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Medicine and Society. 2016, (05)

An Empirical Study on the Impact of the Compensation Mechanism Reform on Public Hospitals’ Social Role BehaviorsChinese Full Text

Chen Chun;College of Humanities and Management,Wenzhou Medical University;

Abstract: Objective: To examine whether the compensation mechanism reform is effective on changing the public hospitals’ social role behaviors and how this is achieved. Methods: Based on relevant literatur,we used the data from a teaching tertiary- level general public hospital,located in Wuxi China during the period of 2003- 2012. Results: Various payment system reforn achieved some effect in a certain degreein wuxi,namely the service amount and quality improved intergrally and the service price presented a decrease tendency; however,without having suitable supporting measures,the providers took noncoperative behaviors,leading the vicious circle of " inadequate compensation- increase of wasteful behavior- further under- compensation" formed preaenting that the effectioeness of managemoat cost dropped from 1. 00 to 0. 04 continuouly and the demanders were non satisfied with the reform effect. Conclusion: On condition of prompting panyment system roform,better performance of these policies calls for support of such reforms as increasing government’s financial investment,adjusting the medical service price,and enhancing the role of supervision and incentives mechanism for health care providers’ behavior. Only in this way can Chinese compensation mechanism reform policies reach their expected outcomes of improving public hospitals’ social value and alleviating the medical expense burden of the people.
Keywords：

Public Hospital; Compensation Mechanism Reform; Social Role Behavior;

  • DOI：

    10.13723/j.yxysh.2016.05.020

  • Series：

  • Subject：

  • Classification Code：

    R197.32

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