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The Imbalance between Patient Needs and the Limited Competence of Top-Level Health Providers in Urban China: An Empirical Study Based on a 2008 National Household Survey

41 Pages Posted: 8 Nov 2010  

Qunhong Shen

Stanford University - Shorenstein Asia-Pacific Research Center; Tsinghua University - School of Public Policy and Management

Liyang Tang

Tsinghua University - School of Economics & Management

Yilin Feng

National Bureau of Statistics of China - Department of Urban Surveys

Jenny Tang

Tsinghua University - School of Public Policy and Management

Date Written: November 8, 2010

Abstract

Objective: To show the pattern of patient satisfaction with top-level delivery organizations (Level 2 and Level 3 hospitals), and using neo-institutionalism approach to explain the relatively low satisfaction and to explore the limitations with top providers, focusing on how to improve the competence of Level 2 and Level 3 hospitals at both the individual hospital level and the whole delivery system level.

Data Sources/Study Setting: The household survey by the National Bureau of Statistics in China in 2008; China Health Statistics Yearbooks.

Data Collection/Extraction Methods: The analysis uses a 2008 sample medical experiences of 5,036 residents from 17 provinces collected in a household survey by the National Bureau of Statistics in China. The linear regression model, the structural difference regression model, and the ordered probit model are used in our framework.

Principal Findings: The imbalance between the needs of patients and the limited competence of top-level providers, and the conflict between the business expansion and the limited competence of those providers are deeply and widely influenced by patterns of patient needs, the top providers’ expansion, and the institutional environment.

Conclusions: In order to effectively respond to patient needs, top and lower level providers need to set their own individual priorities. The government needs to improve institutional arrangements to respond to patient needs with the development of a fair and appropriate reimbursement and compensation pricing mechanism, and with further evaluation of top level providers’ advanced and limited health services.

Keywords: patient satisfaction, patient needs, limited competence, top-level health provider

Suggested Citation

Shen, Qunhong and Tang, Liyang and Feng, Yilin and Tang, Jenny, The Imbalance between Patient Needs and the Limited Competence of Top-Level Health Providers in Urban China: An Empirical Study Based on a 2008 National Household Survey (November 8, 2010). Stanford Asia Health Policy Program Working Paper No. 19. Available at SSRN: https://ssrn.com/abstract=1705694 or http://dx.doi.org/10.2139/ssrn.1705694

Qunhong Shen (Contact Author)

Stanford University - Shorenstein Asia-Pacific Research Center ( email )

Stanford, CA 94305
United States

Tsinghua University - School of Public Policy and Management

Beijing
Beijing, 100084
China

Liyang Tang

Tsinghua University - School of Economics & Management

Beijing, 100084
China

Yilin Feng

National Bureau of Statistics of China - Department of Urban Surveys ( email )

No. 75, Yuetan Nanjie
Sanlihe, Xicheng District
Beijing 100826
China

Jenny Tang

Tsinghua University - School of Public Policy and Management ( email )

Beijing, 100084
China

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