Volume 4, Issue 3, September 2018, Page: 91-96
Evaluation of the Medical and Health System Reform in China: Based on the Fuzz Comprehensive Evaluation Method
Zhu Fengmei, Policy Research Center of the Ministry of Civil Affairs, Beijing, China
Received: May 15, 2018;       Accepted: Jul. 6, 2018;       Published: Aug. 1, 2018
DOI: 10.11648/j.jher.20180403.12      View  786      Downloads  40
This paper aims to explore the application of the fuzzy comprehensive evaluation method in the evaluation of the medical and health system reform by establishing an evaluation index system. Index weights were determined by means of factor analysis and analytic hierarchy process (AHP), while fuzzy membership functions were used to determine the subordination grades of the evaluated objects on different indexes. Based on that, the fuzzy comprehensive evaluation results and comprehensive scores of 31 provinces, municipalities and autonomous regions in different subordination levels in China were obtained by constructing Multi-level Comprehensive Evaluation Model. The results indicated that the effect of the reform of the medical and health system was relevant to local economic development level to some extent, while both commonalities and differences exist in the results of comprehensive evaluation performance among different regions. To improve the performance of the medical and health system, practical and feasible reform measures need to be put forward based on local realities.
Fuzzy Comprehensive Evaluation, Membership Function, AHP, Factor Analysis, Medical and Health System Reform
To cite this article
Zhu Fengmei, Evaluation of the Medical and Health System Reform in China: Based on the Fuzz Comprehensive Evaluation Method, Journal of Health and Environmental Research. Vol. 4, No. 3, 2018, pp. 91-96. doi: 10.11648/j.jher.20180403.12
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
General Office of the State Council. “Implementation Opinions on Fully Promoting the Comprehensive Reform of All Public Hospitals at the County Level,” April 2015.
General Office of the State Council. “Guiding Opinions on Pilot Comprehensive Reform of Urban Public Hospitals,” May 2015.
Hu Shanlian (2010). Recommendations from International Organizations on China’s Medical and Health System Reform Monitoring and Evaluation Framework. Chinese Journal of Health Policy 3(3), 4-6.
Sun Xue (2012). Research on Establishment of the Mid-term Evaluation Index System for the Medical and Health System Reform in Chongqing. Chongqing: Chongqing Medical University, 19-21.
Ren Yinghua, Qiu Bihuai, and Zhu Fengmei (2009). The Evaluation Index System for Modern Service Industry Development and Its Application. Journal of Statistics & Decision 13, 31-33.
Liu Junqiang, Liu Kai, Zeng Yi (2015). The mechanism of continuous growth of medical expenses. Social Sciences in China 8, 104-125.
Du Chuang, Zhu Hengpeng (2016). The evolution logic of China's urban medical and health system. Social Sciences in China 8, 66-89.
Zhu Hengpeng (2016). Encouraging the innovation of medical service mode and leading the reform of medical system. Journal of Financial Minds 1(1), 35-48.
Zhu Fengmei (2016). Logical review on the Chinese medical and health system reform from 1985-2015. Chinese Health Economics35 (1), 5-9.
Gu Xin (2018). From separation of management and operation to large part system: organizational guarantee for medical supply side reform. Journal of Governance Studies 2, 66-75.
Yu Hui (2012). The reform of public hospitals: to be administrative or to be re-administrative. Journal of China Drug Store 5, 38.
Gu Xin, Chen Siwei (2018). Private hospitals' market share in China's medical supply side. Journal of Xinjiang Normal University (Edition of Philosophy and Social Sciences), 39(4), 91-100.
Chen Yongzheng, Li Shanshan, Huang Ying (2008). Several theoretical problems of Chinese medical reform. Journal of Finance & Economics 1, 76-88.
Yue Yi (2016). Research on medical insurance fee control mechanism under the background of marketization of drug prices. Journal of Management Observer 19, 73.
Feng Jin, Yu Yangyang (2008). Medical and health system reform: marketization, incentive mechanism and the role of government. Journal of World Economic Papers 1, 1-13.
Browse journals by subject