中国医疗卫生体系中私立医疗机构的功能、优势和面临的挑战：基于开放式问卷的定性分析

Functions, advantages and challenges facing private healthcare organisations in China's healthcare system: a qualitative analysis through open-ended questionnaires.

机构信息

College of Public Administration and Humanities, Dalian Maritime University, Dalian, China

China Center for Health Economic Research, Peking University, Beijing, China.

出版信息

BMJ Open. 2023 Jun 19;13(6):e069381. doi: 10.1136/bmjopen-2022-069381.

DOI:10.1136/bmjopen-2022-069381

PMID:37336542

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10314576/

Abstract

OBJECTIVES

The medical reform in 2009 stimulated the growth of private healthcare organisations in China, but there is still room for their further development in the healthcare market. The objectives of the study were to provide more information about the healthcare market in China and to explore the challenges private healthcare organisations faced.

DESIGN

Qualitative descriptive study using a web-based open-ended questionnaire and thematic content analysis. Data were collected between 12 February and 20 February 2020.

SETTING

This study was conducted in China.

PARTICIPANTS

124 respondents from private healthcare organisations across 20 provinces in China.

RESULTS

Our content analysis identified three themes: (1) functioning and positioning of the healthcare institutions: current private healthcare organisations generally serve as a supplement to public hospitals and focus more on specialised medical and high-end services; (2) institutions' advantages: private healthcare organisations can flexibly respond to market demands, formulate effective strategies, introduce advanced management concepts and methods, provide personalised and diversified services, and introduce new technologies which can stimulate market vitality and promote healthy competition; and (3) institutions' challenges: private healthcare organisations face difficulties in professional development and talent cultivation, branding and establishing a reputation, and the policies for institution establishment, tax and medical insurance pose drawbacks to their development.

CONCLUSION

This study illustrates that private healthcare organisations need more government support for further development, such as providing a fairer insurance strategy and taxation policy, affording ground for a more equitable scientific research environment and promotion opportunities, and evaluating reputation score for healthcare institutions.

摘要

目的

2009 年的医疗改革刺激了中国私立医疗机构的发展，但它们在医疗市场仍有进一步发展的空间。本研究的目的是提供更多关于中国医疗市场的信息，并探讨私立医疗机构面临的挑战。

设计

采用基于网络的开放式问卷调查和主题内容分析的定性描述性研究。数据收集于 2020 年 2 月 12 日至 20 日之间进行。

地点

本研究在中国进行。

参与者

来自中国 20 个省的私立医疗机构的 124 名受访者。

结果

我们的内容分析确定了三个主题：（1）医疗机构的功能和定位：目前私立医疗机构一般作为公立医院的补充，更多地专注于专科医疗和高端服务；（2）机构的优势：私立医疗机构可以灵活应对市场需求，制定有效的策略，引入先进的管理理念和方法，提供个性化和多样化的服务，并引入新技术，这可以激发市场活力，促进健康竞争；（3）机构的挑战：私立医疗机构在专业发展和人才培养、品牌建设和声誉建立以及机构设立、税收和医疗保险政策方面面临困难，这些都对其发展构成了阻碍。