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Public Hospitals in China: The Next Priority for Meaningful Health Care Reform

Public Hospitals in China: The Next Priority for Meaningful Health Care Reform

Donghai Wei, Louis Rubino
Copyright: © 2015 |Volume: 4 |Issue: 1 |Pages: 20
ISSN: 2155-6423|EISSN: 2155-6431|EISBN13: 9781466679795|DOI: 10.4018/IJPPHME.2015010104
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MLA

Wei, Donghai, and Louis Rubino. "Public Hospitals in China: The Next Priority for Meaningful Health Care Reform." IJPPHME vol.4, no.1 2015: pp.53-72. http://doi.org/10.4018/IJPPHME.2015010104

APA

Wei, D. & Rubino, L. (2015). Public Hospitals in China: The Next Priority for Meaningful Health Care Reform. International Journal of Public and Private Healthcare Management and Economics (IJPPHME), 4(1), 53-72. http://doi.org/10.4018/IJPPHME.2015010104

Chicago

Wei, Donghai, and Louis Rubino. "Public Hospitals in China: The Next Priority for Meaningful Health Care Reform," International Journal of Public and Private Healthcare Management and Economics (IJPPHME) 4, no.1: 53-72. http://doi.org/10.4018/IJPPHME.2015010104

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Abstract

China has had some initial success in its current health care reform efforts. Five areas of reform have been targeted and include providing universal coverage, equitable access to basic health insurance, establishing an essential medicine system, and improving primary health care facilities. The last area, the reform of the public hospitals, remains the most difficult to reform. General guidelines have been established by the national government and movement is being taken to delegate authority to local units for implementation. The aim of this paper is to compare China's formal government sponsored health care reform plan for public hospitals to the acknowledgement and acceptance by a sample of health care leaders in Guangzhou. Challenges are strong and include cost accountability, doctor training, employee empowerment, improprieties, and the influence of private hospitals. Based on this qualitative research, conclusions and recommendations are made by the authors as to what is necessary to have effective pubic hospital reform in China.

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