Effects of healthcare reform on health resource allocation and service utilization in 1110 Chinese county hospitals: data from 2006 to 2012

Fang Pengqian; Hu Ruirong; Han Qiuxia

摘要

Summary xml:id="hpm2344-para-0001"> The central government of China launched a large‐scale, expensive health reform in April 2009 because of the serious health‐related problems in the country. This reform aims to re‐establish a universal healthcare system, which is expected to provide affordable basic healthcare. Independent two‐sample t ‐test, one‐way ANOVA and chi‐squared test were conducted to analyze the effect of the health reform on health resource allocation and service utilization in Chinese county hospitals. First, we described the hospitals' financial performance in terms of funding sources, balances and fiscal compensations (for personnel expenditure). Second, we discussed the total number of health personnel as well as the structure (number of medical personnel per thousand population and ratio of doctors and nurses) and quality of the health personnel. Lastly, we investigated the county hospitals' health resource utilization, bed occupancy and average medical expense per visit. Then, we probed different reasons and provided multiple approaches to existing problems. Copyright ? 2016 John Wiley & Sons, Ltd. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“hpm2344-abs-0001”xml：lang =“en”> <title type =“main” >摘要</标题> XML：ID =“HPM2344-PARA-0001”>中国中央政府于2009年4月推出了大规模，昂贵的健康改革，因为该国的严重健康有关问题。该改革旨在重新建立一个普遍的医疗保健系统，预计将提供实惠的基本医疗保健。独立的两种样品 T </ i> - 进行单向ANOVA和CHI方检验，分析了卫生改革对中国县医院健康资源配置和服务利用的影响。首先，我们在资金来源，余额和财政补偿方面描述了医院的财务表现（用于人员支出）。其次，我们讨论了卫生人员的总数以及结构（千万人口数量和医生和护士的比例）和卫生人员的质量。最后，我们调查了县级医院的健康资源利用率，床占用和平均医疗费用。然后，我们探讨了不同的原因，并为现有问题提供了多种方法。版权？ 2016年John Wiley＆amp; SONS，LTD。</ p> </ abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-30709/'>《The International journal of health planning and management》</a> <b style="margin: 0 2px;">|</b><span>2017年第4期</span><b style="margin: 0 2px;">|</b><span>共16页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Fang Pengqian&option=202" target="_blank" rel="nofollow">Fang Pengqian;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hu Ruirong&option=202" target="_blank" rel="nofollow">Hu Ruirong;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Han Qiuxia&option=202" target="_blank" rel="nofollow">Han Qiuxia;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>School of Medicine and Health Management Tongji Medical CollegeHuazhong University of Science and;</p> <p>School of Medicine and Health Management Tongji Medical CollegeHuazhong University of Science and;</p> <p>School of Medicine and Health Management Tongji Medical CollegeHuazhong University of Science and;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/191.html" title="预防医学、卫生学">预防医学、卫生学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=county hospitals&option=203" rel="nofollow">county hospitals;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=health resource allocation&option=203" rel="nofollow">health resource allocation;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=health service utilization&option=203" rel="nofollow">health service utilization;</a> </p> <div class="translation"> 机译：县医院;健康资源分配;卫生服务利用率; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704024792763.html">Effects 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