERNMENTS MANAGEMENT SYSTEMS MANDATES MATERNAL HEALTH MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL STAFF MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORTALITY MORTGAGES NATIONAL DEVELOPMENT NATURAL DISASTERS NURSING NURSING HOMES NUTRITION OCCUPANCY OCCUPANCY RATES OPEN DOOR OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENTS PHARMACIES PHARMACY PHYSICIAN PHYSICIANS PHYSIOTHERAPY POOR FAMILIES PRACTITIONERS PRESCRIPTIONS PREVENTIVE HEALTH CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REGIONAL PLANNING REHABILITATION RESEARCH PROJECTS RURAL AREAS RURAL POPULATION RURAL RESIDENTS SAFETY SCREENING SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SET OF RECOMMENDATIONS SOCIAL HEALTH INSURANCE SOCIAL RESPONSIBILITIES SOCIAL SECURITY SOCIAL SUPPORT SOCIAL WELFARE SOCIALIZATION SURGERY TEACHING HOSPITALS TREATMENT SERVICES TREATMENTS URBAN AREAS USE OF RESOURCES VILLAGES VISITS VULNERABLE GROUPS WASTE WORKERS |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Fixing the Public Hospital System in China |
| title_short |
Fixing the Public Hospital System in China |
| title_full |
Fixing the Public Hospital System in China |
| title_fullStr |
Fixing the Public Hospital System in China |
| title_full_unstemmed |
Fixing the Public Hospital System in China |
| title_sort |
fixing the public hospital system in china |
| publisher |
Washington, DC |
| publishDate |
2010 |
| url |
http://documents.worldbank.org/curated/en/947791468242107797/Main-report https://hdl.handle.net/10986/27720 |
| work_keys_str_mv |
AT worldbank fixingthepublichospitalsysteminchina |
| _version_ |
1809105231047294976 |
| spelling |
dig-okr-10986277202024-08-08T15:51:22Z Fixing the Public Hospital System in China World Bank ACUTE CARE ACUTE CARE HOSPITALS ADEQUATE FOOD ADMINISTRATIVE SERVICES AGING BABY BASIC HEALTH SERVICES BEDS BRAIN DRAIN CERTIFICATION CHILD CARE CHILD HEALTH CITIES CITIZENS CLINICIAN CLINICIANS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS COUNSELING DESCRIPTION DEVELOPMENT STRATEGIES DIAGNOSIS DISASTERS DISEASE CONTROL DOCTORS DRUGS EARTHQUAKE ECONOMIC DEVELOPMENT ECONOMIC POLICY EMERGENCIES EMERGENCY CASES EMERGENCY MEDICAL SERVICES EMERGENCY SERVICES EMPLOYMENT EXPENDITURE CONTROL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEE-FOR-SERVICE FEES FOR SERVICES FINANCIAL MANAGEMENT FINANCING POLICIES FIXED COSTS GOVERNMENT DEPARTMENTS GOVERNMENT OFFICES GOVERNMENT POLICIES GOVERNMENT PROMOTION GOVERNMENT SUPPORT HEALTH ADMINISTRATION HEALTH AUTHORITIES HEALTH CARE HEALTH CARE REFORM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH PLANS HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH-SECTOR HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL MANAGERS HOSPITAL PERSONNEL HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HOUSING HOUSING CONSTRUCTION HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE CONSTRUCTION INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INSURERS INTERVENTION LARGE CITIES LEASING LIFE EXPECTANCY LIVING STANDARDS LOCAL GOVERNMENTS MANAGEMENT SYSTEMS MANDATES MATERNAL HEALTH MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXPENSES MEDICAL FACILITIES MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL STAFF MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORTALITY MORTGAGES NATIONAL DEVELOPMENT NATURAL DISASTERS NURSING NURSING HOMES NUTRITION OCCUPANCY OCCUPANCY RATES OPEN DOOR OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT SATISFACTION PATIENTS PHARMACIES PHARMACY PHYSICIAN PHYSICIANS PHYSIOTHERAPY POOR FAMILIES PRACTITIONERS PRESCRIPTIONS PREVENTIVE HEALTH CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES RADIOLOGY REGIONAL PLANNING REHABILITATION RESEARCH PROJECTS RURAL AREAS RURAL POPULATION RURAL RESIDENTS SAFETY SCREENING SERVICE DELIVERY SERVICE PROVISION SERVICE QUALITY SET OF RECOMMENDATIONS SOCIAL HEALTH INSURANCE SOCIAL RESPONSIBILITIES SOCIAL SECURITY SOCIAL SUPPORT SOCIAL WELFARE SOCIALIZATION SURGERY TEACHING HOSPITALS TREATMENT SERVICES TREATMENTS URBAN AREAS USE OF RESOURCES VILLAGES VISITS VULNERABLE GROUPS WASTE WORKERS In recent years, Chinese health care has improved rapidly, especially in the areas of equity and accessibility of services, as well as the movement toward universal coverage. A new round of health care reform, which was announced in April 2009, began implementation in 2010, with reform pilots in 16 urban areas. This paper analyzes a key pillar of this ongoing reform process, public hospital management. First, the paper reviews the history of public hospital reform, discusses hospital functions and responsibilities, and describes the structure and supply of health services. Second, it describes the main policy issues facing public hospitals, including financing sources and the hospital market environment. Third, it examines organizational arrangements in public hospitals, focusing on decision rights and governance. Fourth, the paper offers an international perspective and framework for assessing hospital reform. Finally, it summarizes the main policy issues and suggests next steps for policy reform. The paper draws on recent publications, grey literature, media reports, and interviews with key stakeholders. 2017-08-10T20:27:44Z 2017-08-10T20:27:44Z 2010 Policy Note Document de politique générale Documento de políticas http://documents.worldbank.org/curated/en/947791468242107797/Main-report https://hdl.handle.net/10986/27720 English en_US China Health Policy Notes;No. 2 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank application/pdf text/plain Washington, DC |