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Int. J. Environ. Res. Public Health 2014, 11(2), 2262-2277; doi:10.3390/ijerph110202262

Evaluation of Health Care System Reform in Hubei Province, China

1
School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China
2
Global Health Institute, Wuhan University, 115 Donghu Road, Wuhan 430071, China
*
Author to whom correspondence should be addressed.
Received: 6 November 2013 / Revised: 24 January 2014 / Accepted: 28 January 2014 / Published: 21 February 2014
(This article belongs to the Special Issue Public Health Informatics)
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Abstract

This study established a set of indicators for and evaluated the effects of health care system reform in Hubei Province (China) from 2009 to 2011 with the purpose of providing guidance to policy-makers regarding health care system reform. The resulting indicators are based on the “Result Chain” logic model and include the following four domains: Inputs and Processes, Outputs, Outcomes and Impact. Health care system reform was evaluated using the weighted TOPSIS and weighted Rank Sum Ratio methods. Ultimately, the study established a set of indicators including four grade-1 indicators, 16 grade-2 indicators and 76 grade-3 indicators. The effects of the reforms increased year by year from 2009 to 2011 in Hubei Province. The health status of urban and rural populations and the accessibility, equity and quality of health services in Hubei Province were improved after the reforms. This sub-national case can be considered an example of a useful approach to the evaluation of the effects of health care system reform, one that could potentially be applied in other provinces or nationally.
Keywords: health care system reform; evaluation; indicators; China health care system reform; evaluation; indicators; China
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Sang, S.; Wang, Z.; Yu, C. Evaluation of Health Care System Reform in Hubei Province, China. Int. J. Environ. Res. Public Health 2014, 11, 2262-2277.

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