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Has China’s Healthcare Reform Reduced the Number of Patients in Large General Hospitals?

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  • Xiaojing Hu

    (Medical Affairs Department, Peking University First Hospital, Beijing 100034, China)

  • Ping Wang

    (Medical Affairs Department, Peking University First Hospital, Beijing 100034, China)

Abstract

Many studies have shown that the new round of healthcare reform launched by the Chinese government in 2009 has not effectively solved the problem in which patients more readily choose large general hospitals. We aimed to find out if this situation exists in every department of a large general hospital. This study collected the outpatient data of 24 departments for a large general hospital in Beijing. By calculating the average growth rate of outpatients in each department from 2014 to 2019, and the utilization rate of outpatient appointments in different departments in 2020, we found that the average growth rate of outpatients in 4 departments (16.6%) was negative, and the utilization rate of outpatient appointments in 13 departments (54.16%) was less than 80%. This shows that the number of patients in some departments is declining, and that there is an inefficient use of doctor resources. Obviously, this is inconsistent with people’s current beliefs. Therefore, it is not entirely true that China’s healthcare reform has not reduced the number of patients in large general hospitals. At the same time, the inefficient use of outpatient doctor resources is a phenomenon worthy of attention; if it persists, it will result in significant waste in the healthcare system. We suggest that policy makers and hospital managers in China, and countries similar to China, can attract attention and take measures.

Suggested Citation

  • Xiaojing Hu & Ping Wang, 2022. "Has China’s Healthcare Reform Reduced the Number of Patients in Large General Hospitals?," IJERPH, MDPI, vol. 19(9), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5428-:d:805423
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    References listed on IDEAS

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    1. Clemens, Timo & Michelsen, Kai & Commers, Matt & Garel, Pascal & Dowdeswell, Barrie & Brand, Helmut, 2014. "European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?," Health Policy, Elsevier, vol. 117(1), pages 6-14.
    2. Jiaoling Huang & Tao Zhang & Luan Wang & Dongfeng Guo & Shanshan Liu & Wei Lu & Hong Liang & Yimin Zhang & Chengjun Liu, 2019. "The effect of family doctor–contracted services on noncommunicable disease self‐management in Shanghai, China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(3), pages 935-946, July.
    3. Xiaojuan Shen & Weixin Yang & Shaorong Sun, 2019. "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," Sustainability, MDPI, vol. 11(23), pages 1-26, November.
    4. Aykin, Turgut, 2000. "A comparative evaluation of modeling approaches to the labor shift scheduling problem," European Journal of Operational Research, Elsevier, vol. 125(2), pages 381-397, September.
    5. Zhou, Zhongliang & Zhao, Yaxin & Shen, Chi & Lai, Sha & Nawaz, Rashed & Gao, Jianmin, 2021. "Evaluating the effect of hierarchical medical system on health seeking behavior: A difference-in-differences analysis in China," Social Science & Medicine, Elsevier, vol. 268(C).
    6. Wensing, Michel & Jung, Hans Peter & Mainz, Jan & Olesen, Frede & Grol, Richard, 1998. "A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain," Social Science & Medicine, Elsevier, vol. 47(10), pages 1573-1588, November.
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    2. Xi Zhang & Chenyang Liu & Xuehan Zhang, 2023. "Research on the Experience of Influencing Elements and the Strategy Model of Children’s Outpatient Medical Services under the Guidance of Design Thinking," Sustainability, MDPI, vol. 15(12), pages 1-42, June.

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