Does Ownership Matter for Medical System Performance? Evidence From a Natural Experiment in Suqian, China
Bibliographic Data
| ID | 13775904 |
|---|---|
| Authors | Gordon G Liu (0000-0002-4339-2644, Peking University, Beijing, China), Julie Shi (0000-0003-1242-1112, Peking University, Beijing, China, corresponding author), Xiaoqian Wang (0000-0002-3144-8903, Peking University, Beijing, China), Han‐Mo Yang (0000-0003-4848-0878, Peking University), Hanmo Yang (Peking University, Beijing, China), Hengpeng Zhu (0000-0002-6349-7611, Chinese Academy of Social Sciences, Beijing, China) |
| Year | 2020 |
| Volume | 57 |
| Pages | 46958020944338-46958020944338 |
| Publication date | 2020-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0046958020944338 |
| PMID | 32705918 |
| OpenAlex | W3043842510 |
| Language | EN |
| References cited | 18 |
There has long been a major policy debate on the role of hospital ownership (private vs public) in medical system performance. China's health care delivery system is mainly a public system. In 2000, a full privatization reform was implemented in the city of Suqian, offering a unique opportunity to assess possible effects of private delivery based on a major external shock to the existing system. Compared with all other cities in Jiangsu province since 2003, Suqian did not experience any greater increase either in total outpatient or inpatient expenditures. In the meantime, Suqian performed equally well as other cities in terms of changes in number of inpatient admissions and average inpatient days, and even better for mortality rate in emergency rooms. This study concludes that under appropriate public financing, private delivery can serve the public demand at least equally well as public providers in terms of cost inflations and utilizations
Business · China · Delivery system · Economic growth · Economics · Geography · Health care · Inpatient care · Natural disaster · Natural experiment · Shock (circulatory · Finance · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine
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| Highly cited | No |
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