简介：InAugust2011,theSangzhiCountygovernment,HunanProvince,adoptedaseriesofnewhealthcarepoliciesasanationalpilotoftheNewCooperativeMedicalScheme(referredtoas2011NCMS).Thesepoliciesweredesignedtofurtherresolveillness-ledpovertyandthepoorstateofhealthcareinthelocalarea.TheprogramhadapositiveimpactandspreadtootherregionsinHunanProvince.Thispaperwilldiscusstheprogressmadeasaresultofthepoliciesandseveralissuesthatchallengetheschemeinpractice.Atotalsampleof1212individualsand303householdswereincludedintheanalysis,and98interviewswereconductedwithpeoplerelatedtothescheme.Ourmajorfindingsindicatethatthe201!NCMShassignificantlyreducedtheout-of-pocketmedicalpaymentofruralresidents,andalsoincreasedthetownshiphospitals’patientflow.However,themedicalschemestillfacesmanychallengingissuesduringtheimplementation.WiththeincreasinginterestamongtheChinesepolicymakersinstrengtheningandpromotingtheSangzhiModel,theimpactsoftheschemedeservegreaterattentioninpracticesoastofurtherimproveNCMSinruralChina.

简介：HealthinstitutionsinthePeople’sRepublicofChinaareunderconsiderablechallenge.Innovationsinmanagementsystemsmaysupportthechallengetoincreasebothefficiencyandeffectiveness.Thebalancedscorecard(BSC)isonesuchinnova-tion.WehaveusedamodeltoexplorethefactorsthatmayimpactthediffusionoftheBSCinChinesegovernmenthospitals.Inparticular,weconcentrateonthreefactors—theoutercontext,thenatureoftheinnovationandthecommunicationandinfluence.TheoutercontextandthenatureoftheinnovationdoprovideaninducementtoimplementaBSC.Thestrengthofthecommunica-tionandinfluencemayaffecttheleveloftake-up.However,werecognisethattheymaychoosetheBSCnotforanyapparenttechnicalexcellencebutforthelegitimationthatWesternman-agementpracticesmaybringtolocalmanagers.

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简介：Thispaperstudiesfactorsinfluencingrural-urbanlabormigrationinChina,particularlytheimplementationofruralcooperativemedicalinsurance(RCMI)intheyear2003.Withthesupportofdataanalysisfromtheyear2000,2004and2006,clearlinearcorrelationsarefoundbetweengender,income,healthconditionandrural-urbanlaborflow,whereastheimpactofeducationandemploymentstatusaremorecomplicated.Moreimportantly,resultsfromregressionshowthattheestablishmentofRCMIincountrysideofChinanotonlyinhibitsruralresidentsfromseekingemploymentoutsidethevillage,butalsopullsbackruralpeoplewhohavealreadyworkedincities.Whenregionaldimensionisconcerned,thepurecompositeeffectofRCMIonrurallaborflowislesssignificantincoastalareaswithbettereconomicperformanceandmedicalservice.

简介：本文采取文献研究、逻辑分析、实证分析等方式,把握新常态及供给侧改革的理论观点、经济学思想,探讨对公立医院未来发展的战略启示。研究认为,新常态下的供给侧改革是一种提高全要素生产率的经济改革模式,是中国各行业创新改革的逻辑起点。我国公立医院存在无效供给、供给不足等问题。最后,结合南京大学医学院附属鼓楼医院改革实践,本研究提出面对未来发展重要战略机遇期,公立医院须紧跟当前改革的要求,明确自身定位,做到'四个转变',从六个方面提升供给能力,兼顾需求侧的保障,从管理体制和机制上推动医院的发展,引领医学的进步,为健康中国梦的实现而努力前行。