Chinese government released a guide about China healthcare entitled, "Guiding Opinions on Pilot Comprehensive Reform of Urban Public Hospitals" and this will actually present a wish list of the government to their public hospitals.

The public hospitals in China are different from Europe and Britain public hospitals. It is not funded by the China government; in fact the policy is no money, no treatment. This year, private hospitals in China are not anymore eligible in medical insurance rebates.

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Here are the five reforms in China Healthcare according to China Medical News report.

Management Reforms

The government requires that the hospitals should adopt an independent as well as reliable system in terms of management like hiring experts from outside China then give those professionals an on-board examination and evaluation to ensure that their performance is above standard. Furthermore, hospitals need to be transparent in regards to their costing. They should reveal this together with their activities.

Revenue Reform

Usually, hospitals have lesser revenue in medical fees, but they get around 60% of revenue in sales of drugs. The government requires to reverse that system and to execute that they will ban drug commissions.

Performance Reform

Hospitals need to ditch the current system which allows doctors to deliver over-service or the over-time strategy just to get bonus. So, the central government thought of replacing the basis of bonus. They wanted to focus more on efficiency, service, and outcome.

Gatekeeper Reform

Chinese government is encouraging the community to go first in their respective community clinics. Then the clinic will refer them to local hospitals if needed before sending them to tertiary hospitals. This is because city hospitals are intended to critical patients or patients who are more complex.

Private Interest Reform

Hospitals owned by the state should be opened to other private business interests. This is also called as social capital. Medical foundations and insurance companies are allowed to have an access to the information data especially if it concerns about the health status of people in China.

Li Jiangge, health economist of Tsinghua University said that the reforms became failure because it resulted to too much lose.  He cited an example about the situation of patients who were in need of dialysis. That time, there were about 3 million patients need dialysis, yet only 400,000 got it. Hence, those who did not receive such treatment had an early death.  

TagsLi Jiangge, public hospitals, china state-owned hospitals, china healthcare reforms, 5 healthcare reforms