Analysis On Reform Effect Of The Public Hospitals

Objectives1.To find the existing problems and difficulties of the reform of “separating government regulation from management” in health system.2.To improve public hospitals operation efficiency,to meet needs of medical service,to promote medical service for the mass.3.To explore new reform pattern of “separating government regulation from management”.Methods1.By means of reviewing Chinese sci-tech periodical full-text database,Chinese academic journals,Medline database,the author collected research results published at home and abroad.The key words are “separating government regulation from management”,“ health reform”,“public hospital”,“hospital management”.2.According to data released by Year Book,Health Review,Statistical Yearbook,the comparison among different hospitals was made.3.Ratio analysis method and chain relative ratio method were used in data statistics and analysis on data report of health system from 2005 to 2014.4.SWOT,stakeholder were used in reform of “separating government regulation from management” to analyze achievements and insufficiency,chances and challenges,improvement and so on.Results1.Medical service indicator: With public hospitals expanding orderly,medical services increase quickly,therefore the service people doubled during the past decade.The hierarchical diagnosis system has initial shaping although the proportion of medical institution staff in the city decreased from 50.04% to 18.23%.The service quality is improving,the number of highly difficult and lever four operations are markedly increased.Patients receiving operations has increased to 133.10%.Emergency treatment rescued people from 19.9 thousand to 51.4 thousand.Success rate of rescue and cure rate increases 0.9% and 0.01%.With minimally invasive technique and day-care ward popularization,discharged patients decreased their average length of stay by 9.64 days compared with 2014.The usage rate of sickbeds surpasses average level in Jiangsu Province.However,service people,inpatient operations,average length of stay are still below the average level of Jiangsu.The reform achievements are not obvious.2.Human resource indicator: Human resources is increasing while off-staff has serious labor conflicts.The human resource structure tends to be reasonable,the health workers' percentage and mobility increase.Professionals become younger and highly educated,but administrative staff verges to old both in age and knowledge.The talent team needs to be improved,high-grade,precision and advanced professionals are in great need.3.The capacity for scientific research indicator:The discipline construction advances rapidly,there are 10 national level key specialty since 2014.In this decade,achievements are great,including 16 national level awards for scientific and technological advancement,5 province level awards,184 city level awards,389 new technical imports,859 SCI theses,134 monographs,12 patent of inventions.The level of industry-university-research cooperation promotes greatly.4.Assets management indicator: Government health input has slow growth,public hospitals have more burdens.Delicacy management carried out in hospitals to reinforce cost and to control business income of drug sales.But situations of health insurance overspending and patients arrangement are prominent day by day.5.Information construction indicator: Pay high attention to information construction and try to increase professionals to set up regional medical treatment data center based on electronic medical records,as well as wisdom medical system by medical internet.Municipal hospitals take the lead to found information network system and boosts regional coordination and development.6.Staff well-being indicator: The staff members are basically satisfied with hospital leading group.Average income of workers has kept increasing in the decade.But tensions between doctors and patients are obvious,and medical troubles happen constantly,therefore personnel security of medical workers cannot be guaranteed.The hospital environment has to be improved.7.Government supervision indicator:After the reform of “separating government regulation from management”,government changes the function,strengthens the regulation and monitoring,standards medical treatment and the order in the medical market.Summary1.After carrying out the reform of separating government regulation from management,sanitary bureau and medical management center each performs its own functions.The medical management center focus on improving medical and health services and enhances coordinate lean management.The sanitary bureau strives to develop community health and public hygiene and forms grading medical system to raise people's physical constitution.2.The investment and outcome of hospitals are on the rise.Research-based and innovation-type hospitals are yet to be built.3.The structural reform of “separating government regulation from management” is still in its experimental and transitory stage,so deep-rooted faults of health care industry are difficult to be abolished and effects of reform will not manifest in a short time.As long as government masters human resources,financial and material resources,the reform is still halfway.In order to move forward the reform and carry forward reform of property rights system,corporate governance should be established urgently to promote health care legislation and speed up health insurance system reform.