Organizational barriers associated with the implementation of national essential medicines policy: A cross-sectional study of township hospitals in China

Yang, Lianping; Liu, George; Ferrier, Adamm; Zhang, Xiaopeng

doi:10.1016/j.socscimed.2015.08.044

Cited by 25 publications

(23 citation statements)

References 20 publications

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“…Limited public finance from local governments jeopardised the capacity of THs to meet the needs of local residents. 72 Considering that the inputs of the sample THs remained nearly unchanged from 2012 to 2014, the stagnation or decline in the outputs of these hospitals may have led to the deterioration of their efficiency and productivity.…”

Section: Discussionmentioning

confidence: 99%

Efficiency and productivity measurement of rural township hospitals in China: a bootstrapping data envelopment analysis

et al. 2016

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ObjectiveTownship hospitals (THs) are important components of the three-tier rural healthcare system of China. However, the efficiency and productivity of THs have been questioned since the healthcare reform was implemented in 2009. The objective of this study is to analyse the efficiency and productivity changes in THs before and after the reform process.Setting and participantsA total of 48 sample THs were selected from the Xiaogan Prefecture in Hubei Province from 2008 to 2014.Outcome measuresFirst, bootstrapping data envelopment analysis (DEA) was performed to estimate the technical efficiency (TE), pure technical efficiency (PTE) and scale efficiency (SE) of the sample THs during the period. Second, the bootstrapping Malmquist productivity index was used to calculate the productivity changes over time.ResultsThe average TE, PTE and SE of the sample THs over the 7-year period were 0.5147, 0.6373 and 0.7080, respectively. The average TE and PTE increased from 2008 to 2012 but declined considerably after 2012. In general, the sample THs experienced a negative shift in productivity from 2008 to 2014. The negative change was 2.14%, which was attributed to a 23.89% decrease in technological changes (TC). The sample THs experienced a positive productivity shift from 2008 to 2012 but experienced deterioration from 2012 to 2014.ConclusionsThere was considerable space for TE improvement in the sample THs since the average TE was relatively low. From 2008 to 2014, the sample THs experienced a decrease in productivity, and the adverse alteration in TC should be emphasised. In the context of healthcare reform, the factors that influence TE and productivity of THs are complex. Results suggest that numerous quantitative and qualitative studies are necessary to explore the reasons for the changes in TE and productivity.

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Section: Discussionmentioning

confidence: 99%

Efficiency and productivity measurement of rural township hospitals in China: a bootstrapping data envelopment analysis

et al. 2016

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“…Limiting the supply of medicines in CHCs to those included in the EML (with relatively low prices at cost) would inevitably reduce the expense of medicines (affordability). However, there are concerns that some patients may no longer be able to obtain the medicine products they want in CHCs (availability); others may have to accept medicines they deem as inferior (effectiveness) as an alternative option; and CHS workers may change prescribing behaviours (Yang et al., ). Based on these considerations, this study tapped into patient experience in relation to four aspects of medical services: availability, affordability and effectiveness of medicines, and prescribing services.…”

Section: Methodsmentioning

confidence: 99%

“…China's NEMS encompasses the entire supply chain of medicines, which includes an essential medicines list (EML), regulations on manufacturing essential medicines, pricing and procurement arrangements of essential medicines, and prescribing and use of essential medicines (Chen & Tang, ; Yang, Liu, Ferrier, & Zhang, ; Yang, Liu, Ferrier, Zhou, & Zhang, ; Yao, Liu, Ferrier, Liu, & Sun, ). The National EML in China has evolved over the course of time.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with prescribed medicines in community health services in China: A cross-sectional survey 6 years after the implementation of the national essential medicines policy

Ren

Huang

Zhang

et al. 2018

Health Soc Care Community

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The National essential medicines policy (NEMP) is promoted by the World Health Organization for affordable medicines that can meet the basic needs of communities.Patient acceptance is essential for achieving the policy goals of the NEMP. This study aimed to assess patient satisfaction with prescribed medicines in community health services under the NEMP context in China. A stratified random sampling strategy was adopted to select 1,037 participants in 40 community health centres from four provinces in China. Patient satisfaction was rated on a five-point Likert scale (from 1 = "very dissatisfied" to 5 = "very satisfied") covering four domains: availability, affordability, effectiveness and safety. The results showed that the participants expressed a moderate degree of satisfaction, with a rating in the range of 66-82 out of a total of 100. Older people, those covered by insurance and those with a lower level of education tended to have higher ratings. While eastern (wealthy) residents were more likely to be concerned with "effectiveness," western (poor) residents were more likely to be concerned with "affordability." Awareness of the NEMP was negatively associated with patient satisfaction after control for other factors. K E Y W O R D S community health services, essential medicines, patient satisfactionThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…This is evidenced by 11 monographs/textbooks and an impressive 173 peer-reviewed publications produced by the CHP staff about the Chinese health system and health reforms published in both English and the Chinese language. Topics have included patient satisfaction (29)(30)(31), medications policy and practice (32)(33)(34)(35)(36)(37)(38)(39)(40), patient safety and organizational safety culture (41,42), health reform (35,(43)(44)(45)(46)(47)(48)(49)(50), health insurance (50)(51)(52), emergency response (53)(54)(55)(56), and human resource management (3).…”

Section: The China Health Program Outcomesmentioning

confidence: 99%

Sino-Australian University Partnership in Health Management Education

Leggat

Liu

2018

Front. Public Health

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This paper outlines a successful partnership program between La Trobe University in Melbourne Australia, and Harbin Medical University in Harbin, China. These two universities have been collaborating for more than 15 years to provide a comprehensive Master of Health Administration program that adapts the Australian curriculum to meet the rapidly increasing need for qualified health services managers throughout China. This paper describes the mechanisms by which the joint programs were developed and how the two universities work together in partnership to continually improve the program components and outcomes, taking into account the significant differences in context and cultures. Since 2001, La Trobe University has enrolled about 1000 Chinese health services managers, with 721 completing a Master's degree, who are now having increasing influence on the reforms of the Chinese health care system. The partnership has enriched Australian knowledge of Chinese culture and values, as well as the Chinese health system and health policies, as evidenced by the large volume of joint publications. The profession of health management has been substantially strengthened in China, and working together, Chinese and Australian academics have had demonstrated impact on enhancing the reforms of the Chinese public health system. Further studies, with sufficient funds for data collection, are needed to evaluate the long-term impacts of transnational programs on academic and health system development in China.

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Organizational barriers associated with the implementation of national essential medicines policy: A cross-sectional study of township hospitals in China

Cited by 25 publications

References 20 publications

Efficiency and productivity measurement of rural township hospitals in China: a bootstrapping data envelopment analysis

Efficiency and productivity measurement of rural township hospitals in China: a bootstrapping data envelopment analysis

Patient satisfaction with prescribed medicines in community health services in China: A cross-sectional survey 6 years after the implementation of the national essential medicines policy

Sino-Australian University Partnership in Health Management Education

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