Analysis of Provider Payment Reforms on Advancing China's Health Impact Evaluation 2015, Baseline Survey

China, 2015

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Reference ID

CHN_2015_APPROACHIE-BL_v01_M_PUF

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Winnie Yip

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Created on

Dec 05, 2019

Last modified

Dec 05, 2019

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Data file: CHS_V2.1

County-level hospital survey; edited anonymous dataset for public distribution

Cases:	143
Variables:	299

Variables

ID

qo

Is the hospital a pilot hospital in the national public hospital reform pilot?

qt

Job title of the respondent

n1

Other leader(job title)

q1

Type of hospital

n2

Others(specify)

q2

Level of hospital:Primary/Secondary/Tertiary/Unassigned

q3

Level of hospital:First/Second/Third class

q4

Ownership of hosptal:Public(MOH)/Public(non-MOH)/Non-public

q5

Profit status:For profit/Not-for-profit

q6

Official quota on number of posts and receive government subsidies for basic sal

q7

Number of staff on duty

q8

Among which:number of staff holding official posts with government subsidies

q9

Number of staff holding conntracted posts

q10

Number of staff recuited after their retirement

q11

Number of temporary staff

q12

Number of medical professionals

q13

classification:Medical practitioners

q14

Assistant medical practitioners

q15

Certified nurses

q16

q17

Laboratory technician

q18

Imaging technician

q19

Other medical professionals

q20

Professional title:Senior

q21

Associate senior

q22

q23

q24

q25

Number of retired staffs

q26

In the past 3 years (2012-2014), did any medical practitioners or assistant medi

q27

If yes, number of medical practitioners who left

q28

Number of assistant medical practitioners who left

q29

In the past 3 years (2012-2014), the number of the newly recruited practicing ph

q30

In the past 3 years (2012-2014), the number of the assistant praticing physician

q31

Official quota on number of beds

q32

Number of beds in operation

q33

Number of ICU beds

q34

Total value of medical equipments with value greater than 10,000 RMB

q35

Number of medical equipments with value greater than 10,000 RMB

q36

Among which: total value of CT

q37

Total value of MRI

q38

Total value of DR or CR

q39

q40

Government subsidy

q41

How much is for basi expense?

q42

How much is for basic salary of official posts?

q43

Among which: how much is for salary of retired staffs

q44

How much is for policy-related compensation?

q45

How much is for project expense?

q46

How much is for basi infrastructure construction?

q47

How much is for medical equipment purchase?

q48

How much is for priority service capability building?

q49

How much is for performing public health functions assigned by the government?

q50

Revenue from medical service

q51

Revenue from outpatient services

q52

Revenue from drugs

q53

Revenue from examination and tests

q54

Revenue from others

q55

Revenue from inpatient services

q56

Revenue from drugs

q57

Revenue from examination and tests

q58

Revenue from others

q59

Revenue from research and teaching

q60

Revenue from others

q61

Revenue from insurance

q62

Revenue from New Cooperative Medical Scheme

q63

Revenue from Urban Resident Basic Medical Insurance

q64

Revenue from Urban Employee Basic Medical Insurance (fill 0 if no)

q65

q66

On health care services

q67

On staff salary, bonus etc.

q68

q69

q70

q71

q72

q73

q74

On infrastructure development

q75

On medial equipment purchasing

q76

On capability building

q77

On performing public health function

q78

On research and teaching

q79

On administration

q80

Among which: on salary of administrative staff

q81

On salary of retired staff

q82

On other expenses

q83

Total unpaid bills of patients

q84

Among which: unpaid bills of patients of this year

q85

In 2014, what is total surplus (revenue net of expenses) as share of total medic

q86

Does your hospital have discretion on how to spend surplus?

q87

If yes, what is the persentage of the surplus your hospital has discretion(%)?

q88

Among discretionary surplus: how much is spent on staff's bonus?

q89

How much is spent on hospital development?

q90

How much is spent on the others?

q91

How many departments are there in your hospital excluding administrative and log

w1

The share of revenue for each of the top three departments by revenue: The first

w2

The proportion of the revenue made by the first department

w3

The second department

w4

The proportion of the revenue made by the second department

w5

The third department

w6

The proportion of the revenue made by the third department

q93

Do the departments in your hospital have separate financial acounts?

q94

For those who need to be treated by multiple departments, who are responsible fe

n3

n4

n5

n6

n7

n8

Others(specify)

q95

Has your hospital implemented director-in-charge management system?

q96

How to appoint the director of your hospital? ¢Ùdirect appointment by the govern

q97

Which department is responsible for appointing director? ¢ÙDepartment of organiz

n9

Others (specify)

q98

Is there a set of assessment criteria on appointing directors?¢ÙYes ¢ÚNo

q99

What are the indicators used in the assessment of the director? (multiple-choice

n10

n11

Health care quality

n12

Population health

n13

Patient satisfaction

n14

Revenue and expenditures of the hospital

n15

Development of the hospital

n16

Emergency management

n17

Administrative assessment

n18

Others (specify)

n19

Others (specify)

q100

Has any diretor failed the assessment?

q101

If the director failed the assessment, what are the consequences? (multiple-choi

n20

n21

affects re-appointment

n22

affects promotion

n23

other - specify

n24

q102

Does your hospital have discretion in recruiting staffs holding officially budge

q103

Does your hospital have discretion in recruiting staffs not holding officially b

q104

What are the factors affecting promotion of the doctors in your hospitals? (mult

n25

Working experience

n26

n27

n28

n29

Interpersonal skills

n30

n31

Others (specify)

n32

Others (specify)

q105

On average, total income (including salary, bonus, subsidies etc.) of doctors ho

q106

Does your hospital have discretion in designing annual development plan? ¢ÙYes

q107

In terms of drug purchasing, which of following areas is your hospital have aut

n33

n34

n35

Purchasing channels

n36

Others (specify)

n37

Others (specify)

q108

In terms of procurement of non-durable goods, which of following areas does your

n38

n39

n40

Purchasing channels

n41

Others (specify)

n42

Others (specify)

q109

In terms of procurement of medical equipment, which of following areas does your

n43

n44

n45

Purchasing channels

n46

Others (specify)

n47

Others (specify)

q110

Which department has the final right to decide on how to use the discretionary f

n48

Others (specify)

q111

Up to 2013, how much has your hospital borrowed from financial institutions (e.g

n49

How does your hospital pay off debt? Fund raising by hospital

n50

Subsidy from public finance

n51

n52

Others (specify)

n53

Others (specify)

q113

Does your hospital have official documents on the mission and objectives that th

q114

Does your hospital face competition from other hospitals? ¢ÙIntense ¢ÚSome ¢ÛNo

q115

If yes, where does the competition come from? ¢ÙOut-of-county hospitals ¢ÚPublic

n54

Others(specify)

q116

How does your hospital deal with competition? (multiple-choice, 0 means no choic

n55

Improve efficiency of internal management of the hospital

n56

Recruit highly competent doctors

n57

Introduce more high-tech medical equipments

n58

Improve the environment/ambience of the hospital

n59

Improve health care services

n60

Others(specify)

n61

Others (specify)

q117

Overall, does your hospital use centralized or decentralized management approach

n62

Please list three main dimensions managed at the hospital level using centralize

n63

n64

n65

n66

n67

q120

Is your hospital contracted with New Cooperative Medical Scheme? ¢ÙYes ¢ÚNo

q121

What is the provider payment method for general outpatient services used by New

n68

Fee-For-Service

n69

Case-based payment

n70

n71

n72

q122

What is the provider payment method for outpatient services of chronic diseases

n73

Fee-For-Service

n74

Case-based payment

n75

n76

n77

q123

What is the provider payment method for inpatient services used by New Cooperati

n78

Fee-For-Service

n79

Case-based payment

n80

n81

n82

q124

Is your hospital contracted with Urban Resident Basic Medical Insurance? ¢ÙYes ¢

q125

What is the provider payment method for general outpatient services used by Urba

n83

Fee-For-Service

n84

Case-based payment

n85

n86

n87

q126

What is the provider payment method for outpatient services of chronic diseases

n88

Fee-For-Service

n89

Case-based payment

n90

n91

n92

q127

What is the provider payment method for outpatient services for chronic diseases

n93

Fee-For-Service

n94

Case-based payment

n95

n96

n97

q128

Is your hospital contracted with Urban Employee Basic Medical Insurance? ¢ÙYes ¢

q129

What is the provider payment method for general outpatient services used by Urba

n98

Fee-For-Service

n99

Case-based payment

n100

n101

n102

q130

What is the provider payment method for general outpatient services used by New Cooperative Medical Scheme?

n103

Fee-For-Service

n104

Case-based payment

n105

n106

n107

q131

What is the provider payment method for inpatient services used by Urban Employe

n108

Fee-For-Service

n109

Case-based payment

n110

n111

n112

q132

Which reform approach do you prefer?Government operates public hospitals, inc

q133

Has your hospital implemented zero-drug policy? Yes No

q134

When did you start to implement zero-drug policy? ( Year/Month)

q135

If you implement zero-drug policy, did you receive any of the following compensa

q136

Compensation from soial insurance

q137

Through charging consultation fee

q138

Increase price of health care service

q139

q140

Total value of drug purchased in 2014 (10 thousand RMB)

q141

Among which: total value of basic drug purchased (10 thousand RMB)

q142

Has the government set a target on the percentage of basic drug prescribed in te

q143

If yes, what is the percentage of basic drugs prescribed in total drugs prescrib

q144

Has the government set a target on the percentage of basic drug prescribed in te

q145

If yes, what is the percentage of basic drugs prescribed in total drugs prescrib

q146

Is staff salary linked to performance? Yes No

q147

If yes, what is the percentage of performance-related salary in total salary (%)

q148

What is the percentage of salary linked to revenue generating activities in tota

q149

q150

The volume of services provided

q151

q152

The number of prescriptions

q153

Average value of the prescriptions

q154

The quantity of drugs prescribed and the value

q155

The quantity or value of the examination prescribed

q156

Surplus/loss of the department

q157

Incidence of accident/medical error

q158

The number of complaints received from patients and their relatives

q159

Whether involved in scientific research

q160

Quality of health care services

q161

q162

Does your hospital use clinical pathways to manage some conditions? Yes No

q163

If yes, how many conditions are implementing clinical pathways?

q164

What is the percentage of discharges followed clinical pathways in total dischar

q165

Does your hospital have a governing board? Yes No

q166

Does your hospital have a quality management committee? Yes No

q167

Does your hospital have independent department responsible for quality managemen

n113

In terms of quality management, what are the three dimensions your hospital valu

n114

n115

q169

Has your hospital established mentor-mentee relationship with any tertiary hospi

q170

Which department has established mentor-mentee relationship?

q171

How many times do the mentor hospital provide assistance to you on average in a

q172

Does your hospital provide training to doctors on a regular basis? ¢ÙYes ¢ÚNo

n116

For each of the following staff type, how many times is total annual income (inc

n117

Internal medicine director

n118

Surgery vice director

n119

Internal medicine vice direvtor

n120

Surgical consultant

n121

Internal medicine consultant

n122

Surgical registrar

n123

Internal medicine registrar

Total: 299

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