Performance based compensation in Chinese public hospitals

This study was determined by innovatively integrating the equilibrium structure of "principal-agent- and beneficiary" in the principal-agent theory and Donabedian's "goal-process-result" theory. The "Operational Manual for Performance Appraisal of National Tertiary Public Hospitals" (2019 Ed.) was used as the source of indicators, complemented by two questionnaire surveys. Frequency analysis and ANOVA enabled the performance management index system of public hospitals. Furthermore, the index system was verified by key information interviews (KIS) to form a three-dimensional (3D) equilibrium performance incentive system for public hospitals. Selected professionals from First People's Hospital of R City participated in the survey, enabling the weight assignment of indicators in the 3D equilibrium performance incentive system of public hospitals by Analytic Hierarchy Process. In addition, the possible problems in the application of the system in public hospitals are discussed. This study has found that the 3D equilibrium performance incentive system of public hospitals can contribute to modernize the hospital administration system, improving the quality management and performance. At the same time, it was verified that in the design process of performance management, not all factors could be regarded as performance indicators, including some invisible but vital factors such as values and humanistic spirit that could not be included in the evaluation indicators. In addition to the quality of objective data and the accuracy of subjective data, cognitive biases in different ages, job types and position levels in hospitals will bring greater challenges to performance management.Este estudo faz uma integração inovadora da estrutura de equilíbrio da relação entre o "principal-agente-e beneficiário" e a teoria de Donabed da "meta-processo-resultado". O Manual Operacional para a Avaliação do Desempenho dos Hospitais Públicos Nacionais (Ed. de 2019)foi a fonte de indicadores, complementados por dois questionários. A análise de frequências e ANOVA permitiram construir um índice do desempenho dos hospitais públicos. Este índice foi validado com entrevistas chave para informação a partir das quais foi construído um modelo tridimensional (3D) de incentivos ao desempenho dos hospitais públicos. Foram selecionados profissionais do Primeiro Hospital do Povo da Cidade R que participaram no questionário, permitindo testar o peso dos indicadores no modelo tridimensional (3D) de incentivos ao desempenho dos hospitais públicos através do Processo de Hierarquia Analítica. Adicionalmente, são discutidos os possíveis problemas da aplicação deste modelo nos hospitais públicos. Este estudo permitiu concluir que o modelo tridimensional (3D) de incentivos ao desempenho dos hospitais públicos pode contribuir para a modernização do sistema de administração dos hospitais públicos, melhorando a qualidade da gestão e o desempenho. Foi também verificado que no processo de desenho da gestão do desempenho nem todos os fatores podem ser encarados como indicadores de desempenho. Fatores invisíveis mas vitais como valores e espírito humanístico não puderam ser incluídos nos indicadores de desempenho. Para além da qualidade de dados objetivos, e da adequação de dados subjetivos, as diferenças cognitivas em função da idade, tipo de função e e nível hierárquico nos hospitais trazem maiores desafios à gestão do desempenho

International Profiles of Health Care Systems, 2012

This publication presents overviews of the health care systems of Australia, Canada, Denmark, England, France, Germany, Japan, Iceland, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. Each overview covers health insurance, public and private financing, health system organization, quality of care, health disparities, efficiency and integration, care coordination, use of health information technology, use of evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views

Core competitiveness strategic thinking in China's maternal and child healthcare hospitals: an exploratory study

In recent years, China has achieved rapid economic and social development. To keep up with the economic growth, China adopted two-child policy and started to reform the medical system. Against such backdrop, there is a huge increase in the demand for women and children's health services. However, the overall service capacity of the maternal and child care service centers in China cannot satisfy the growing demand. Therefore, it is necessary to update development strategies so as to achieve a sustainable and healthy development. Based on the resource-based view, this thesis studies the core competitiveness of the hospitals. First, we conducted three rounds of Delphi consultation with 32 hospital managers and research experts in public health from eight different institutions to finalize the evaluation index for the core competitiveness specially developed for Chinese maternal and child care service centers. In order to validate the evaluation index, we have proceeded with correlation analysis of core competitiveness with five other maternal and child care service centers of same level in China. An in-depth the case study of Shunde Maternal and Child Healthcare Hospital. and through SWOT analysis, we have proposed strategies for improving the core competitiveness of Shunde Maternal and Child Healthcare Hospital to adapt to new situations. Last but not least, through analysis of the key influencing factors of the hospital’s development in the past decade, we have proved the importance of improving the core competitiveness so as to adapt to changes of the environment. This study found that VRIO resources and capabilities, dynamic capabilities and unique hospital culture are the three key factors to ensure excellent performances for Shunde Maternal and Child Healthcare Hospital. To be more specific, hospitals should adopt specialization strategies, develop a talent team, improve management and service abilities, develop cooperative medical service system, improve abilities to treat critical and difficult diseases and establish a culture that encourages innovation and people-oriented.Nos anos mais recentes, assistiu-se na China, um acelerado desenvolvimento socioeconómico. A par disso, assistiu-se à introdução da política de “dois filhos” bem como de outras medidas públicas reformativas do sistema de saúde que estão a ser implementadas com grande sucesso. Porém, a capacidade total das maternidades e hospitais pediátricos está, no entanto, longe de ser capaz de satisfazer toda a procura nesta nova era. Consequentemente, é necessário repensar as estratégias de desenvolvimento de modo a atingir um desenvolvimento sustentado da saúde. Com base na teoria de recursos, a presente tese promoveu uma análise sobre as competências nucleares dos hospitais. Em primeiro lugar, aplicou-se o método Delphi com três fases de consulta onde intervieram 32 gestores hospitalares e peritos em saúde pública de oito diferentes instituições para a construção de um índice de avaliação de competências nucleares de centros de maternidade e de pediatria. Para validação do índice de avaliação realizaram-se análises de correlação de competências nucleares com outros cinco centros de maternidade do mesmo nível que o "Shunde Maternal and Child Healthcare Hospital". Elaborou-se um estudo de caso aprofundado do Shunde Maternal and Child Healthcare Hospital e, com base neste e na aplicação da análise SWOT foram formuladas estratégias para a melhoria das capacidades organizacionais nucleares do hospital. Por outro lado, a análise de fatores essenciais de desenvolvimento do hospital nos últimos 10 anos, este estudo demonstrou, ainda, a importância da relevação das capacidades organizacionais nucleares na adaptação do hospital às variações da envolvente global. O presente estudo permitiu concluir que os recursos e capacidades organizacionais VRIO, o domínio das capacidades dinâmicas e a cultura específica do hospital são os três fatores chave de estratégia para que os hospitais pediátricos e de maternidade possam ter um desempenho superior. As medidas mais importantes no quadro das capacidades organizacionais nucleares a reter são a estratégia de especialização, a construção do um sistema de retenção de talentos, melhoria de competências de gestão, a construção de um sistema médico integrado e o estabelecimento de uma cultura de inovação e cuidado com as mães e progénitos

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Review of experience of family medicine in Europe and Central Asia : Executive summary

This report summarizes the findings of four case studies that review the experience of family medicine in Europe and Central Asia (ECA) Region. It is part of a study comprising five volumes that review the experience of family medicine in four countries in ECA--Armenia, Bosnia and Herzegovina, Kyrgyz Republic and Moldova. The report reviews the experience, draws lessons, and establishes an evidence base for detailed analysis. The study presents best practices for policy dialogue and future investments by the World Bank and other financial institutions. The detailed case studies compare these countries and draw common themes and issues. Comparisons are made with best-developed or existing models in the OECD and other countries in the Europe and Central Asia Region that have already undertaken family medicine reform

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Efficiency review of Austria’s social insurance and healthcare system: volume 1 – international comparisons and policy options

In 2016, the London School of Economics and Political Science (LSE Health) was engaged by the Austrian Ministry of Labour, Social Affairs and Consumer Protection to undertake an efficiency review of the country’s social insurance system (see Appendix A for the original Concept Note). The review was specifically targeted at health competencies within the social insurance system; for this reason, consideration of accident and pension insurance, as well as other forms of care covered by Federal and Länder governments, were only examined where directly applicable

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Catalan Health Institute: 2012 Annual Report

Sistema sanitari públic; Activitat assistencial; MemòriaPublic health system; Healthcare activity; ReportSistema sanitario público; Actividad asistencial; MemoriaLa Memòria de l’Institut Català de la Salut vol ser un reflex de la realitat de l’empresa sanitària més gran del país. En aquest document trobareu un recull de la feina realitzada pels professionals de la institució, que s’orienta a millorar la salut de la ciutadania

International Profiles of Health Care Systems, 2015

This publication presents overviews of the health care systems of Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, and the United States. Each overview covers health insurance, public and private financing, health system organization and governance, health care quality and coordination, disparities, efficiency and integration, use of information technology and evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views