Some ways in which officials are tackling health care reform include addressing drug sales in hospitals, reducing price controls on drugs, promoting the growth of private hospitals, and improving the quality of health care staff. The State Council laid out health care reform objectives in a May 9 Circular, including the objective to eliminate drug markups as well as plans to make medical services of public hospitals more affordable and improve the quality of the staff. Implementation of performance assessments in hospitals is to help ensure that medical staff who do a better job will be paid accordingly. The elimination of drug markups is to address the problem of excessive dependence on pharmaceutical income faced by hospitals.
The Guideline acknowledges that the rapid and uncontrolled expansion of public hospitals in recent years has resulted in the creation of oversized public hospitals, some currently with over 10, hospital beds.
This has jeopardised the development of grass-root medical institutions, another priority in the healthcare reform plan.
The Government has signalled that measures will be introduced to curb this rapid expansion and in some cases, arrange for the spin-off of certain functions to reduce the size of public hospitals. Professional medical training will be standardised at various levels including college training, postgraduation education at degree leveland continuing medical education for professionals without academic degrees.
Multi-institution practice Following earlier reforms introduced in 4the Guideline reiterates the importance of multiinstitution practice by practitioners. Medical professionals currently working at public hospitals will have added flexibility to practice at non-public hospitals.
This will help enrich the pool of medical talent at non-public hospitals. Geographic reach Encouragement of medical professionals to provide their services in high demand areas such as western China and at grass-root hospitals.
New disciplines The training program will focus on training specialists in the fields of paediatrics and psychiatry which are in high demand. Grass-root hospitals will focus primarily on nursing and rehabilitation.
The aim is to achieve satisfaction of the national standard for 95 per cent of all hospitals, clinics and medical centres at grass-root level. In particular, medical service institutions are encouraged to allocate beds for senior care.
In turn, senior care institutions will be allowed to provide limited medical care where conditions permit.
The Government in particular encourages senior care services to be provided at the local community level and home care services to be made available to alleviate the burden on the hospital system. Under circumstances where medical devices are deemed necessary, there will be a preference for the use of locally manufactured medical devices.
The more affluent population will be encouraged to take out commercial health insurance. Reforms will also be made to the payment mechanisms to cover a wider range of medical costs charged by various medical institutions.
The Government has identified the need to develop a third party medical dispute resolution mechanism to address grievances and to mediate disputes arising between doctors and patients. In addition, there are plans to expand the application of liability and professional insurance for medical practitioners.
New areas for development 09 Traditional Chinese medicine Traditional Chinese medicine is one of the key target areas for development. Byone Chinese traditional medicine hospital is to be established in every county and municipality.
In addition, there will be a target for traditional Chinese medicine hospitals to have 0. New technologies such as the IOT internet of thingscloud computing, mobile internet and wearable gadgets have resulted in the proliferation of online healthcare products and applications.
China is also turning to technology in the advancement of its healthcare sector.
Bythree digital national databases will be established containing health information, health profiles and medical records in electronic format. In addition, a national online platform will integrate information at the national, provincial, municipal and county levels.
The Government will continue to encourage the adoption of online healthcare products. Other than Hong Kong, Macau and Taiwanese investors who are treated as foreign investors from a foreign investment regulatory perspectiveforeign investors are not allowed to wholly-own a Chinese traditional medicine hospital.China’s health care reforms 59 To make the CHCs more attractive, some governments, especially those in China’s lar-gest, wealthiest cities, are spending heavily to upgrade the facilities.
In addition, they are subsidizing the price of drugs dispensed at the CHCs and raising the . China needs to further reform its health system with a number of critical steps to meet the growing health needs of the population and further control spending increases, despite impressive achievements in healthcare reform.
The pace of China’s healthcare reform has matched the government’s goals so far, indicating that China will likely reach its targets. The quality of medical services remains to be seen, however, and efforts to develop a social healthcare plan are still in progress. Health sector reform in China Key facts.
China has a population of more than billion people, with approximately 7 million added annually. Almost half of the population lives in rural areas (%).
A sweeping two-year study calls for major reforms in China's health system, conducted by the World Bank Group, the World Health Organization, and the Chinese government. China’s National Health and Family Planning Commission and State Council have been working to reform the health care sector, which faces excessive dependence on drug sales for income, low pay.