Status of healthcare workers after comprehensive reform of urban public hospitals in Beijing, China: sustainable supply, psychological perception, and work outcomes

Abstract

BackgroundHealthcare reform in China has attracted worldwide interest and reached a new juncture. In an attempt to improve healthcare quality and patient satisfaction, the government of Beijing introduced comprehensive reform of urban public hospitals in 2016 and implemented new policies on personnel, compensation, management, and diagnosis and treatment. As the agents of healthcare service, and a target of reform measures, healthcare workers were greatly affected by these reforms but have not been carefully studied.MethodsThis study used mean value analysis, variance analysis, and qualitative content analysis to investigate the status of healthcare workers after comprehensive reform of urban public hospitals in Beijing.ResultsWe found a gradual but constant increase in the number of healthcare workers in poor health in Beijing public hospitals. After the reforms, this population reported high challenge stress, public service motivation, job satisfaction, job performance and quality of healthcare, moderate presenteeism, and low hindrance stress and turnover intention. The status of healthcare workers differed by subgroup and changed during the reform process.ConclusionsOur study provides data useful for policy recommendations regarding the implementation and extension of future reforms and offers important lessons for developing and developed countries that are reforming public hospitals to improve efficiency and reduce costs.

Impact of Human Resource Management Reform in Public Hospital on Work Performance and Work-home Conflicts of Physicians in China

“…Second is salary system, namely equal pay for equal work(EPEW), in order to increase enthusiasm by "more work, more gain". [18][19][20] Although China's hospital human resource reform started more than ten years ago, studies on its impact on physicians' work and life are relatively few. [21][22] Prior studies focused on employment system, analyzing inequities in bene ts between the planned-oriented employment system and the marketoriented, and suggested further improvement of market-oriented employment system, whilst some studies suggested the elimination of planned-oriented employment system.…”

Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data

“…Thus, the present study argues that smart card data have good representativeness for investigating the spatial and temporal patterns of health-seeking behavior. In April 2017, the Beijing became the pilot city to initiate the "Implementation Plan for Comprehensive Reform on Separating Drug Sales from Medical Services"; this will be referred to as Beijing's public hospital reform in 2017, hereinafter [14]. One of its major goals was to optimize healthcare utilization among tertiary, secondary, and primary hospitals.…”

Exploring the concept of presenteeism in nursing: A hybrid concept analysis

“…Presenteeism means employees’ physical presence in the workplace with reduced performance (Deng et al., 2019; J. G. Rainbow & Steege, 2017). This concept describes the conditions in which a person is present in the work environment, despite being ill (Allen, Hines, Pazdernik, Konecny, & Breitenbach, 2018; Aysun & Bayram, 2017).…”

“…Presenteeism means employees' physical presence in the workplace with reduced performance (Deng et al, 2019;J. G. Rainbow & Steege, 2017).…”