Research On The Development Model Of Health Management Service Industry

People around the world is becoming more and more interested in changing the way to take care of themselves, not only the body, but also the health of the mental, social, and the planet. The change of life style and health concepts, means the paradigm has shifted, health mode is no longer a single disease treatment procedure, but a management process which focus on the entire life cycle of health. In this context, Health management as a new health service idea and service mode, getting more and more attention of the world. As the consumers demand for a guide, Health Management Services has a multiple target instead of a single economic goal. For one thing, this industry can promotes the pepole’s healthy quality, saves medical resources, makes economic benefits, and drives the development of other related health industry. On the other hand, it has great potential for solving the problem of health care costs, chronic disease and aging in China.The Third Plenary Session of the 18th Central Committee pointed out that:China must correctly handle the relationship between government and market, and the market needs to play a decisive role in the allocation of resources. At the same time, the government needs to play a better function."For the health management services, the appropriate relationship between government and market has more important significance:On the one hand, the Health Management Service is a strategic emerging industry, which has great development potential. But now is still in the primary stage of development in China.On the other hand, the products of health management has dual attribute of public products and private products.When the most country in the world providing the health service by the way of public welfare, but often inefficiently. So it is significance for the Health Management Services industry to break through the public product concept, and give full play to the advantages of the market-mechanism.Therefore, this paper from the perspective of the government and the market relations to discussion the industry development mode and provide a scientific basis for the choice of China, has important theoretical and practical value.This paper based on the existing research at home and abroad, instructed by the theory of government and the market boundary, and dynamic transformation theory, useing the methodology about norms and empirical, induction and deduction, statistic and comparison. First, this paper analyzs the characteristics of the products and industry chain, and the influence factors and the industry driving power. Second, around these factors, establishs three forms of develop models which namesmarket leading, government-led, mixed development. Finally, analysis the cause of and the implementation mechanism, the international case of the three models respectively, and then. Summarizes the China’s current situation of the development, explores the the future trends, put profowards some uggestions about the policy choice of China.The paper mainly includes five parts, which is divided into eight chapters:The first part is the first chapter:Introduction. This part is the starting point and foundation, mainly to put forward the background and research significance, literature research review, research methods, technical route,and this paper has made what innovation and inadequate.The second part including chapter 2 and chapter 3, for the theory part of this article. The chapter 2 defines the connotation of health management services, and products and industrial characteristics. Health management is not a industry, but a concept of health technology and maintain a healthy, Health management’s industrialization process, is the combination of high-tech and service means, and the health of consumers demand docking, which creates new value for the society. Effective health management service mode with the participation of consumers, efficient health information system, overall health, which distinguish it from the medical services. In the first quarter of the third chapter, this paper summarized the relationship between the government and the market mode theory:the government and the market boundary theory, the dynamic transformation of development mode theory. The government’s function is sets up the market operation system and corrects the market failures. The function of market limited to evolution of market allocation of resources and factors of production mode. The industry development model is dynamic, which should be switched from one to another in different life cycle, different industries, and different products. In the second quarter, the third quarter, construct the theoretical framework of this article. First, discusses the health management service operating mechanism, influence factors and development momentum. Then, use the external driving force "the government and the market" as the main aspects, and the internal driving factors "demand, investment, organization, system, technology" as the secondary aspect, establishing a "three-forms" as the papers’Analysis Frame work. If the demand mainly comes from personal income, and the industrial investment funds, R&D, industrial organization integration mainly comes from the market, it would be a market dominant mode. If mainly comes from the Government, it would be a government dominant mode. And if there is no no clear structure comparison advantage between the Market and the Govenment, it is a mixed development model.The third part including chapter 4, chapter 5, and chapter 6, which are the main part of this article. Analysis the cause and emplementation mechanism of the three debelopment modles respectively, and make the managed health insurance indursy in Amecican, the Community health management service in Feiland and the UK, the health tourism industry in Indian, and the ages’health management services in Japan for case analysis of the market leading mode, government leading mode, mixing mode of the development model. And at the last evaluate the advantages and disadvantages of each model.Chapter 4 discusses the market dominant development model. The first quarter points out that health management service product is exclusive and competitive, so be able to providing through the market. With personalized health management service demand has increased, the market value also upgrade. The industrialization process is mainly derived from the industrialization of healthy check-up, information and market integration. The second section analyzes the market leading pattern of three kinds of mechanism:market supply and demand mechanism, the industrial division of labor and industrial integration mechanism. There are two paths of inndustrial division, which refinement from traditional health care services and health management service industry internal division of circuitous process. Industrial convergence is mainly based on the service demand, network information technology and the industrial extension. The third section analyzes the managed health insurance services in the United States. The formation process based on the premise of American liberal values, which promoting employment and income growth, and also caused the social inequity and monopoly.Chapter 5 discusses the government-led mode. The first section points out that the government’s intervention derived from the social value orientation which regards the health management service as public goods. And the government’s intervention also is necessary to improve the overall health resources allocation efficiency, and guide consumers’needs. The second section analyzes three mechanisms of government-led model, including the government direct supply of social health management service, changes the economic variables to promote industrial development, introduce health management service to fight the information asymmetry in medical treatment service. The third section is the case study of the British community health management services. The development model derived from the British welfare culture tradition, which is helpful to form a fair and harmonious health society. But due to the insufficient incentive efficiency, the public-private partnership model becomes a dominant development trend.Chapter 6 discusses the mixed development model. The first section analyses the theory basis of the hybrid model. The detachment of production and supply in public health management services, which is the premise of mixed public-private cooperation development model. And the government failure illustrates the necessity of mixed development. Individualized health management service is a strategic emerging industry which is at the early stage of development. The mixed development model is conducive to active the market’s vigor and can improve the international competitiveness. The public-private cooperation mechanism, demand for training mechanism, the social policy intervention mechanism are analyzed in the second quarter. Public-private partnership must be economically feasible, Per capita disposable income, regional health care culture has positive effect to the health management service requirements. The third and the fourth section study two international cases about mixed development model:the health tourism services in India, and the elderly health management service in Japan. Mixed development model is helpful for the balance of fairness and efficiency, but poses challenges for the government’s governance capability.The fourth part includes chapter 7, the development of health management services in China. This chapter analyzes the process of the development, life cycle and the main forms and the development mode of Chinese health management services. China health management services started late, but grew rapidly. The growth process was pushed by the national medical system reform, which encouraged the development of health insurance and the social capital to run medical industry. Now, the industry chain has established gradually. There has formed two centered pattern: physical examination and health insurance. There has diverse pattern of industry innovation and huge potential market demand. But overall, the industry is in the progress of the primary stage, which is weak, scattered, and small. The effective market competition environment has not yet been established. The industry faces many problems, such as the absence of facing the government support, industry chain is not complete, be lack of innovation environment, and so on.The fifth part including chapter 8.From the future trends of health, technology evolution, and innovation of system evolution, discusses the future trend of the development of health management services. On this basis, comprehensive evaluation about the development model transformation theory, the service nature of the product, the industrial stage of development, and industry type, put forwards the policy design and suggestions about Chinese health management service how to transform develop modle. The article points out at the end:China’s health check-up service, and health tourism, and other health management innovation service, suitable for choosing market dominant mode; Intelligent health management service at the beginning of the industrial growth, should choose the government-led mode; Community health service, elderly health management service, management type service, traditional Chinese medicine health care services, health insurance should select "market-government mixed" development model.