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学科主题: 公共卫生
题名:
Control Costs, Enhance Quality, and Increase Revenue in Three Top General Public Hospitals in Beijing, China
作者: Zhao, Lue-Ping1,2; Yu, Guo-Pei1,3; Liu, Hui1; Ma, Xie-Min4; Wang, Jing1; Kong, Gui-Lan1; Li, Yi1; Ma, Wen4; Cui, Yong1; Xu, Beibei1; Yu, Na1; Bao, Xiao-Yuan1; Guo, Yu1; Wang, Fei1; Zhang, Jun5; Li, Yan6; Xie, Xue-Qin7; Jiang, Bao-Guo8; Ke, Yang8
刊名: PLOS ONE
发表日期: 2013-08-16
DOI: 10.1371/journal.pone.0072166
卷: 8, 期:8
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Multidisciplinary Sciences
研究领域[WOS]: Science & Technology - Other Topics
关键词[WOS]: HEALTH-CARE
英文摘要:

Background: With market-oriented economic and health-care reform, public hospitals in China have received unprecedented pressures from governmental regulations, public opinions, and financial demands. To adapt the changing environment and keep pace of modernizing healthcare delivery system, public hospitals in China are expanding clinical services and improving delivery efficiency, while controlling costs. Recent experiences are valuable lessons for guiding future healthcare reform. Here we carefully study three teaching hospitals, to exemplify their experiences during this period.

Methods: We performed a systematic analysis on hospitalization costs, health-care quality and delivery efficiencies from 2006 to 2010 in three teaching hospitals in Beijing, China. The analysis measured temporal changes of inpatient cost per stay (CPS), cost per day (CPD), inpatient mortality rate (IMR), and length of stay (LOS), using a generalized additive model.

Findings: There were 651,559 hospitalizations during the period analyzed. Averaged CPS was stable over time, while averaged CPD steadily increased by 41.7% (P<0.001), from CNY 1,531 in 2006 to CNY 2,169 in 2010. The increasing CPD seemed synchronous with the steady rising of the national annual income per capita. Surgical cost was the main contributor to the temporal change of CPD, while medicine and examination costs tended to be stable over time. From 2006 and 2010, IMR decreased by 36%, while LOS reduced by 25%. Increasing hospitalizations with higher costs, along with an overall stable CPS, reduced IMR, and shorter LOS, appear to be the major characteristics of these three hospitals at present.

Interpretations: These three teaching hospitals have gained some success in controlling costs, improving cares, adopting modern medical technologies, and increasing hospital revenues. Effective hospital governance and physicians′ professional capacity plus government regulations and supervisions may have played a role. However, purely market-oriented healthcare reform could also misguide future healthcare reform.

语种: 英语
项目资助者: Ministry of Science and Technology of China
WOS记录号: WOS:000323570200060
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54769
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Fred Hutchinson Canc Res Ctr, Seattle, WA 98104 USA
2.New York Med Coll, Valhalla, NY 10595 USA
3.Beijing Publ Hlth Informat Ctr, Beijing, Peoples R China
4.Peking Univ, Peking Univ Med Informat Ctr, Beijing 100871, Peoples R China
5.Peking Univ, Peking Univ Hlth Sci Ctr, Sch Publ Hlth, Beijing 100871, Peoples R China
6.Peking Univ, Dept Hosp Management, Dept Neurol, Peking Univ Hosp 3,Peking Univ Hlth Sci Ctr, Beijing 100871, Peoples R China
7.Peking Univ, Dept Hosp Management, Dept Neurol, Peking Univ Hosp 1,Peking Univ Hlth Sci Ctr, Beijing 100871, Peoples R China
8.Peking Univ, Peking Univ Hlth Sci Ctr, Beijing 100871, Peoples R China

Recommended Citation:
Zhao, Lue-Ping,Yu, Guo-Pei,Liu, Hui,et al. Control Costs, Enhance Quality, and Increase Revenue in Three Top General Public Hospitals in Beijing, China[J]. PLOS ONE,2013,8(8).
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