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The hospital of the future in China: China's reform of public hospitals and trends from industrialized countries

Health policy and planning, 2014-05, Vol.29 (3), p.367-378 [Peer Reviewed Journal]

2014 Oxford University Press ;Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved. 2013 ;Copyright Oxford Publishing Limited(England) May 2014 ;ISSN: 0268-1080 ;EISSN: 1460-2237 ;DOI: 10.1093/heapol/czt023 ;PMID: 23612847 ;CODEN: HPOPEV

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Title:
The hospital of the future in China: China's reform of public hospitals and trends from industrialized countries
Author: Barber, Sarah L ; Borowitz, Michael ; Bekedam, Henk ; Ma, Jin
Subjects: China ; China (People's Republic) ; Cost ; Cost reduction ; Developed Countries ; Forecasting ; Goals ; Health administration ; Health care ; Health care expenditures ; Health care policy ; Health Care Reform - trends ; Health costs ; Health expenditure ; Health policy ; Health Policy - trends ; Hospitals ; Hospitals, Public - organization & administration ; Hospitals, Public - trends ; Humans ; Industrialized nations ; Medical service ; Original articles ; Population Dynamics - trends ; Public expenditure ; Public health ; Reforms ; Studies
Is Part Of: Health policy and planning, 2014-05, Vol.29 (3), p.367-378
Description: Hospitals compose a large share of total health spending in most countries, and thus have been the target of reforms to improve efficiency and reduce costs. In China, the government implemented national health care reform to improve access to essential services and reduce high out-of-pocket medical spending. A key component is the comprehensive reform of public hospitals on a pilot basis, although it remains one of the least understood aspects of health care reform in China. This article outlines the main goals of the reform of public hospitals in China, progress to date and the direction of reform between now and 2015. Then, we review experiences from industrialized countries and discuss the applicability to the Chinese reform process. Based on the policy directions focusing on efficiency and quality, and reflecting on how hospital systems in other countries have responded, the article concludes that the hospital of the future in China operates at county level. Barriers to realizing this are discussed.
Publisher: England: OXFORD UNIVERSITY PRESS
Language: English
Identifier: ISSN: 0268-1080
EISSN: 1460-2237
DOI: 10.1093/heapol/czt023
PMID: 23612847
CODEN: HPOPEV
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central

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The hospital of the future in China: China's reform of public hospitals and trends from industrialized countries

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