Chinese healthcare system is widely criticize, patient complain about hospital and service, doctor unsatisfied with salary, community criticize of lack of necessary resources to look after regional chronic disease, famous hospital complain about workload. Faced with escalating healthcare expenditure and unsatisfied patient, new tactics of healthcare reform is merging.
DRGS is introduce to regulated hospital medical treatment and medical expenditure. When implement, DRGS becomes powerful weapon to reduce hospital expenditure, because medical insurance disbursement strictly control by patient classification and so called DRGS. Even though DRGS can control medical expenditure, shortcoming is obvious. In order in reduce expenditure and enhance profitability, hospital would scrimp on contract frame disbursement and put patient on the risk of under treatment.
RBRVS is trialed to regulate compensation system of doctor. RBRVS is view as most sophisticated system to remedy overuse of medical resources. Unlike American, Chinese RBRVS system reform is not nationwide and granted by law, but just in hospital level. RBRVS system trial in hospital level is bound to fail, if not initiated by government.
Government intensifies performance management. KIP and performance standard is required at all level of Chinese healthcare system, if not meet, penalizing is followed and people involved in process is penalized. When meet standard, people in process praised and well pay.
As Chinese government, determine to update its healthcare system, new approach, strategy introduced, and chance for healthcare consulting firm is merging. The new trend of Chinese healthcare reform is to learn from west, make it localization, and benefit all Chinese citizen.
