Hanzhi Gao
ABSTRACT
The Centralized Procurement System of Medical Consumables leads to a cliff price reduction of a large number of high-value medical consumables and has long-term impacts on public hospitals that cannot be ignored. Both descriptive statistics and qualitative analysis methods were applied in this study to explore some practical problems caused by the CPSMC from the perspective of economics. The conclusions of this study are as follows: 1) China's per capita health expenditure, per capita healthcare expenditure, and basic medical insurance fund expenditure have been growing rapidly since 2010. It is a general trend to seek a more sustainable way of medical consumables procurement. 2) The percentage of medical materials income in the medical income of public hospitals is increasing year by year. The promotion of zero makeup for consumables and the Centralized Procurement System (CPS) may have negative impacts on the profitability of some public hospitals. 3) The Chinese doctors in public hospitals have been underpaid for a long time. Due to the superposition of the COVID-19 epidemic and the CPS, the salary of some doctors are also facing a significant decline in a short term. 4) Doctors cannot get reasonable income compensation in the long-term heavy medical work, which may lead to negative impacts such as the decline of work enthusiasm and the changes of medical types and medical processes. The conclusions of this paper will help decision-making departments and relevant groups to deepen the comprehensive understanding and judgment of the impacts of the CPS, improve the corresponding compensation mechanism and regulatory system, and promote a sustainable and healthy development of the CPS.
- Richard L. Daft. 2015. Management (12E). Cengage Learning.Google Scholar
- Dimitri N, Piga G, Spagnolo G. 2006. Handbook of Procurement [J]. 10.1017/CBO9780511492556 (16):412-430.Google Scholar
- WANG Yue, ZHENG Peiyong, LIU Bao. 2020. Analysis on the Characteristics of the Income Structure of Public Hospitals in China [J]. Health Economics Research, No. 1004-7778(2020)03-0060-06.Google Scholar
- MO Ruiting. 2019. The Effect of High-valued Medical Consumables on Medical Expenditure [J]. Modern Enterprise, No.409 (10): 27-28.Google Scholar
- ZHANG Chunyu, MA Jing, HU Linlin, WU Yinuo, WU Shichao, GUO Jing, ZHAO Qi, LIU Yuanli. 2020. Current Status and Trend of Physician Compensation in Chinese Public Hospitals [J]. The Third-Party Evaluation of Action Plans to Continuously Improve Medical Services. Journal of Chinese Research Hospitals. No.37:136-141Google Scholar
- Studdert D. M, Mello M. M, Sage W M. 2005. Defensive medicine among high-risk specialist physicians in a volatile malpractice crisis [J]. ACC current journal review, 2005, 14(11):4.Google Scholar
- YANG Yi, 2020. Systematic Analysis of Salary System Reform Policy of Public Hospitals in Sichuan Province [J]. The Chinese Health Service Management, No.382:276-278.Google Scholar
- Wang Bin. 2020. Analysis on the Economic Operation of Public Hospitals in Zhejiang Province under the Influence of COVID-19 Epidemic [J]. Health Economics Research, 2020, 37(9):23-25.Google Scholar
- XU Junying, LIU Juntao. 2020. Operation Management of Public Hospital under COVID-19 Epidemic [J]. Industrial Technology Innovation, 2020(17):111-112.Google Scholar
- TANG Zaixiang, FAN Shun. 2019. Challenges and Countermeasures of Pharmaceutical Enterprises under the Background of Centralized Purchasing of Drugs “4+7” [J]. Health Economics Research. No. 388:13-19.Google Scholar
- WANG Yanzhong, Hou Jianlin. 2019. Issues and Reform Suggestions for the Existing Problems in Payment Policy of Public Hospitals in China [J]. Chinese Health Economics, No.383:5-8.Google Scholar
Recommendations
Hospital Information System adoption
Hospital Information System (HIS) is important in the healthcare industry as it supports a wide range of highly specialized health-care tasks and services. In Malaysia, HIS diffusion is still in its early stage and there is slow rate of adoption among ...
An Ergonomic Approach on Physical Assessment of Public Hospitals in the Philippines
MSIE '20: Proceedings of the 2020 2nd International Conference on Management Science and Industrial EngineeringThis study focused on the occupational risks experienced by healthcare workers in public hospitals. Studies have showed that factors in the physical environment such as noise, illumination, and temperature represent a significant risk among hospital ...
Building a National Electronic Medical Record Exchange System - Experiences in Taiwan
Electronic medical record (EMR) can support a secure, real-time, point-of-care, patient centric information resource for clinical care.Taiwan's government has been promoting the EMR adoption since 2000.We describe the EMR adoption strategies, current ...
Comments