Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China
Hierarchical medical policies are widely used worldwide to reduce healthcare costs, rationalize the use of healthcare resources, and improve accessibility and fairness of healthcare services. However, few case studies have evaluated the effects and prospects of such policies. Medical reform efforts...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/8/1067 |
| _version_ | 1797605318502383616 |
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| author | Yongchuang Gao Yuangeng Guo Jianwei Deng |
| author_facet | Yongchuang Gao Yuangeng Guo Jianwei Deng |
| author_sort | Yongchuang Gao |
| collection | DOAJ |
| description | Hierarchical medical policies are widely used worldwide to reduce healthcare costs, rationalize the use of healthcare resources, and improve accessibility and fairness of healthcare services. However, few case studies have evaluated the effects and prospects of such policies. Medical reform efforts in China have distinct goals and characteristics. Therefore, we investigated the effects of a hierarchical medical policy in Beijing and assessed the future potential of the policy to yield insights for other countries, especially developing countries. Different methods were used to analyze multidimensional data from official statistics, a questionnaire survey of 595 healthcare workers from 8 representative public hospitals in Beijing, a questionnaire survey of 536 patients, and 8 semi-structured interview records. The hierarchical medical policy had strong positive effects on improving access to healthcare services, balancing the workload of healthcare workers in various levels of public hospitals, and improving the management of public hospitals. The remaining obstacles include severe job stress among healthcare workers, the high cost of some healthcare services, and the need for improvement in the development level and service capacity of primary hospitals. This study provides useful policy recommendations regarding the implementation and extension of the hierarchical medical policy, including the need for governments to improve the hospital assessment system and for hospitals to actively participate in developing medical partnerships. |
| first_indexed | 2024-03-11T04:59:21Z |
| format | Article |
| id | doaj.art-bd27a5b83bda4f148a17f38d77b24b1a |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T04:59:21Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-bd27a5b83bda4f148a17f38d77b24b1a2023-11-17T19:25:54ZengMDPI AGHealthcare2227-90322023-04-01118106710.3390/healthcare11081067Effects of and Prospects for the Hierarchical Medical Policy in Beijing, ChinaYongchuang Gao0Yuangeng Guo1Jianwei Deng2School of Labor and Human Resources, Renmin University of China, 59 Zhongguancun Street, Beijing 100872, ChinaSchool of Economics and Management, Tsinghua University, 30 Shuangqing Street, Beijing 100084, ChinaSchool of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing 100081, ChinaHierarchical medical policies are widely used worldwide to reduce healthcare costs, rationalize the use of healthcare resources, and improve accessibility and fairness of healthcare services. However, few case studies have evaluated the effects and prospects of such policies. Medical reform efforts in China have distinct goals and characteristics. Therefore, we investigated the effects of a hierarchical medical policy in Beijing and assessed the future potential of the policy to yield insights for other countries, especially developing countries. Different methods were used to analyze multidimensional data from official statistics, a questionnaire survey of 595 healthcare workers from 8 representative public hospitals in Beijing, a questionnaire survey of 536 patients, and 8 semi-structured interview records. The hierarchical medical policy had strong positive effects on improving access to healthcare services, balancing the workload of healthcare workers in various levels of public hospitals, and improving the management of public hospitals. The remaining obstacles include severe job stress among healthcare workers, the high cost of some healthcare services, and the need for improvement in the development level and service capacity of primary hospitals. This study provides useful policy recommendations regarding the implementation and extension of the hierarchical medical policy, including the need for governments to improve the hospital assessment system and for hospitals to actively participate in developing medical partnerships.https://www.mdpi.com/2227-9032/11/8/1067hierarchical medical policyworkloadmedical seeking behaviorhospital managementgovernment data |
| spellingShingle | Yongchuang Gao Yuangeng Guo Jianwei Deng Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China Healthcare hierarchical medical policy workload medical seeking behavior hospital management government data |
| title | Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China |
| title_full | Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China |
| title_fullStr | Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China |
| title_full_unstemmed | Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China |
| title_short | Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China |
| title_sort | effects of and prospects for the hierarchical medical policy in beijing china |
| topic | hierarchical medical policy workload medical seeking behavior hospital management government data |
| url | https://www.mdpi.com/2227-9032/11/8/1067 |
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