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1 |
ID:
116510
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Publication |
2012.
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Summary/Abstract |
This paper investigates the regional hospital efficiency in China during the 2002-2008 period, especially for how the health insurance reform of New Rural Cooperative Medical System (NRCMS) impacts on efficiency. Adopting the non-parametric technique of data envelopment analysis (DEA) to handle the feature of multiple outputs and undesirable outputs in the hospital industry, empirical estimates indicate that hospital efficiency is moderate that increased slightly from 0.6777 to 0.8098 during the sample period. However, it ranges widely from 0.396 to 1 across provinces. The regression analysis on examining determinants of efficiency suggests that a higher proportion of for-profit hospital and high quality hospital is helpful to enhance technical efficiency. We find a negative relationship between government subsidy and efficiency for coastal regions. While technical efficiency varies considerable across provinces, there is no significant difference between coastal and non-coastal regions being found, after controlling for other variables. Crucially, the medical reform of NRCMS overall has a significant efficiency-enhancing effect, particularly for non-coastal regions, ceteris paribus. It highlights the effectiveness of NRCMS on promoting medical service accessibility for rural residents.
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2 |
ID:
097325
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3 |
ID:
151563
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Summary/Abstract |
China’s public health system has gone through a number of development stages. This paper aims at showing how, from its inception as a hierarchical system, the healthcare system then lost its structure, to finally give birth to a focalised system where the first point of entry in the treatment process has become the hospital, in particular the healthcare establishments that offer the most reliable standards of care. These days, the widely-acknowledged inefficiencies of the healthcare system have led to a climate of violence between medical staff and their patients, caused by the overwhelming demand that hospitals must bear, the ambiguous status of public establishments, financial benefits and other perks for medical staff, as well as the medical staff’s civil servant status, and the implications thereof. Policies to foster the development of primary health centres are struggling to gain traction, while digital healthcare offers promising solutions and is developing fast.
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4 |
ID:
106510
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Publication |
2011.
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Summary/Abstract |
Hong Kong's hospital system has long been the territory of Western medicine. However, during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003, an integrative approach, combining Chinese and Western medicines, was used in some hospitals in Hong Kong, suggesting a revival of Chinese medicine in the hospital system of this former British colony. This paper will explain how this could happen, by situating the event in the over 160 years' long history of Chinese medicine in Hong Kong. Specifically, it will focus on the role of 'Chinese medicine' and 'traditional Chinese medicine' in Tung Wah Hospital, a local charity established in 1870, which grew subsequently into one of the largest voluntary organizations in Hong Kong. It will also show how the fall and revival of Chinese medicine in this hospital were related to two epidemics: the bubonic plague in 1894, and the SARS outbreak in 2003.
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5 |
ID:
106391
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6 |
ID:
126076
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Publication |
2012.
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Summary/Abstract |
Previous reports have identified the development of healthcare coalitions as the foundation for disaster response across the United States. This survey of acute care hospitals characterizes the current status of participation by US hospitals in healthcare coalitions for emergency preparedness planning and response. The survey results show the nearly universal nature of a coalition approach to disaster response. The results suggest a need for wide stakeholder involvement but also for flexibility in structure and organization. Based on the survey results, the authors make recommendations to guide the further development of healthcare coalitions and to improve local and national response to disasters.
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