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3 | (10) |
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3 | (1) |
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4 | (6) |
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4 | (1) |
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4 | (1) |
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5 | (1) |
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5 | (1) |
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1.2.5 Organizational Structure |
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6 | (2) |
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1.2.6 Technological Roadmap |
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8 | (1) |
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1.2.7 Conducting the Investigation |
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9 | (1) |
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1.3 Investigation Results |
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10 | (3) |
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11 | (2) |
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2 Review of Chinese Public Hospital Reform |
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13 | (18) |
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2.1 Overview of Chinese Public Hospital Reform |
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13 | (1) |
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14 | (9) |
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2.2.1 Separation of Government Functions from Those of Institutions |
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14 | (6) |
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2.2.2 Separation of Management from Operations |
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20 | (1) |
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2.2.3 Separation of Prescriptions from Dispensing of Drugs |
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20 | (2) |
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2.2.4 Separation of the For-profit and Nonprofit Nature of Hospitals |
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22 | (1) |
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23 | (8) |
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23 | (1) |
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23 | (7) |
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30 | (1) |
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3 Basic Information Survey for Large Public Hospital Reform |
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31 | (12) |
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3.1 Basic Information on Medical Staff |
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31 | (4) |
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3.1.1 General Information |
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31 | (2) |
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33 | (2) |
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3.2 Basic Information on Patients |
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35 | (2) |
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3.2.1 General Information |
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35 | (1) |
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36 | (1) |
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37 | (6) |
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3.3.1 Basic Information of Medical Staff |
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37 | (1) |
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3.3.2 Basic Information of Patients |
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38 | (1) |
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39 | (4) |
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Part II Series of Survey Reports on Large Public Hospital Reform |
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4 Survey on Public Welfare of Public Hospitals |
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43 | (16) |
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43 | (2) |
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43 | (1) |
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43 | (1) |
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44 | (1) |
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4.2 Perception of the Public Welfare of Public Hospitals |
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45 | (1) |
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4.3 Expectations for Public Welfare of Public Hospitals |
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45 | (7) |
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45 | (4) |
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4.3.2 Administrative Staff |
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49 | (3) |
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4.4 Assessment of Public Welfare of Public Hospitals |
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52 | (2) |
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4.4.1 Perceptions of the Current Implementation of Public Welfare of Public Hospitals |
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52 | (1) |
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4.4.2 Perception of Public Hospitals' Diagnosis and Treatment Quality |
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52 | (1) |
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4.4.3 Evaluation of Public Health Services in Public Hospitals |
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53 | (1) |
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4.5 Relationship Between Nonprofit and for-Profit Goals |
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54 | (1) |
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55 | (4) |
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57 | (2) |
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5 Survey of Outpatient Satisfaction with Large Public Hospitals |
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59 | (16) |
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59 | (2) |
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59 | (1) |
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59 | (2) |
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61 | (1) |
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61 | (1) |
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5.2 Outpatient Satisfaction |
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61 | (11) |
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61 | (4) |
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5.2.2 Medical Staff Service Attitude |
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65 | (2) |
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5.2.3 Diagnosis and Treatment Quality |
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67 | (1) |
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68 | (1) |
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5.2.5 Hospital Environment |
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69 | (1) |
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5.2.6 Overall Satisfaction |
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69 | (3) |
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5.3 Factors That Influence Satisfaction |
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72 | (1) |
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73 | (2) |
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74 | (1) |
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6 Survey on Health-Seeking Behavior in Large Public Hospital Patients |
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75 | (14) |
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75 | (2) |
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75 | (1) |
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75 | (2) |
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77 | (1) |
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77 | (1) |
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6.2 Motivation for Health-Seeking Behavior |
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77 | (2) |
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6.2.1 Seeking Medical Treatment in the Past Year |
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77 | (1) |
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6.2.2 Influence of Social Relationships on Health-Seeking Behavior |
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78 | (1) |
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6.2.3 Not Seeking Medical Treatment When Ill |
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78 | (1) |
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6.2.4 Reasons for Not Seeking Medical Treatment When Ill |
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78 | (1) |
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6.3 Current Situation of Health-Seeking Behavior |
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79 | (2) |
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79 | (1) |
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6.3.2 Medical Institution Choices for Ailments or Common Illnesses |
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80 | (1) |
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6.3.3 Medical Institution Choices for Chronic Diseases |
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80 | (1) |
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6.3.4 Medical Institution Choices for Serious Illnesses |
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81 | (1) |
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6.4 Factors Influencing Health-Seeking Behavior |
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81 | (5) |
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6.4.1 Diagnosis and Treatment Quality |
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84 | (1) |
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6.4.2 Medical Environment |
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84 | (1) |
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84 | (1) |
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85 | (1) |
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85 | (1) |
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85 | (1) |
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86 | (1) |
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6.4.8 Self-rated Health Status |
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86 | (1) |
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86 | (3) |
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87 | (2) |
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7 Survey on Well-Being of Doctors in Large Public Hospitals |
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89 | (20) |
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91 | (1) |
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91 | (1) |
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7.1.2 Factors That Influence Satisfaction |
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91 | (1) |
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7.2 Well-Being of Doctors in Large Public Hospitals |
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91 | (13) |
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91 | (6) |
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7.2.2 Doctors and Patients |
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97 | (3) |
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100 | (4) |
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7.3 Daily Working Time, Job Satisfaction, and Expected Income |
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104 | (2) |
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106 | (3) |
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107 | (2) |
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8 Survey on Two-Way Referrals Between Large Public Hospitals and Community Health Service Centers |
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109 | (14) |
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109 | (1) |
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109 | (1) |
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109 | (1) |
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109 | (1) |
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8.2 Basic Information on Patients and Doctors |
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110 | (4) |
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8.2.1 Basic Information on Patients |
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110 | (2) |
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8.2.2 Basic Information on Doctors |
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112 | (2) |
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8.3 Doctors' and Patients' Cognitions on Two-Way Referral |
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114 | (6) |
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8.3.1 Patients' Cognitions |
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114 | (4) |
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8.3.2 Doctors' Cognitions |
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118 | (2) |
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120 | (3) |
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121 | (2) |
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9 Survey on Multisite Licenses in Large Public Hospitals |
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123 | (14) |
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123 | (2) |
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123 | (1) |
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123 | (2) |
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125 | (1) |
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125 | (1) |
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9.2 Large Public Hospital Doctors' Knowledge of Multisite Licenses |
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125 | (1) |
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9.2.1 Knowledge of Policies |
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125 | (1) |
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9.2.2 Knowledge of Multisite Practice |
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126 | (1) |
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9.3 Large Public Hospital Doctors' Demand for Multisite Licenses |
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126 | (2) |
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9.3.1 Doctors' Work Burden |
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126 | (1) |
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9.3.2 Difficulty of Obtaining Medical Services |
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126 | (2) |
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9.4 Factors Influencing Large Public Hospital Doctors' Preferences for Multisite Licenses |
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128 | (5) |
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9.4.1 Hospital Policy Bias |
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128 | (1) |
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9.4.2 Importance of Doctors' Mobility |
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128 | (1) |
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9.4.3 Doctors' Desire for Multisite Practice |
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129 | (2) |
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9.4.4 Doctors' Willingness to Practice at Multiple Sites |
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131 | (1) |
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9.4.5 Number of Additional Institutions that Doctors Are Willing to Practice At |
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131 | (1) |
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9.4.6 Supporting Policies |
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131 | (2) |
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133 | (4) |
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135 | (2) |
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10 Survey on Translational Medicine in Large Public Hospitals |
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137 | (42) |
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137 | (1) |
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137 | (1) |
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137 | (1) |
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137 | (1) |
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138 | (1) |
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10.2 Medical Staff's Knowledge of Translational Medicine in Large Public Hospitals |
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138 | (6) |
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10.2.1 Administrative Staff |
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138 | (2) |
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140 | (2) |
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142 | (2) |
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10.3 Medical Staff's Views on the Necessity of Translational Medicine Centers in Large Public Hospitals |
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144 | (5) |
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10.3.1 Administrative Staff |
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144 | (2) |
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146 | (1) |
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146 | (3) |
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10.4 Understanding of Research-Oriented Hospitals |
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149 | (25) |
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10.4.1 Administrative Staff's Understanding of Research-Oriented Hospitals |
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149 | (9) |
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10.4.2 Doctors' Understanding of Research-Oriented Hospitals |
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158 | (7) |
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10.4.3 Nurses' Understanding of Research-Oriented Hospitals |
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165 | (9) |
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174 | (5) |
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176 | (3) |
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11 Overall Assessments and Policy Recommendations |
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179 | (8) |
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179 | (4) |
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11.2 Suggestions to Further Encourage Public Hospital Reform |
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183 | (4) |
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11.2.1 Perfect the Healthcare System and Optimize the Structure of Medical Resources |
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183 | (1) |
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11.2.2 Promote Higher-Level Reform and Achieve Fundamental Improvements in Institutional Mechanisms |
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183 | (1) |
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11.2.3 Accelerate the Establishment of Sustainable Public Hospital Funding Mechanisms and a Research-Based Payment System and Improve the Welfare of Public Medical Institutions |
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184 | (3) |
References |
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187 | |