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 ...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.展开更多
The evolution of interuet within last years and continuous advances in electronic commerce and communication provide exciting opportunities to implement powerful framework of resources, tools and applications that rev...The evolution of interuet within last years and continuous advances in electronic commerce and communication provide exciting opportunities to implement powerful framework of resources, tools and applications that revolutionize way in which healthcare institutions interact with their patients, as well as deliver and manage medical services. Internet-based healthcare is application of information and communication technologies across the whole range of healthcare functions. It covers everything from electronic prescriptions and computerized medical records to the use of new systems and services that cut waiting times and reduces data errors. Development and implementation of web-enabled communication, patient services and other e-health initiatives are increasingly important to maintaining competitive advantage and to compete for market share. More importantly, value added for patients by facilitating access to information and resources is expected to improve quality of services, speed of treatment and potentially to rationalize management of administrative processes. However, introductions of such e-healthcare services into market can be successful on condition that customers will recognize all these advantages and have trust in organizations provide theses e-services. In this paper authors will concentrate on customer trust as key factor determining success of e-healthcare. The purpose of this study will determine character and power of trust placed by customers in e-healthcare, and to identify factors influencing customers trust to e-healthcare. Authors have ventured thesis that customer trust to e-healthcare is high as consequence of even higher customer satisfaction with traditional healthcare services and great customer trust in traditional healthcare institutions.展开更多
Health policies have played significant roles in attaining good achievements in population health improvement. This paper chronologically reviews and analyzes health-rehted parliamentary actions and law enactments in ...Health policies have played significant roles in attaining good achievements in population health improvement. This paper chronologically reviews and analyzes health-rehted parliamentary actions and law enactments in Canada. It indicates that the salient feature of the Canadian health system is that it is pubhcly financed with a single-payer, but privately run. The Canadian health system is based upon five founding principles: care must be universal (covering everyone), portable ( among all provinces), comprehensive ( covering all medically necessary services ), accessible (without barriers to access hke user fees ), and pubhdy administered( by the government). This paper pays special attention to what and how China can learn from Canada and what should be avoided against failures of Canadian health system, and how it might provide a new health policy base for China's current health reform.展开更多
文摘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.
文摘The evolution of interuet within last years and continuous advances in electronic commerce and communication provide exciting opportunities to implement powerful framework of resources, tools and applications that revolutionize way in which healthcare institutions interact with their patients, as well as deliver and manage medical services. Internet-based healthcare is application of information and communication technologies across the whole range of healthcare functions. It covers everything from electronic prescriptions and computerized medical records to the use of new systems and services that cut waiting times and reduces data errors. Development and implementation of web-enabled communication, patient services and other e-health initiatives are increasingly important to maintaining competitive advantage and to compete for market share. More importantly, value added for patients by facilitating access to information and resources is expected to improve quality of services, speed of treatment and potentially to rationalize management of administrative processes. However, introductions of such e-healthcare services into market can be successful on condition that customers will recognize all these advantages and have trust in organizations provide theses e-services. In this paper authors will concentrate on customer trust as key factor determining success of e-healthcare. The purpose of this study will determine character and power of trust placed by customers in e-healthcare, and to identify factors influencing customers trust to e-healthcare. Authors have ventured thesis that customer trust to e-healthcare is high as consequence of even higher customer satisfaction with traditional healthcare services and great customer trust in traditional healthcare institutions.
文摘Health policies have played significant roles in attaining good achievements in population health improvement. This paper chronologically reviews and analyzes health-rehted parliamentary actions and law enactments in Canada. It indicates that the salient feature of the Canadian health system is that it is pubhcly financed with a single-payer, but privately run. The Canadian health system is based upon five founding principles: care must be universal (covering everyone), portable ( among all provinces), comprehensive ( covering all medically necessary services ), accessible (without barriers to access hke user fees ), and pubhdy administered( by the government). This paper pays special attention to what and how China can learn from Canada and what should be avoided against failures of Canadian health system, and how it might provide a new health policy base for China's current health reform.