In this paper we explore some of the ways in which the current health policy environment in China enables and constrains performance improvement in the teaching hospital sector. We commenced this research with concerns about the quality and efficiency of hospital services. We aimed to estimate the degree to which these problems are due to weaknesses in management training and/or to wider system factors. We collected data from managers in three teaching hospitals in south-western China. Our results demonstrate some shortfalls in organisational performance in the three hospitals, some of which are partly due to lack of management expertise. However, there are also contradictions and perverse incentives in the wider policy environment that would prevent even the best-trained managers from achieving high levels of quality and efficiency. In this paper we explore some of the key policy constraints limiting the development of hospital performance in China and the implications of these for policy-makers.
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Document Type: Research Article
School of Public Health, La Trobe University, Bundoora, Victoria 3083, Australia. Tel: +61 (03) 9479 3920; Fax: +61 (03) 9479 1783; E-mail: [email protected]
School of Public Health, La Trobe University, Bundoora, Victoria 3083, Australia.
June 1, 2000
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