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Evaluation of Health Care System Reform in Hubei Province, China
School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China
Global Health Institute, Wuhan University, 115 Donghu Road, Wuhan 430071, China
* Author to whom correspondence should be addressed.
Received: 6 November 2013; in revised form: 24 January 2014 / Accepted: 28 January 2014 / Published: 21 February 2014
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
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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.
Sang S, Wang Z, Yu C. Evaluation of Health Care System Reform in Hubei Province, China. International Journal of Environmental Research and Public Health. 2014; 11(2):2262-2277.
Sang, Shuping; Wang, Zhenkun; Yu, Chuanhua. 2014. "Evaluation of Health Care System Reform in Hubei Province, China." Int. J. Environ. Res. Public Health 11, no. 2: 2262-2277.