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Evaluation of Health Care System Reform in Hubei Province, China

Author

Listed:
  • Shuping Sang

    (School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

  • Zhenkun Wang

    (School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

  • Chuanhua Yu

    (School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China
    Global Health Institute, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

Abstract

This study established a set of indicators for and evaluated the effects of health care system reform in Hubei Province (China) from 2009 to 2011 with the purpose of providing guidance to policy-makers regarding health care system reform. The resulting indicators are based on the “Result Chain” logic model and include the following four domains: Inputs and Processes, Outputs, Outcomes and Impact. Health care system reform was evaluated using the weighted TOPSIS and weighted Rank Sum Ratio methods. Ultimately, the study established a set of indicators including four grade-1 indicators, 16 grade-2 indicators and 76 grade-3 indicators. The effects of the reforms increased year by year from 2009 to 2011 in Hubei Province. The health status of urban and rural populations and the accessibility, equity and quality of health services in Hubei Province were improved after the reforms. This sub-national case can be considered an example of a useful approach to the evaluation of the effects of health care system reform, one that could potentially be applied in other provinces or nationally.

Suggested Citation

  • Shuping Sang & Zhenkun Wang & Chuanhua Yu, 2014. "Evaluation of Health Care System Reform in Hubei Province, China," IJERPH, MDPI, vol. 11(2), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:2:p:2262-2277:d:33243
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    References listed on IDEAS

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    Cited by:

    1. Muhammad Umar & Mário Nuno Mata & Adnan Abbas & José Moleiro Martins & Rui Miguel Dantas & Pedro Neves Mata, 2021. "Performance Evaluation of the Chinese Healthcare System," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    2. Chao Lu & Jian-Xin You & Hu-Chen Liu & Ping Li, 2016. "Health-Care Waste Treatment Technology Selection Using the Interval 2-Tuple Induced TOPSIS Method," IJERPH, MDPI, vol. 13(6), pages 1-16, June.
    3. Da Feng & Ray Serrano & Ting Ye & Shangfeng Tang & Lei Duan & Yuan Xu & Jian Yang & Yuan Liang & Shanquan Chen & Zhanchun Feng & Liang Zhang, 2016. "What Contributes to the Regularity of Patients with Hypertension or Diabetes Seeking Health Services? A Pilot Follow-Up, Observational Study in Two Sites in Hubei Province, China," IJERPH, MDPI, vol. 13(12), pages 1-14, December.

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