Construction of senior service system in the context of a healthy China

Bian, Sensen; Guo, Qing; Wang, Xiaoxiao

doi:10.1016/s2414-6447(19)30175-7

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…In the field of public health sustainable development, scholars are increasingly concerned with how to ensure patients can quickly obtain the desired high-quality health services in the context of the general rise in medical expenditures [24][25][26][27]. Therefore, the hierarchical medical policy of a national or regional medical service system is now a hot topic in academic circles [28][29][30][31][32].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Impact of China’s Hierarchical Medical System and Online Appointment Diagnosis System on the Sustainable Development of Public Health: A Case Study of Shanghai

2019

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In the study of the sustainable development of public health in China, academic circles have little to do with the unique hierarchical medical system and online appointment diagnosis system in China's medical system. Therefore, based on the medical situation in Shanghai, China, in addition to the traditional dimension of medical expenses, this paper fully considers the impact of the current hierarchical medical policy, constructs a selection model for medical treatment behavior under the hierarchical medical system and online appointment diagnosis system, and carries out simulation analysis through the cellular automata grid dynamic model. This paper finds that the time-cost-oriented medical treatment behavior of Chinese patients will have different distribution under the current hierarchical medical system and online appointment diagnosis system. (1) When the medical treatment system neither allows online appointment nor referral, a large number of patients congregated in high-grade hospitals, with the most unreasonable distribution. (2) With the implementation of the system of allowing referral and online appointment, patients are gradually diverted to lower-grade hospitals or off-peak hours, and the distribution is relatively improved.(3) If the medical treatment system allows both referral and online appointment, the distribution of patients is the most reasonable. Therefore, China's current hierarchical medical system and online appointment diagnosis system will, to a considerable extent, become a policy tool that affects patients' choice of hospitals and an effective means to achieve the rational allocation of existing medical resources, which will play an important role in the sustainable development of public health in China.

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Section: Introductionmentioning

confidence: 99%

Analysis of the Impact of China’s Hierarchical Medical System and Online Appointment Diagnosis System on the Sustainable Development of Public Health: A Case Study of Shanghai

2019

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“…As such, home-based elderly care service (HECS), defined as care service provided to the elderly who are living at home instead of at institution, has been advocated by the government to alleviate the institution's heavy care service supply pressure [1][2][3]. HECS provides the elderly with convenient and accessible care service [4,5], but requires additional investment to support and promote such service provision. Then, social organizations (i.e., non-government organizations and non-profit organizations) are encouraged to cooperate with the government to co-provide the elderly care service since social organizations have advantages of market operation, like powerful labour resources and advanced technological assets [6].…”

Section: Introductionmentioning

confidence: 99%

Exploring the determinants of synergetic development of social organizations participating in home-based elderly care service: An SEM method

Shao

Yuan

et al. 2020

PLoS ONE

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The current aging service industry has problems in meeting the ever-increasing demand for the home-based elderly care service (HECS). Social organizations participating in HECS seems to be a promising way to address these problems but also raises new challenges, like uncoordinated cooperation among stakeholders, which could lead to low management efficiency and low service quality. However, Synergetic development can be promising to enhance the participation of social organizations and to improve social welfare. This study introduces a conceptual model to explore relationships between five determinants and synergetic development of social organizations participating in HECS. A structural equation model (SEM) based on questionnaire survey is used as a test methodology. The results indicated that stakeholder engagement plays a critical role in synergetic development in HECS, resource allocation can only be improved by institutional climate, and supervision capacity cannot facilitate information sharing. This study provides effective strategies and directions for the improvement of home-based elderly care services.

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Construction of senior service system in the context of a healthy China

Cited by 2 publications

References 8 publications

Analysis of the Impact of China’s Hierarchical Medical System and Online Appointment Diagnosis System on the Sustainable Development of Public Health: A Case Study of Shanghai

Analysis of the Impact of China’s Hierarchical Medical System and Online Appointment Diagnosis System on the Sustainable Development of Public Health: A Case Study of Shanghai

Exploring the determinants of synergetic development of social organizations participating in home-based elderly care service: An SEM method

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