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health professionals’perspective on the impact of community health care reform in different regions of China

Family Medicine and Community health 2013年第3期1卷 5-11页

作者： Yanchun Zhang Jiangmei Qin Lifang Zhang Liqun Liu Wei Zhou National health Development Research Centre Beijing 100191China Department of Maternal and Child health care and Community health National Health and Family Planning CommissionBeijing 100044China

Objective:Changes in supplying community health services,degree of satisfaction,and pol-icy suggestions are presented from the perspectives of health professionals in different regions of China with the purpose of further facilitating comprehensive reform of community health ***:Based on geographic location and economic level of development,eight cities were selected and 12 community health service institutions were chosen by random sampling from each city.A questionnaire survey was conducted by the health ***:With respect to working enthusiasm,reduction in antibiotic drug use,social image and trust of patients,more health professionals in middle and western China showed positive feed-backs than those in eastern *** respect to preliminary results of the reform,performance and salary,and health care insurance policies,health professionals’satisfaction levels in middle and western China were higher than in eastern *** health professionals in middle and western China were more concerned about equipment,infrastructure and increasing training *** health professionals in both eastern and middle China accentuated improving the variety of essential drugs covered by health insurance,while health professionals in eastern China suggested performance-related payment ***:The performance of health professionals in middle and western China was improved more signifi cantly through comprehensive reform than that of health professionals in eastern *** health professionals in middle and western China,it is essential to strengthen infrastructure and increase professional training,while health professionals in middle and eastern China would like to see an increase in the variety of essential drugs,and those in eastern China require strengthening performance-related payment reform.

关键词： Community health care health care reform health professional Impact analysis performance-related payment Essential drugs

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The Malaysian health care system:Ecology,plans,and reforms

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Family Medicine and Community health 2016年第3期4卷 19-29页

作者： Andrea Sebastian Mohamed Ali Alzain Collins Otieno Asweto Gehendra Mahara Xiuhua Guo Manshu Song Youxin Wang Wei Wang School of Public health Capital Medical UniversityBeijingChina Beijing Municipal Key Laboratory of Clinical Epidemiology BeijingChina Beijing Municipal Key Laboratory of Environmental Toxicology BeijingChina School of Medical and health Sciences Edith Cowan UniversityPerthWAAustralia Community Medicine Department Faculty of Medicine and Health SciencesUniversity of DongolaSudan

Malaysia is on its way to achieving developed nation status in the next 4 ***,Malaysia is on track for three Millennium Development Goals(MDG1,MDG4,and MDG7).The maternal mortality rate,infant mortality rate,and mortality rate of children younger than 5 years improved from 25.6%(2012)to 6.6%(2013),and 7.7%(2012)per 100,000 live births,respectively whereas immunization coverage for infants increased to an average of 90%.As of 2013 the ratio of physicians to patients improved to 1:633 while the ratio of health facilities to the population was 1:10,*** current government administration has proposed a reform in the form of the 10th Malaysian Plan coining the term“One care for One Malaysia”as the newly improved and reorganized health care plan,where efficiency,effectiveness,and equity are the main *** review illustrates Malaysia’s transition from pre-independence to the current state,and its health and socioeconomic achievement as a *** aims to contribute knowledge through identifying the plans and reforms by the Malaysian government while highlighting the challenges faced as a nation.

关键词： health care health care reform One care Malaysia

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Finance Policy for Public health Disease Prevention: Addressing the Number One Cause of Death in the Western World

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World Journal of Cardiovascular Diseases 2021年第12期11卷 553-563页

作者： R. Philip Eaton Christine Trujillo David S. Schade Division of Endocrinology Department of Internal Medicine University of New Mexico Health Sciences Center Albuquerque New Mexico USA House of Representatives State of New Mexico New Mexico USA

Background: The lack of a finance policy to cover heart coronary artery disease CT imaging led to an epidemic of heart disease, the most common cause of death in the United States. The difficulty for many adults to pay $150 for CT heart imaging was the impetus for public health reform through legislative intervention. Methods: The key to finance policy reform was the organization of the medical environment involved in asymptomatic heart disease. Using the ecosystem paradigm for organizational alignment, the legislative goal was financing the $150 heart image to identify and medically prevent symptomatic heart disease, obviating future surgical costs of >$100,000. Results: Assisted by stakeholders for public health reform, a 3-year initiative to pass a legislative bill mandating health insurance coverage of $150 heart imaging was signed into law. Understanding the legislative process was necessary for successful advancement of public health and eliminating unnecessary costs of an established conservative ecosystem. Conclusions: Texas was the first state to achieve this legislative goal and New Mexico soon followed. If political environments, regardless of country following this road map of public health reform, a significant beneficial impact upon heart disease, its cost, and healthier public would result.

关键词： health care reform Ecosystem Legislation Calcium Heart Scan Heart Disease

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Macro Determinants of health Expenditure in China

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Fudan Journal of the Humanities and Social Sciences 2011年第3期4卷 18-37页

作者： Feng Jin

China is facing challenges of the increasing incidence of some chronic diseases. However, the share of government spending on health in total kept fairing during the economic transition and the cost of health care has been rising dramatically. Using the data at the provincial level, I find that income and population aging are significant determinants of increasing health expenditure. Time dummies contribute more than 40% in the growth of health expenditure and nearly one-third in the growth rate of health expenditure, which implies that technological and institutional changes are also very important drivers in China. In the future, the rising of health expenditure is a necessary response to income growth and population aging; but there is still plenty of room to cut the cost through reforming the health care sector.

关键词： health care reform health expenditure health transition

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我国香港地区的医疗保障体系及其启示

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社会保障制度 2018年第7期

作者：严飞祝宇清

香港地区是中国“一国两制”背景下的两个特别行政区之一，它获准保留了自己的治权、政治体制、立法系统以及独立的医疗保障体系。得益于获得大量资助的公共收费体制，香港地区拥有了相对公平的医疗保障体系。相对地，中国内地的医疗保... 详细信息

香港地区是中国“一国两制”背景下的两个特别行政区之一，它获准保留了自己的治权、政治体制、立法系统以及独立的医疗保障体系。得益于获得大量资助的公共收费体制，香港地区拥有了相对公平的医疗保障体系。相对地，中国内地的医疗保障体系却面临着诸多问题。对内地民众来说，迅速增长的医疗开销以及有限的医保覆盖面使他们逐渐难以负担起医疗服务。本文研究了香港地区的医疗保障政策与实践的历程并将其与内地进行比较，进而为内地医疗卫生制度改革提出两个主要建议：(1)提升质量和效率；(2)分离医院的管理与经营。最后，本文认为香港地区的医疗保障改革可以为内地今后的医保改革提供借鉴和参考。

关键词：一国两制医疗保障现金支付医院管理局医改 one country two systems medical security out-of-pocket hospital authority health care reform

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新医改的进展评述：基于历史视野和全球视角的分析

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社会保障制度 2012年第7期

作者：李玲陈剑锋

新医改开展以来，我国医疗卫生事业的面貌发生了历史性变化。五项重点工作取得了显著的成就，各地医改实践丰富多彩，实现了理论之争向实际工作的转变、中国独有的基本医疗卫生制度模式初现雏形，全社会推动医改的良好气氛正在形成；但... 详细信息

新医改开展以来，我国医疗卫生事业的面貌发生了历史性变化。五项重点工作取得了显著的成就，各地医改实践丰富多彩，实现了理论之争向实际工作的转变、中国独有的基本医疗卫生制度模式初现雏形，全社会推动医改的良好气氛正在形成；但也同时暴露出许多问题，保障公益性新机制还没有建立、各项改革没有形成合力，医疗费用快速上升，医保基金的可持续性面临挑战。医改的核心是各级政府的执政理念和执政能力。中央地方关系尚未理顺、利益集团阻力较大，以及官员医改考核升迁机制尚不明确。因此，文章对下一步的改革思路的建议是，继续走政府主导的改革之路、用制度化保障医改成果、加强国家层面的顶层设计、推进上注重发挥社会主义制度的优势。

关键词：新医改政府医疗卫生 health care reform government health

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