Performance evaluation of public hospitals in China: A case-based account

Detalhes bibliográficos
Autor(a) principal: Bowen Lyu
Data de Publicação: 2021
Tipo de documento: Dissertação
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10071/23710
Resumo: Public healthcare provision is a fundamental right of people but also one that has heavy economic burden to society and the State. The shared challenged across the world has been to provide the best possible service without losing financial sustainability. China’s latest healthcare reform has been striving to achieve this purpose. Among the policies, the introduction of a systematic performance evaluation of public hospitals in underway. Its nature follows that of an index that comprehends dimensions, measures and KPIs. These are not sufficiently known, and this study is intended to offer a comprehensive view on these conceptions and indicators from three hospitals in China. For that purpose, it reports on the content of 17 interviews and documental analysis. Findings show that the multidimensional nature of organizational performance is integrated into the measurements. They also show that the philosophy shifted into patient orientation with most importance attached to patient satisfaction and efficiency measures that support this satisfaction. Employee satisfaction is also considered but to a lesser extent. The system has implemented the philosophy of the 2009 reform, but the relative importance of dimensions and indicators is yet not fully understood which may create the next challenge for the healthcare system.
id RCAP_bd5b2f5175fe04df57396cdd66216477
oai_identifier_str oai:repositorio.iscte-iul.pt:10071/23710
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Performance evaluation of public hospitals in China: A case-based accountDesempenho organizacional -- Organizational performancePublic hospitalsAvaliação do desempenho -- Performance evaluationHealthcare reform in ChinaHospitais públicosReforma da saúde na ChinaPublic healthcare provision is a fundamental right of people but also one that has heavy economic burden to society and the State. The shared challenged across the world has been to provide the best possible service without losing financial sustainability. China’s latest healthcare reform has been striving to achieve this purpose. Among the policies, the introduction of a systematic performance evaluation of public hospitals in underway. Its nature follows that of an index that comprehends dimensions, measures and KPIs. These are not sufficiently known, and this study is intended to offer a comprehensive view on these conceptions and indicators from three hospitals in China. For that purpose, it reports on the content of 17 interviews and documental analysis. Findings show that the multidimensional nature of organizational performance is integrated into the measurements. They also show that the philosophy shifted into patient orientation with most importance attached to patient satisfaction and efficiency measures that support this satisfaction. Employee satisfaction is also considered but to a lesser extent. The system has implemented the philosophy of the 2009 reform, but the relative importance of dimensions and indicators is yet not fully understood which may create the next challenge for the healthcare system.A prestação de cuidados de saúde públicos é um direito fundamental das pessoas, mas também um direito que tem um pesado fardo económico para a sociedade e para o Estado. O desafio comum em todo o mundo tem sido o de proporcionar o melhor serviço possível sem perder a sustentabilidade financeira. A última reforma dos cuidados de saúde da China tem procurado atingir este objectivo. Entre as políticas, está em curso a introdução de uma avaliação sistemática do desempenho dos hospitais públicos. A sua natureza segue-se à de um índice que compreende dimensões, medidas e KPIs. Estes não são suficientemente conhecidos, e este estudo pretende oferecer uma visão abrangente sobre estas conceções e indicadores de três hospitais na China. Para o efeito, reporta sobre o conteúdo de 17 entrevistas e análises documentais. Os resultados mostram que a natureza multidimensional do desempenho organizacional está integrada nas medições. Mostram também que a filosofia se deslocou para a orientação no paciente com maior importância atribuída às medidas de satisfação e eficiência do paciente que apoiam esta satisfação. A satisfação dos trabalhadores (médicos, enfermeiros e administrativos) também é considerada, mas em menor medida. O sistema implementou a filosofia da reforma de 2009, mas a importância relativa das dimensões e indicadores ainda não é totalmente compreendida, o que pode criar o próximo desafio no sistema de saúde.2021-12-14T11:33:25Z2021-11-26T00:00:00Z2021-11-262021-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10071/23710TID:202810437engBowen Lyuinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-09T17:44:12Zoai:repositorio.iscte-iul.pt:10071/23710Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:20:57.613288Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Performance evaluation of public hospitals in China: A case-based account
title Performance evaluation of public hospitals in China: A case-based account
spellingShingle Performance evaluation of public hospitals in China: A case-based account
Bowen Lyu
Desempenho organizacional -- Organizational performance
Public hospitals
Avaliação do desempenho -- Performance evaluation
Healthcare reform in China
Hospitais públicos
Reforma da saúde na China
title_short Performance evaluation of public hospitals in China: A case-based account
title_full Performance evaluation of public hospitals in China: A case-based account
title_fullStr Performance evaluation of public hospitals in China: A case-based account
title_full_unstemmed Performance evaluation of public hospitals in China: A case-based account
title_sort Performance evaluation of public hospitals in China: A case-based account
author Bowen Lyu
author_facet Bowen Lyu
author_role author
dc.contributor.author.fl_str_mv Bowen Lyu
dc.subject.por.fl_str_mv Desempenho organizacional -- Organizational performance
Public hospitals
Avaliação do desempenho -- Performance evaluation
Healthcare reform in China
Hospitais públicos
Reforma da saúde na China
topic Desempenho organizacional -- Organizational performance
Public hospitals
Avaliação do desempenho -- Performance evaluation
Healthcare reform in China
Hospitais públicos
Reforma da saúde na China
description Public healthcare provision is a fundamental right of people but also one that has heavy economic burden to society and the State. The shared challenged across the world has been to provide the best possible service without losing financial sustainability. China’s latest healthcare reform has been striving to achieve this purpose. Among the policies, the introduction of a systematic performance evaluation of public hospitals in underway. Its nature follows that of an index that comprehends dimensions, measures and KPIs. These are not sufficiently known, and this study is intended to offer a comprehensive view on these conceptions and indicators from three hospitals in China. For that purpose, it reports on the content of 17 interviews and documental analysis. Findings show that the multidimensional nature of organizational performance is integrated into the measurements. They also show that the philosophy shifted into patient orientation with most importance attached to patient satisfaction and efficiency measures that support this satisfaction. Employee satisfaction is also considered but to a lesser extent. The system has implemented the philosophy of the 2009 reform, but the relative importance of dimensions and indicators is yet not fully understood which may create the next challenge for the healthcare system.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-14T11:33:25Z
2021-11-26T00:00:00Z
2021-11-26
2021-09
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10071/23710
TID:202810437
url http://hdl.handle.net/10071/23710
identifier_str_mv TID:202810437
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799134769952325632