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Control Costs, Enhance Quality, and Increase Revenue in Three Top General Public Hospitals in Beijing, China

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  • Lue-Ping Zhao
  • Guo-Pei Yu
  • Hui Liu
  • Xie-Min Ma
  • Jing Wang
  • Gui-Lan Kong
  • Yi Li
  • Wen Ma
  • Yong Cui
  • Beibei Xu
  • Na Yu
  • Xiao-Yuan Bao
  • Yu Guo
  • Fei Wang
  • Jun Zhang
  • Yan Li
  • Xue-Qin Xie
  • Bao-Guo Jiang
  • Yang Ke

Abstract

Background: With market-oriented economic and health-care reform, public hospitals in China have received unprecedented pressures from governmental regulations, public opinions, and financial demands. To adapt the changing environment and keep pace of modernizing healthcare delivery system, public hospitals in China are expanding clinical services and improving delivery efficiency, while controlling costs. Recent experiences are valuable lessons for guiding future healthcare reform. Here we carefully study three teaching hospitals, to exemplify their experiences during this period. Methods: We performed a systematic analysis on hospitalization costs, health-care quality and delivery efficiencies from 2006 to 2010 in three teaching hospitals in Beijing, China. The analysis measured temporal changes of inpatient cost per stay (CPS), cost per day (CPD), inpatient mortality rate (IMR), and length of stay (LOS), using a generalized additive model. Findings: There were 651,559 hospitalizations during the period analyzed. Averaged CPS was stable over time, while averaged CPD steadily increased by 41.7% (P

Suggested Citation

  • Lue-Ping Zhao & Guo-Pei Yu & Hui Liu & Xie-Min Ma & Jing Wang & Gui-Lan Kong & Yi Li & Wen Ma & Yong Cui & Beibei Xu & Na Yu & Xiao-Yuan Bao & Yu Guo & Fei Wang & Jun Zhang & Yan Li & Xue-Qin Xie & Ba, 2013. "Control Costs, Enhance Quality, and Increase Revenue in Three Top General Public Hospitals in Beijing, China," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-7, August.
    • Handle: RePEc:plo:pone00:0072166
    DOI: 10.1371/journal.pone.0072166
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    Cited by:

    1. Li-fang Zhou & Mao-xin Zhang & Ling-qian Kong & Jun-jun Liu & Qi-ming Feng & Wei Lu & Bo Wei & Lue Ping Zhao, 2017. "Assessment of potential factors associating with costs of hospitalizing cardiovascular diseases in 141 hospitals in Guangxi, China," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-19, March.
    2. Hang Qiu & Kun Tan & Feiyu Long & Liya Wang & Haiyan Yu & Ren Deng & Hu Long & Yanlong Zhang & Jingping Pan, 2018. "The Burden of COPD Morbidity Attributable to the Interaction between Ambient Air Pollution and Temperature in Chengdu, China," IJERPH, MDPI, vol. 15(3), pages 1-15, March.
    3. Yuting Zhang & Qianheng Ma & Yingchun Chen & Hongxia Gao, 2017. "Effects of Public Hospital Reform on Inpatient Expenditures in Rural China," Health Economics, John Wiley & Sons, Ltd., vol. 26(4), pages 421-430, April.

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