With the advancement of the new medical reform,public hospitals face numerous challenges and opportunities,making the optimization of human resource allocation a critical priority.This paper analyzes the requirements ...With the advancement of the new medical reform,public hospitals face numerous challenges and opportunities,making the optimization of human resource allocation a critical priority.This paper analyzes the requirements imposed by the new medical reform on human resource allocation in public hospitals,examines existing issues such as an unbalanced personnel structure,unscientific job design,and an inadequate talent mobility mechanism,and proposes corresponding optimization strategies.These strategies include improving the recruitment and selection process,scientifically planning job structures,and establishing a flexible talent mobility mechanism.The goal is to enhance the quality of medical services,improve hospital operational efficiency,and promote the sustainable development of public hospitals.展开更多
After six years＇medical reform,about 7.8 billion person-times of medical service has been achieved by2014,and the number of persons covered by basic medical insurance for urban employees,basic medical insurance for u...After six years＇medical reform,about 7.8 billion person-times of medical service has been achieved by2014,and the number of persons covered by basic medical insurance for urban employees,basic medical insurance for urban residents,and new rural cooperative medical insurance exceeded 1.3 billion,of which the coverage ratio reached as high as over 95%,establishing the largest basic medical security network in the world.展开更多
Objective In 2017,China launched a new round of medical reform(NMR)to address the inaccessibility of high-priced drugs for patients with serious diseases.This study explored the impact of the NMR on the accessibility ...Objective In 2017,China launched a new round of medical reform(NMR)to address the inaccessibility of high-priced drugs for patients with serious diseases.This study explored the impact of the NMR on the accessibility and affordability of high-priced monoclonal antibodies(mAbs),and the effective promotion policies after the NMR.Methods We used a standard method developed by the World Health Organization to conduct two surveys on the availability of mAbs and their prices before and after the NMR in the public hospitals in Hubei province,China.By interviewing hospital pharmacy experts,we identified the potential value of the current NMR in improving the access to therapeutic mAbs.Results The average availability of 13 mAbs increased by 8.1%in the surveyed hospitals of Hubei province after the NMR.The median unit price of 10 mAbs dropped by 34.3%.The average affordability of a treatment cycle of 10 mAbs dropped from 680 days to 298 days of the disposable daily income for a middle-income resident(56.2%reduction).The drug price negotiation of medical insurance inclusion and the promotion of consistent evaluation of generic and original drugs could effectively promote the accessibility of mAbs.However,the zero markup of drug pricing and the limit on the proportion of drug revenues in public hospitals showed certain negative effects on the availability of mAbs.Conclusion Not all current NMR policies play a positive role in promoting the accessibility of mAbs.To further improve the accessibility of mAbs in the future in China,it is therefore critical to increase the investment in independent research and development of high-quality mAbs,establish localized guidelines for the rational use of mAbs in clinical practice,and have a cost-sharing mechanism for high-priced drugs with multiple stakeholders.展开更多
Hai Wen, economist and vice president of Peking University, has for many years been involved in in-depth investigation and research of China's medical reform, earning a reputation as one of the foremost economists...Hai Wen, economist and vice president of Peking University, has for many years been involved in in-depth investigation and research of China's medical reform, earning a reputation as one of the foremost economists in the field of medical reform. However, in the recent debate on medical reform policy, Hai Wen deliberately decided to keep a low profile. In his view, some of the ideas coming out of academic circles these days are "too short-sighted and political-motivated." During this interview, he talks about this recent round of medical reform debate, its challenges, and prospects for future reform.展开更多
How to establish a perfect medical system has always been a global challenge. If there was one event that commanded most of our attention from start to finish in 2007, it was medical reform. In the past, China underwe...How to establish a perfect medical system has always been a global challenge. If there was one event that commanded most of our attention from start to finish in 2007, it was medical reform. In the past, China underwent two medical system periods: one during the planned economy and another during the reform-and-opening-up period characterized by market-oriented reform. In 2006, after ten years of reform efforts, China's healthcare system found itself almost back where it started, a process that has brought with it its share of resentment and expectations from the public at large.展开更多
Objective: to explore the transformation of drug management mode in pharmacy department under the situation of new medical reform. Methods: the hospital pharmacy department implemented the traditional management mode ...Objective: to explore the transformation of drug management mode in pharmacy department under the situation of new medical reform. Methods: the hospital pharmacy department implemented the traditional management mode from March to October 2018, changed the management mode in November 2018, and selected November 2018 to June 2019 as the later implementation period. Results: after the implementation, the coverage rate of rechecked prescriptions, administration rate, monthly per capita prescription quantity of pharmacists, clear destination rate and drug use rate were higher than those before the implementation (P < 0.05). After the implementation, the drug expiration rate, drug abuse rate, drug damage rate and audit error rate were lower than those before the implementation (P < 0.05). Conclusion: under the new medical reform situation, the transformation of drug management mode has become an inevitable trend. The new management mode can further strengthen the management of pharmacy department, improve the professional quality and professional ability of pharmacy staff, and provide medication services for patients.展开更多
In recent years, the new medical reform policy is implemented so that the situation to see a doctor in our country have been well improved, and effectively promote the health care system and the healthy development of...In recent years, the new medical reform policy is implemented so that the situation to see a doctor in our country have been well improved, and effectively promote the health care system and the healthy development of the medical industry. This is not only the Gospel of the people, but also the concentrated embodiment of the advanced nature of socialism. In view of this, this paper will focus on the impact of the new medical reform policy on the development of China's pharmaceutical industry, and put forward several strategies for scientific management of pharmaceutical industry, for the exchange and reference of relevant people.展开更多
The national economy development and the demanding of the drugs request the pharmaceutical industry in China to keep sustainable development especially under the background of the new medical reform. According to the ...The national economy development and the demanding of the drugs request the pharmaceutical industry in China to keep sustainable development especially under the background of the new medical reform. According to the status of industry development and drug consumption in China, the trend and the driving factors for pharmaceutical industry in the future were estimated. Based on the analysis of the background and conditions for pharmaceutical industry sustainable development in China, the problems and challenges, the goal as well as the main measures for the sustainable development of pharmaceutical industry were put forward.展开更多
This editorial comments on the article by Alzerwi.We focus on the development course,present challenges,and future perspectives of medical education.Modern medical education is gradually undergoing significant and pro...This editorial comments on the article by Alzerwi.We focus on the development course,present challenges,and future perspectives of medical education.Modern medical education is gradually undergoing significant and profound changes worldwide.The emergence of new ideas,methodologies,and techniques has created opportunities for medical education developments and brought new concerns and challenges,ultimately promoting virtuous progress in medical education reform.The sustainable development of medical education needs joint efforts and support from governments,medical colleges,hospitals,researchers,administrators,and educators.展开更多
This paper outlines the internal control management of hospital accounting and finance,introducing its concept,importance,and objectives.It then analyzes the problems existing in the internal control management of hos...This paper outlines the internal control management of hospital accounting and finance,introducing its concept,importance,and objectives.It then analyzes the problems existing in the internal control management of hospital accounting and finance,including an unsound management system,insufficient system implementation,inadequate risk assessment and control capabilities,poor information communication,weak internal supervision,and uneven personnel quality.The reasons for these problems are also analyzed,including outdated management concepts,irrational organizational structures,imperfect training and incentive mechanisms,low levels of information technology,and changes in the external environment.This paper proposes improvement measures for the internal control management of hospital accounting,including enhancing the management system,strengthening system implementation,improving risk assessment and control capabilities,enhancing the information communication mechanism,strengthening internal supervision,improving personnel quality,advancing information technology,and adapting to changes in the external environment.展开更多
This paper explores the construction and optimization of teaching supervision teams in sub-colleges of medical universities under the context of China’s ongoing medical education reform.It first analyzes the signific...This paper explores the construction and optimization of teaching supervision teams in sub-colleges of medical universities under the context of China’s ongoing medical education reform.It first analyzes the significance of establishing a robust teaching supervision system for ensuring teaching quality and highlights current challenges faced by medical schools and their affiliated hospitals.Building upon this,the study proposes a two-level supervision mechanism involving both sub-colleges and affiliated hospitals,supported by scientific supervision standards,standardized procedures,feedback and rectification mechanisms,informatization tools,and professional team building.By integrating organizational innovation with technological support,this model aims to achieve comprehensive,continuous,and data-driven supervision.The findings contribute to enhancing clinical teaching quality,improving faculty development,and providing policy-oriented references for advancing medical education governance.展开更多
According to the latest Chinese Healthcare Reform .Plan, the medical insurance system is one ofthe four components of the healthcare sector. The Healthcare financing and payment in China are mainly based on medical in...According to the latest Chinese Healthcare Reform .Plan, the medical insurance system is one ofthe four components of the healthcare sector. The Healthcare financing and payment in China are mainly based on medical insurance. So it is important to learn the experiences of the developed countries. This paper examines the key issues of the German Healthcare system and reforms, with a particular emphasis on basic social medical insurance, which has the broadest coverage in Germany. It reviews the evolution of the background of the German social medical insurance system, describes how the system functions, and analyzes the existing and emerging problems with the system which push the Germany government to adapt a series of reforms.展开更多
文摘With the advancement of the new medical reform,public hospitals face numerous challenges and opportunities,making the optimization of human resource allocation a critical priority.This paper analyzes the requirements imposed by the new medical reform on human resource allocation in public hospitals,examines existing issues such as an unbalanced personnel structure,unscientific job design,and an inadequate talent mobility mechanism,and proposes corresponding optimization strategies.These strategies include improving the recruitment and selection process,scientifically planning job structures,and establishing a flexible talent mobility mechanism.The goal is to enhance the quality of medical services,improve hospital operational efficiency,and promote the sustainable development of public hospitals.
文摘After six years＇medical reform,about 7.8 billion person-times of medical service has been achieved by2014,and the number of persons covered by basic medical insurance for urban employees,basic medical insurance for urban residents,and new rural cooperative medical insurance exceeded 1.3 billion,of which the coverage ratio reached as high as over 95%,establishing the largest basic medical security network in the world.
基金supported by the grants from the National Natural Science Foundation of China(No.70903025,No.71373089).
文摘Objective In 2017,China launched a new round of medical reform(NMR)to address the inaccessibility of high-priced drugs for patients with serious diseases.This study explored the impact of the NMR on the accessibility and affordability of high-priced monoclonal antibodies(mAbs),and the effective promotion policies after the NMR.Methods We used a standard method developed by the World Health Organization to conduct two surveys on the availability of mAbs and their prices before and after the NMR in the public hospitals in Hubei province,China.By interviewing hospital pharmacy experts,we identified the potential value of the current NMR in improving the access to therapeutic mAbs.Results The average availability of 13 mAbs increased by 8.1%in the surveyed hospitals of Hubei province after the NMR.The median unit price of 10 mAbs dropped by 34.3%.The average affordability of a treatment cycle of 10 mAbs dropped from 680 days to 298 days of the disposable daily income for a middle-income resident(56.2%reduction).The drug price negotiation of medical insurance inclusion and the promotion of consistent evaluation of generic and original drugs could effectively promote the accessibility of mAbs.However,the zero markup of drug pricing and the limit on the proportion of drug revenues in public hospitals showed certain negative effects on the availability of mAbs.Conclusion Not all current NMR policies play a positive role in promoting the accessibility of mAbs.To further improve the accessibility of mAbs in the future in China,it is therefore critical to increase the investment in independent research and development of high-quality mAbs,establish localized guidelines for the rational use of mAbs in clinical practice,and have a cost-sharing mechanism for high-priced drugs with multiple stakeholders.
文摘Hai Wen, economist and vice president of Peking University, has for many years been involved in in-depth investigation and research of China's medical reform, earning a reputation as one of the foremost economists in the field of medical reform. However, in the recent debate on medical reform policy, Hai Wen deliberately decided to keep a low profile. In his view, some of the ideas coming out of academic circles these days are "too short-sighted and political-motivated." During this interview, he talks about this recent round of medical reform debate, its challenges, and prospects for future reform.
文摘How to establish a perfect medical system has always been a global challenge. If there was one event that commanded most of our attention from start to finish in 2007, it was medical reform. In the past, China underwent two medical system periods: one during the planned economy and another during the reform-and-opening-up period characterized by market-oriented reform. In 2006, after ten years of reform efforts, China's healthcare system found itself almost back where it started, a process that has brought with it its share of resentment and expectations from the public at large.
文摘Objective: to explore the transformation of drug management mode in pharmacy department under the situation of new medical reform. Methods: the hospital pharmacy department implemented the traditional management mode from March to October 2018, changed the management mode in November 2018, and selected November 2018 to June 2019 as the later implementation period. Results: after the implementation, the coverage rate of rechecked prescriptions, administration rate, monthly per capita prescription quantity of pharmacists, clear destination rate and drug use rate were higher than those before the implementation (P < 0.05). After the implementation, the drug expiration rate, drug abuse rate, drug damage rate and audit error rate were lower than those before the implementation (P < 0.05). Conclusion: under the new medical reform situation, the transformation of drug management mode has become an inevitable trend. The new management mode can further strengthen the management of pharmacy department, improve the professional quality and professional ability of pharmacy staff, and provide medication services for patients.
文摘In recent years, the new medical reform policy is implemented so that the situation to see a doctor in our country have been well improved, and effectively promote the health care system and the healthy development of the medical industry. This is not only the Gospel of the people, but also the concentrated embodiment of the advanced nature of socialism. In view of this, this paper will focus on the impact of the new medical reform policy on the development of China's pharmaceutical industry, and put forward several strategies for scientific management of pharmaceutical industry, for the exchange and reference of relevant people.
文摘The national economy development and the demanding of the drugs request the pharmaceutical industry in China to keep sustainable development especially under the background of the new medical reform. According to the status of industry development and drug consumption in China, the trend and the driving factors for pharmaceutical industry in the future were estimated. Based on the analysis of the background and conditions for pharmaceutical industry sustainable development in China, the problems and challenges, the goal as well as the main measures for the sustainable development of pharmaceutical industry were put forward.
基金Supported by Education and Teaching Reform Project of the First Clinical College of Chongqing Medical University,No.CMER202305Program for Youth Innovation in Future Medicine,Chongqing Medical University,No.W0138Natural Science Foundation of Tibet Autonomous Region,No.XZ2024ZR-ZY100(Z).
文摘This editorial comments on the article by Alzerwi.We focus on the development course,present challenges,and future perspectives of medical education.Modern medical education is gradually undergoing significant and profound changes worldwide.The emergence of new ideas,methodologies,and techniques has created opportunities for medical education developments and brought new concerns and challenges,ultimately promoting virtuous progress in medical education reform.The sustainable development of medical education needs joint efforts and support from governments,medical colleges,hospitals,researchers,administrators,and educators.
文摘This paper outlines the internal control management of hospital accounting and finance,introducing its concept,importance,and objectives.It then analyzes the problems existing in the internal control management of hospital accounting and finance,including an unsound management system,insufficient system implementation,inadequate risk assessment and control capabilities,poor information communication,weak internal supervision,and uneven personnel quality.The reasons for these problems are also analyzed,including outdated management concepts,irrational organizational structures,imperfect training and incentive mechanisms,low levels of information technology,and changes in the external environment.This paper proposes improvement measures for the internal control management of hospital accounting,including enhancing the management system,strengthening system implementation,improving risk assessment and control capabilities,enhancing the information communication mechanism,strengthening internal supervision,improving personnel quality,advancing information technology,and adapting to changes in the external environment.
基金supported by the Key Project of the 2023 funded research program of the Shandong Educational Supervision Society,"Research on Teaching Supervision Teams in Secondary Colleges of Clinical Medicine at Local Medical Universities under the New Medical Sciences Initiative(Xin Yike Beijng Xia Difang Yixue Yuanxiao Linchuang Yixue Zhuanye Erji Xueyuan Jiaoxue Dudao Duiwu Yanjiu)"(Lujiaoduhui[2023]No.10)by the 2024 Teaching Achievement Award seed project of Shandong Second Medical University,“Construction and Practice of a Standardized Clinical Practice Management Model under Medical-Education Collaboration(YiJiao Xietong Beijng Xia Biaozhunhua Linchuang Shijian Guanli Moshi Goujian Yu Shijian)”(Shaneryijiaozi[2024]No.25).
文摘This paper explores the construction and optimization of teaching supervision teams in sub-colleges of medical universities under the context of China’s ongoing medical education reform.It first analyzes the significance of establishing a robust teaching supervision system for ensuring teaching quality and highlights current challenges faced by medical schools and their affiliated hospitals.Building upon this,the study proposes a two-level supervision mechanism involving both sub-colleges and affiliated hospitals,supported by scientific supervision standards,standardized procedures,feedback and rectification mechanisms,informatization tools,and professional team building.By integrating organizational innovation with technological support,this model aims to achieve comprehensive,continuous,and data-driven supervision.The findings contribute to enhancing clinical teaching quality,improving faculty development,and providing policy-oriented references for advancing medical education governance.
文摘According to the latest Chinese Healthcare Reform .Plan, the medical insurance system is one ofthe four components of the healthcare sector. The Healthcare financing and payment in China are mainly based on medical insurance. So it is important to learn the experiences of the developed countries. This paper examines the key issues of the German Healthcare system and reforms, with a particular emphasis on basic social medical insurance, which has the broadest coverage in Germany. It reviews the evolution of the background of the German social medical insurance system, describes how the system functions, and analyzes the existing and emerging problems with the system which push the Germany government to adapt a series of reforms.
