Helping the decision maker effectively promote various experts’ views into various optimal solutions to China’s institutional problem of health care provider selection through the organization of a pilot health care provider research system

Health Research Policy and Systems

Liyang Tang¹ 

[1] Department of Economics, School of Economics and Management, Tsinghua University, Beijing 100084, China

关键词: Institutional problem;    Health care provider selection;    Health care provider research system;    Experts’ views;    Equity;    Efficiency;    Effectiveness;    Economy;    Decision maker;    China’s Health Care System Reform;    Analytic network process;   

Others  :  809834
DOI  :  10.1186/1478-4505-11-11

 received in 2013-03-07, accepted in 2013-03-19,  发布年份 2013

【 摘 要 】

Background

The main aim of China’s Health Care System Reform was to help the decision maker find the optimal solution to China’s institutional problem of health care provider selection. A pilot health care provider research system was recently organized in China’s health care system, and it could efficiently collect the data for determining the optimal solution to China’s institutional problem of health care provider selection from various experts, then the purpose of this study was to apply the optimal implementation methodology to help the decision maker effectively promote various experts’ views into various optimal solutions to this problem under the support of this pilot system.

Methods

After the general framework of China’s institutional problem of health care provider selection was established, this study collaborated with the National Bureau of Statistics of China to commission a large-scale 2009 to 2010 national expert survey (n = 3,914) through the organization of a pilot health care provider research system for the first time in China, and the analytic network process (ANP) implementation methodology was adopted to analyze the dataset from this survey.

Results

The market-oriented health care provider approach was the optimal solution to China’s institutional problem of health care provider selection from the doctors’ point of view; the traditional government’s regulation-oriented health care provider approach was the optimal solution to China’s institutional problem of health care provider selection from the pharmacists’ point of view, the hospital administrators’ point of view, and the point of view of health officials in health administration departments; the public private partnership (PPP) approach was the optimal solution to China’s institutional problem of health care provider selection from the nurses’ point of view, the point of view of officials in medical insurance agencies, and the health care researchers’ point of view.

Conclusions

The data collected through a pilot health care provider research system in the 2009 to 2010 national expert survey could help the decision maker effectively promote various experts’ views into various optimal solutions to China’s institutional problem of health care provider selection.

【 授权许可】

   
2013 Tang; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]China National Health Economics Institute: China National Health Account Report. Beijing: Chinese Ministry of Health; 2007.
• [2]Ministry of Health: China Health Statistical Yearbook 2008. Beijing: Peking Union Medical College Press; 2008.
• [3]Tang L: The influences of patient’s trust in medical service and attitude towards health policy on patient’s overall satisfaction with medical service and sub satisfaction in China. BMC Public Health 2011, 11:472. BioMed Central Full Text
• [4]Tang L: The influences of patient’s satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient’s life satisfaction in China. Health Qual Life Outcomes 2012, 10:111. BioMed Central Full Text
• [5]Tang L: The patient’s anxiety before seeing a doctor and her/his hospital choice behavior in China. BMC Public Health 2012, 12:1121. BioMed Central Full Text
• [6]Tang L: China’s regional inequity in pharmacist’s drug safety practice. Int J Equity Health 2012, 11:38. BioMed Central Full Text
• [7]Command-and-control versus regulated marketization: a review of eight proposals for China’s new health care reforms [http://www.chinahealthreform.org webcite], [https://groups.google.com/forum/?fromgroups#!forum/crcpp webcite], [http://www.cser.org.cn webcite]
• [8]Hu S: Models of the cooperative medical scheme. Chin Prim Health 2003, 17:1-5.
• [9]Fang Y, Guo A, Li J, Wang Y, Hu S, Zhou X, Liang W: National survey of community health services. Chin Gen Pract 2005, 17:1389-1395.
• [10]Gao Q: Ministry of Health’s Report on China's Healthcare System and Reform. Beijing: Chinese Ministry of Health; 2005.
• [11]Wang S, Qin Q, Tang Z: Accumulating deposit: a way of individual premium collection in the new rural cooperative medical scheme. Chin Health Econ 2007, 26:38-40.
• [12]Ahlfors UG, Lewander T, Lindström E, Malt UF, Lublin H, Malm U: Assessment of patient satisfaction with psychiatric care development and clinical evaluation of a brief consumer satisfaction rating scale (UKU-ConSat). Nord J Psychiat 2001, 55(Suppl 44):71-90.
• [13]Cai R: The Reform of Health Security System in China. Beijing: Ren Shi Publishers; 1998.
• [14]Yip WC, Wang H, Liu Y: Determinants of patient choice of medical provider: a case study in rural China. Health Policy Plann 1998, 13(3):311-322.
• [15]Ren R, Zhang L: Analysis of cooperative medical system in China: causes of success and failure and effect factors. Chin Health Econ 2001, 19:21-26.
• [16]Lim MK, Yang H, Zhang T, Feng W, Zhou Z: Public perceptions of private health care in socialist China. Health Affair 2004, 23(6):222-234.
• [17]Blumenthal D, Hsiao W: Privatization and its discontents: the evolving Chinese health care system. New Engl J Med 2005, 353(11):1165-1170.
• [18]Liu Y, Bermana P, Yip W, Liang H, Meng Q, Qu J, Li Z: Health care in China: the role of non-government providers. Health Policy 2006, 77(2):212-220.
• [19]Hall JA, Dornan MC: Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med 1990, 30(7):811-818.
• [20]Hackman A, Brown C, Yang Y, Goldberg R, Kreyenbuhl J, Lucksted A, Wohlheiter K, Dixon L: Consumer satisfaction with inpatient psychiatric treatment among persons with severe mental illness. Community Ment Health J 2007, 43(6):551-564.
• [21]Jiang L, Gan C, Kao B, Zhang Y, Zhang H, Cai L: Consumer satisfaction with public health care in China. J Soc Sci 2009, 5(3):223-235.
• [22]Liu Y, Rao K, Wu J, Gakidou E: China's health system performance. Lancet 2008, 372(9653):1914-1923.
• [23]Sharan P, Gallo C, Gureje O, Lamberte E, Mari JJ, Mazzotti G, Patel V, Swartz L, Olifson S, Levav I, de Francisco A, Saxena S: Mental health research priorities in low- and middle-income countries of Africa, Asia, Latin America and the Caribbean. Br J Psychiatry 2009, 195(4):354-363.
• [24]Lavis JN, Guindon GE, Cameron D, Boupha B, Dejman M, Osei EJ, Sadana R: Bridging the gaps between research, policy and practice in low- and middle-income countries: a survey of researchers. CMAJ 2010, 182(9):E350-E361.
• [25]Liu D, Wang X, Pan F, Yang P, Xu Y, Tang X, Hu J, Rao K: Harmonization of health data at national level: a pilot study in China. Int J Med Inform 2010, 79(6):450-458.
• [26]Zhao J, Zhang Z, Guo H, Li Y, Xue W, Ren L, Chen Y, Chen S, Zhang X: E-health in China: challenges, initial directions, and experience. Telemed E-Health 2010, 16(3):344-349.
• [27]Liu S, Zhou B, Xie G, Mei J, Liu H, Liu C, Qi L: Beyond regional health information exchange in China: a practical and industrial-strength approach. AMIA Annu Symp Proc 2011, 2011:824-833.
• [28]Gong P, Liang S, Carlton EJ, Jiang Q, Wu J, Wang L, Remais JV: Urbanisation and health in China. Lancet 2012, 379(9818):843-852.
• [29]Chen Y, Lee J: Analysis and Evaluation about the Barriers of the Adoption and Implementation of Electronic Health Record System: A Comparison Study between China and Korea. Hokodate, Hokkaido: International Symposium on Information Technology in Medicine and Education (ITME); 2012.
• [30]Barney J: Firm resources and sustained competitive advantage. J Manage 1991, 17(1):99-120.
• [31]Gulati R, Nohria N, Zaheer A: Strategic networks. Strategic Manage J 2000, 21(Special Issue):203-215.
• [32]Daugherty PJ, Stank TP, Rogers DS: Third-party logistics service providers: purchasers’ perceptions. J Supply Chain Manage 1996, 32(2):23-29.
• [33]Murphy PR, Poist RF: Third-party logistics: some user versus provider perspectives. J Bus Logist 2000, 21(1):121-133.
• [34]Lai K: Service capability and performance of logistics service providers. Transp Res Part E: Logist Trans Rev 2004, 40(5):385-399.
• [35]Jütting J: PPP and Social Protection in Developing Countries: The Case of the Health Sector. Geneva: The ILO workshop on “The extension of social protection”; 1999.
• [36]Reider R: Improving the Economy, Efficiency, and Effectiveness of Not-for-Profits: Conducting Operational Reviews. USA: Wiley, John & Sons, Incorporated; 2001.
• [37]Urio P: Reconciling State, Market and Civil Society in China: The Long March Toward Prosperity. London: Routledge Contemporary China Series; 2008.
• [38]Yang Y, Hou Y, Wang Y, Zhang W: An Empirical Investigation of Critical PPP Factors in Transition Countries using Exploratory Factor Analysis. Montreal: The 2010 Academy of Management Annual Meeting; 2010.
• [39]Timmerman E: An approach to vendor performance evaluation. J Purchasing Mater Manage 1986, 22(4):2-8.
• [40]Gregory RE: Source selection: a matrix approach. J Purchasing Mater Manage 1986, 22(2):24-29.
• [41]Soukup WR: Supplier selection strategies. J Purchasing Mater Manage 1987, 23(2):7-12.
• [42]Thompson KN: Supplier profile analysis. J Purchasing Mater Manage 1990, 26(1):11-18.
• [43]Narasimhan R: An analytical approach to supplier selection. J Purchasing Mater Manage 1983, 19(4):27-32.
• [44]Nydick RL, Hill RP: Using the analytic hierarchy process to structure the supplier selection procedure. J Purchasing Mater Manage 1992, 25(2):31-36.
• [45]Weber CA, Ellram LM: Supplier selection using multi-objective programming: a decision support system approach. Int J Phys Distrib Logist Manage 1993, 23(2):3-15.
• [46]Min H: International supplier selection: a multi-attribute utility approach. Int J Phys Distrib Logist Manage 1994, 24(5):24-33.
• [47]Sarkis J, Talluri S: A model for strategic supplier selection. J Supply Chain Manage 2002, 38(1):18-28.
• [48]Bayazit O: Use of analytic network process in vendor selection decisions. Benchmark Int J 2006, 13(5):566-579.
• [49]Gencer C, Gürpinar D: Analytic network process in supplier selection: a case study in an electronic firm. Appl Math Model 2007, 31(11):2475-2486.
• [50]Saaty TL: The Analytic Hierarchy Process: Planning, Priority Setting, Resource Allocation. New York: McGraw-Hill International Book Co; 1980.
• [51]Saaty TL, Takizawz M: Dependence and independence: from linear hierarchies to nonlinear networks. Eur J Oper Res 1986, 26(2):229-237.
• [52]Saaty TL: Decision Making with Dependence and Feedback: The Analytic Network Process. Pittsburgh, PA: RWS Publications; 1996.
• [53]Leung LC, Cao D: On the efficacy of modeling multi-attribute decision problems using AHP and Sinarchy. Eur J Oper Res 2001, 132(1):39-49.
• [54]Meade L, Sarkis J: Strategic analysis of logistics and supply chain management systems using the analytical network process. Transp Res Part E: Logist Trans Rev 1998, 34(3):201-215.
• [55]Jharkharia S, Shankar R: Selection of logistics service provider: an analytic network process (ANP) approach. Omega 2007, 35(3):274-289.
• [56]Saaty TL: Theory and Applications of the Analytic Network Process: Decision Making with Benefits, Opportunities, Costs, and Risks. Pittsburgh, PA: RWS Publications; 2005.