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Investigation Report on Large Public Hospital Reforms in China 1st ed. 2016 [Kõva köide]

  • Formaat: Hardback, 188 pages, kõrgus x laius: 235x155 mm, kaal: 4691 g, 16 Tables, color; 18 Illustrations, color; 5 Illustrations, black and white; XV, 188 p. 23 illus., 18 illus. in color., 1 Hardback
  • Sari: Current Chinese Economic Report Series
  • Ilmumisaeg: 15-Dec-2015
  • Kirjastus: Springer Verlag, Singapore
  • ISBN-10: 9811000379
  • ISBN-13: 9789811000379
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  • Formaat: Hardback, 188 pages, kõrgus x laius: 235x155 mm, kaal: 4691 g, 16 Tables, color; 18 Illustrations, color; 5 Illustrations, black and white; XV, 188 p. 23 illus., 18 illus. in color., 1 Hardback
  • Sari: Current Chinese Economic Report Series
  • Ilmumisaeg: 15-Dec-2015
  • Kirjastus: Springer Verlag, Singapore
  • ISBN-10: 9811000379
  • ISBN-13: 9789811000379
Teised raamatud teemal:

This book provides a comprehensive understanding of public hospital reform in China, which is a hot topic for China’s new round of health sector reform. The authors use rich data from both health provider side and service user side and conduct a cross-sectional study in China with some comparative analysis between different locations. It provides the audience with a big picture of China’s public hospital and other components of health system as well. The book reviews the main policy measurements in the public hospital reforms and evaluates how these policies influence public hospitals' practices, especially on hospital governance and internal management. 

Part I Pandect
1 Background
3(10)
1.1 Research Background
3(1)
1.2 Survey Program
4(6)
1.2.1 Research Objective
4(1)
1.2.2 Research Design
4(1)
1.2.3 Research Content
5(1)
1.2.4 Research Scope
5(1)
1.2.5 Organizational Structure
6(2)
1.2.6 Technological Roadmap
8(1)
1.2.7 Conducting the Investigation
9(1)
1.3 Investigation Results
10(3)
References
11(2)
2 Review of Chinese Public Hospital Reform
13(18)
2.1 Overview of Chinese Public Hospital Reform
13(1)
2.2 Practical Measures
14(9)
2.2.1 Separation of Government Functions from Those of Institutions
14(6)
2.2.2 Separation of Management from Operations
20(1)
2.2.3 Separation of Prescriptions from Dispensing of Drugs
20(2)
2.2.4 Separation of the For-profit and Nonprofit Nature of Hospitals
22(1)
2.3 Evaluation
23(8)
2.3.1 Progress
23(1)
2.3.2 Problems
23(7)
References
30(1)
3 Basic Information Survey for Large Public Hospital Reform
31(12)
3.1 Basic Information on Medical Staff
31(4)
3.1.1 General Information
31(2)
3.1.2 Economic Situation
33(2)
3.2 Basic Information on Patients
35(2)
3.2.1 General Information
35(1)
3.2.2 Economic Situation
36(1)
3.3 Summary
37(6)
3.3.1 Basic Information of Medical Staff
37(1)
3.3.2 Basic Information of Patients
38(1)
References
39(4)
Part II Series of Survey Reports on Large Public Hospital Reform
4 Survey on Public Welfare of Public Hospitals
43(16)
4.1 Overview
43(2)
4.1.1 Purpose
43(1)
4.1.2 Participants
43(1)
4.1.3 Content
44(1)
4.2 Perception of the Public Welfare of Public Hospitals
45(1)
4.3 Expectations for Public Welfare of Public Hospitals
45(7)
4.3.1 Medical Staff
45(4)
4.3.2 Administrative Staff
49(3)
4.4 Assessment of Public Welfare of Public Hospitals
52(2)
4.4.1 Perceptions of the Current Implementation of Public Welfare of Public Hospitals
52(1)
4.4.2 Perception of Public Hospitals' Diagnosis and Treatment Quality
52(1)
4.4.3 Evaluation of Public Health Services in Public Hospitals
53(1)
4.5 Relationship Between Nonprofit and for-Profit Goals
54(1)
4.6 Summary
55(4)
References
57(2)
5 Survey of Outpatient Satisfaction with Large Public Hospitals
59(16)
5.1 Overview
59(2)
5.1.1 Purpose
59(1)
5.1.2 Participants
59(2)
5.1.3 Content
61(1)
5.1.4 Sample
61(1)
5.2 Outpatient Satisfaction
61(11)
5.2.1 Waiting Time
61(4)
5.2.2 Medical Staff Service Attitude
65(2)
5.2.3 Diagnosis and Treatment Quality
67(1)
5.2.4 Medical Expenses
68(1)
5.2.5 Hospital Environment
69(1)
5.2.6 Overall Satisfaction
69(3)
5.3 Factors That Influence Satisfaction
72(1)
5.4 Summary
73(2)
Reference
74(1)
6 Survey on Health-Seeking Behavior in Large Public Hospital Patients
75(14)
6.1 Overview
75(2)
6.1.1 Purpose
75(1)
6.1.2 Participants
75(2)
6.1.3 Content
77(1)
6.1.4 Sample
77(1)
6.2 Motivation for Health-Seeking Behavior
77(2)
6.2.1 Seeking Medical Treatment in the Past Year
77(1)
6.2.2 Influence of Social Relationships on Health-Seeking Behavior
78(1)
6.2.3 Not Seeking Medical Treatment When Ill
78(1)
6.2.4 Reasons for Not Seeking Medical Treatment When Ill
78(1)
6.3 Current Situation of Health-Seeking Behavior
79(2)
6.3.1 Burden of Disease
79(1)
6.3.2 Medical Institution Choices for Ailments or Common Illnesses
80(1)
6.3.3 Medical Institution Choices for Chronic Diseases
80(1)
6.3.4 Medical Institution Choices for Serious Illnesses
81(1)
6.4 Factors Influencing Health-Seeking Behavior
81(5)
6.4.1 Diagnosis and Treatment Quality
84(1)
6.4.2 Medical Environment
84(1)
6.4.3 Habit
84(1)
6.4.4 Medical Insurance
85(1)
6.4.5 Medical Expenses
85(1)
6.4.6 Accessibility
85(1)
6.4.7 Waiting Time
86(1)
6.4.8 Self-rated Health Status
86(1)
6.5 Summary
86(3)
References
87(2)
7 Survey on Well-Being of Doctors in Large Public Hospitals
89(20)
7.1 Job Satisfaction
91(1)
7.1.1 Job Satisfaction
91(1)
7.1.2 Factors That Influence Satisfaction
91(1)
7.2 Well-Being of Doctors in Large Public Hospitals
91(13)
7.2.1 Workload
91(6)
7.2.2 Doctors and Patients
97(3)
7.2.3 Stress
100(4)
7.3 Daily Working Time, Job Satisfaction, and Expected Income
104(2)
7.4 Summary
106(3)
References
107(2)
8 Survey on Two-Way Referrals Between Large Public Hospitals and Community Health Service Centers
109(14)
8.1 Overview
109(1)
8.1.1 Objective
109(1)
8.1.2 Content and Method
109(1)
8.1.3 Sample
109(1)
8.2 Basic Information on Patients and Doctors
110(4)
8.2.1 Basic Information on Patients
110(2)
8.2.2 Basic Information on Doctors
112(2)
8.3 Doctors' and Patients' Cognitions on Two-Way Referral
114(6)
8.3.1 Patients' Cognitions
114(4)
8.3.2 Doctors' Cognitions
118(2)
8.4 Summary
120(3)
References
121(2)
9 Survey on Multisite Licenses in Large Public Hospitals
123(14)
9.1 Overview
123(2)
9.1.1 Purpose
123(1)
9.1.2 Participants
123(2)
9.1.3 Content
125(1)
9.1.4 Sample
125(1)
9.2 Large Public Hospital Doctors' Knowledge of Multisite Licenses
125(1)
9.2.1 Knowledge of Policies
125(1)
9.2.2 Knowledge of Multisite Practice
126(1)
9.3 Large Public Hospital Doctors' Demand for Multisite Licenses
126(2)
9.3.1 Doctors' Work Burden
126(1)
9.3.2 Difficulty of Obtaining Medical Services
126(2)
9.4 Factors Influencing Large Public Hospital Doctors' Preferences for Multisite Licenses
128(5)
9.4.1 Hospital Policy Bias
128(1)
9.4.2 Importance of Doctors' Mobility
128(1)
9.4.3 Doctors' Desire for Multisite Practice
129(2)
9.4.4 Doctors' Willingness to Practice at Multiple Sites
131(1)
9.4.5 Number of Additional Institutions that Doctors Are Willing to Practice At
131(1)
9.4.6 Supporting Policies
131(2)
9.5 Summary
133(4)
References
135(2)
10 Survey on Translational Medicine in Large Public Hospitals
137(42)
10.1 Overview
137(1)
10.1.1 Objective
137(1)
10.1.2 Participants
137(1)
10.1.3 Content
137(1)
10.1.4 Sample
138(1)
10.2 Medical Staff's Knowledge of Translational Medicine in Large Public Hospitals
138(6)
10.2.1 Administrative Staff
138(2)
10.2.2 Doctors
140(2)
10.2.3 Nurses
142(2)
10.3 Medical Staff's Views on the Necessity of Translational Medicine Centers in Large Public Hospitals
144(5)
10.3.1 Administrative Staff
144(2)
10.3.2 Doctors
146(1)
10.3.3 Nurses
146(3)
10.4 Understanding of Research-Oriented Hospitals
149(25)
10.4.1 Administrative Staff's Understanding of Research-Oriented Hospitals
149(9)
10.4.2 Doctors' Understanding of Research-Oriented Hospitals
158(7)
10.4.3 Nurses' Understanding of Research-Oriented Hospitals
165(9)
10.5 Summary
174(5)
References
176(3)
Part III Conclusions
11 Overall Assessments and Policy Recommendations
179(8)
11.1 Overall Assessment
179(4)
11.2 Suggestions to Further Encourage Public Hospital Reform
183(4)
11.2.1 Perfect the Healthcare System and Optimize the Structure of Medical Resources
183(1)
11.2.2 Promote Higher-Level Reform and Achieve Fundamental Improvements in Institutional Mechanisms
183(1)
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
184(3)
References 187