Abstract
The aim of this thesis was to contribute to the knowledge of effective policies to improve use of medicines by analyzing the impact of the recent health system reform policies in China. In this thesis, we first describe the status and trends of the Chinese health system, as well as the current situation and problems of China's pharmaceutical system. We also present our rationale for making impact analysis of various components of the reform on the use of medicines. The following research questions were addressed:
1. What are the general strengths and challenges of the Chinese pharmaceutical system?
2. What are the effects of clinical educational interventions on medicines use, and especially on the use of antibiotics?
3. What are the effects of various financing reforms on the use of health services and medicines within the health system reform framework?
4. What are the effects of integrated system reforms on the use of health services and medicines within the health system reform framework?
The results of this thesis show that universal access to basic health-services and essential medicines has largely been achieved in China. It is now particularly important that the right incentives are created through carefully designed financing mechanisms in both supply and demand side. It is now one of the top tasks for China to improve the efficiency and cost-effectiveness of health care. Designing an effective bundled payment system with mixed approaches, as well as a comprehensive pay-for-performance indicator system with specific quality of care targets is needed.
1. What are the general strengths and challenges of the Chinese pharmaceutical system?
2. What are the effects of clinical educational interventions on medicines use, and especially on the use of antibiotics?
3. What are the effects of various financing reforms on the use of health services and medicines within the health system reform framework?
4. What are the effects of integrated system reforms on the use of health services and medicines within the health system reform framework?
The results of this thesis show that universal access to basic health-services and essential medicines has largely been achieved in China. It is now particularly important that the right incentives are created through carefully designed financing mechanisms in both supply and demand side. It is now one of the top tasks for China to improve the efficiency and cost-effectiveness of health care. Designing an effective bundled payment system with mixed approaches, as well as a comprehensive pay-for-performance indicator system with specific quality of care targets is needed.
| Original language | English |
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| Qualification | Doctor of Philosophy |
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| Supervisors/Advisors |
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| Award date | 15-Jun-2015 |
| Place of Publication | [Groningen] |
| Publisher | |
| Print ISBNs | 978-90-367-7860-2 |
| Electronic ISBNs | 978-90-367-7859-6 |
| Publication status | Published - 2015 |