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Data Envelopment Analysis on Evaluating the Efficiency of public hospitals in Tianjin,China

Transactions of Tianjin University 2016年第2期22卷 182-188页

作者：孙彬张连云杨文秀张竞超骆达韩超 School of public Health Tianjin Medical University Tianjin 300070 China Tianjin Medical Information Center Tianjin 300070 China

public hospitals are the most important components of health systems and account for a large proportion of health resources in China. However, few researches on the efficiency assessment of public hospitals have been conducted in Tianjin, China. On the basis of the data of annual health service report in 2013 from the Ministry of Health, we measured the relative efficiency of the tertiary general public hospitals in Tianjin and estimated the magnitudes of output increase and/or input reduction by using data envelopment analysis to improve hospital efficiency. The main findings of this study indicate that more than half of the sample hospitals operate at a technical and scale efficiency, and the prevalent scale inefficiency is increasing returns to scale. Moreover, it is a prominent issue that health resource constraint and resource waste coexist. Health policy-makers and hospital administrators would need to address these problems by taking comprehensive measures such as optimizing the allocation of health resources, implementing hierarchical diagnosis and treatment, as well as innovating medical-service operating mechanism of public hospital to improve the people's wellbeing.

关键词： public hospitals efficiency data envelopment analysis Tianjin

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Behavioral Aspects in Obligatory Reports of public hospitals in Poland

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Chinese Business Review 2015年第11期14卷 513-527页

作者： Aleksandra Szewieczek Marzena Strojek-Filus University of Economics in Katowice Katowice Poland

The health care sector is the most difficult one to manage and control. Special units in this field are public hospitals which are required to prepare a lot of reports to various institutions, including the ownership body. The paper focuses on two issues. The first is the presence of behavioral factors in the reporting of public hospitals in Poland to the ownership bodies. This article aims to indicate the thematic areas of specific reports, most affected by behavioral factors and explain the causes and consequences of their occurrence. The second issue is the analysis of the legal status of obligatory reporting of public hospitals. Participants of the conducted research, due to their specific ownership and political and social position, were public hospitals in Poland. The paper uses the research methods of the meta-analysis of the literature, legal acts in Poland and empirical materials, and also the methods of synthesis, observation, and deduction. Data analysis focused on specific sample of reports issued by Polish public hospitals for their ownership body. The research shows that hospitals draw up a tremendous number of often thematically overlapping and redundant reports addressed to different institutions in different time periods. It is a consequence of legal regulations failing to streamline the reporting of the health care sector institutions, in particular public hospitals. The paper points to the large number of legal instruments that contain imprecise requirements resulting from the complex and obscure forms of control of public funds allocation in this sector. There are many behavioral factors that shape some fields of public hospitals＇ reports, for example, interpersonal relationships, egoism, private financial interests, strengthening of the employment status and professional position, and professional competences. There is considerable freedom in the reporting process fulfilled by public hospitals in Poland for their ownership body. It causes strong

关键词： public hospitals financial and non-financial reports finance in health care sector reliability ownership body behaviorism

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The Social Determinants of Health and the Role of the Health Care System: A Case Study of the Significance of Good Governance in public hospitals in South Africa

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Health 2016年第12期8卷 1288-1306页

作者： Adam Fusheini John Eyles Jane Goudge Centre for Health Policy/MRC Health Policy Research Group School of Public Health Faculty of Health Sciences University of the Witwa-tersrand Johannesburg South Africa Department of Health Policy Planning and Management School of Public Health University of Health and Allied Sciences Ho Ghana School of Geography and Earth Sciences McMaster University Hamilton Canada

Increasingly international and national policies are being directed at actions for the social determinants of health and for an integrated approach to health care provision, not only in terms of institutional cooperation but also stakeholder involvement. A key component of both these policies is the development of good governance principles in all health care agencies and organizations. A neglected dimension in these debates has been the role of the public hospital which remains a vital and expensive dimension of service provision. In a case study of a public hospital in South Africa, this paper charts the readiness of its management principles and activities to provide quality health care linked to population health and to contribute to the non-medical determinant of health. Using Taylor’s principles of good governance, we conclude that there is a mixture of good and not so good governance activity. The paper concludes by examining the external constraints on the public hospital and by providing suggestions for future activities.

关键词： Social Determinants of Health Healthcare System public hospitals Governance and Governance Principles South Africa

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Evolving governance during health care reform in the United States and China

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中国研究型医院 2014年第1期1卷 78-89页

作者： Donghai Wei Louis Rubino Robert Peterson Guangzhou Medical University Guangdong Provincial Health Economics Association California State University

Governance of public hospitals has become an important consideration in China. Research is being conducted, consultants are being engaged, and new models are being tested to determine how a change in governance can positively affect health care reform. The United States is looked to as an example for hospital governance. Old principles and new trends for boards of directors of hospitals are discussed. Critical thought is given as to the governance principles that can be applied in China which will augment the changes taking place to make hospitals more autonomous under health care reform. Recommendations are made by the authors as to which of these principles and new methods should be considered to be adopted for China's public hospitals.

关键词： Governance Board of Directors Fiduciary Responsibility public hospitals Strategic Direction

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Under the perspective based on ＂collective action system＂ of public hospital reform return to public welfare standard

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International English Education Research 2015年第9期 11-13页

作者： Yangsen School of Social Science Shanghai University of Engineering science Shanghai China

In recent years, with this social problem of＂Medical treatment is difficult and expensive＂ has not been effectively addressed, ＂Doctor-patient conflicts＂ phenomenon emerge in endlessly, medical costs increase every year, the city public hospital reform continues to be the focus of attention of government and society In this paper, the theory of governance of public ponds of Elinor Ostrom and Mancur Olson＇s theory of logic of collective action as the theoretical basis of this study, Through the entire medical stakeholders together to form a medical community, the formation of multiple, independent management of public hospitals and the whole public health care system.

关键词： Collective action public hospitals public welfare

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