Affiliations: [a] School of Economics and Management, Fuzhou University, Fuzhou, Fujian, China | [b] Department of Healthcare, Wuyishan Municipal Hospital, Wuyishank, Fujian, China
Correspondence:
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Corresponding author: Qianqian Wu, School of Economics and Management, Fuzhou University, Fuzhou, Fujian 350108, China. E-mail: [email protected].
Abstract: The reform of public hospitals is a complex process, involving multiple subsystems and the interaction of related factors. This paper conducts a preliminary evaluation of the joint reform of medication, medical care, and medical insurance in Sanming using quantitative and qualitative methodologies. The method of system dynamics is applied to model the three subsystems of medication, medical care, and medical insurance in Sanming and analyze the cause-and-effect relationship between different factors in the subsystem. Based on the analysis, the evaluation index is determined to evaluate the effect of the medical reform in Sanming. The analysis results show that Sanming’s public hospitals have experienced a comprehensive reform that includes changing the way pharmaceuticals are procured, cutting prescription prices, and raising hospital worker wages. To maximize the hospital revenue structure, the medical insurance payment system was changed. The expense of patient therapy was reduced, and the development of hierarchical diagnosis and treatment was encouraged.
Keywords: Public hospital reform, system dynamics, cause-and-effect diagrams
