The Economic Analysis Of China's Public Hospital Institutional Innovations

There are considerable literatures concerned with China's pubilc hospital institutional innovations in the transition economy.But by using institutional analysis methods,less literature examined the institutional reform and innovations of China's pubilc hospital.This paper differs from the previous literature in that using new institutional economics,it explores the institutional reform and innovations of China's pubilc hospital by analyzing property rights institutions and organizational institutions.This paper includes five chapters ,and its structure is as follows:Chapter One is an introduction of the author's ideas and views regarding the selection of the topics,research methods,the points created by this thesis and the important issues in the field of pubilc hospital economics.It summarizes the literature concerned with China's pubilc hospital institutional innovations and points out the shortcomings of them.Chapter Two sets forth and interprets the basic concepts and ideas of new institutional economics applied to delineate and analyze the causation of pubilc hospital institutional reform.It is demonstrated that transaction cost and institutional efficiency exist in pubilc hospital fields just as in economic fileds and enterprises. Chapter Three put the developments of China's pubilc hospital into the background of macro economy.It discusses the significative Enlightenments of reformational methods of Japanese and German pubilc hospital.Chapter Four concentrates on the general path and tendency of the institutional innovation of the property rights arrangement in China's pubilc hospital fields,and emphansizes the important role that state and government play in pubilc hospital institution supply.It also concerns the issues of ownership and control in China's pubilc hospital fields.In the main, China's pubilc hospital institutions are not for-profit organizations.But they still consume scarce resources and must make choices in the innovational directions and correlative policies.Chapter Five discusses the innovations of China's pubilc hospital organizational institutions,which mainly includes organizational structure, the patterns of resources arrangement and finance system.Optimal portfolios of institution in resources allocation is investigated and recommended in this chapter.It delineates and analyzes the fundamental reasons and general features of organizational institutional reform. It's suggested that affiilated organizations not directly invovled with medical services keep market relationship with the pubilc hospital institutions in charter contracts.By using Cobb-Douglas production function,the general medical output function is created,which is suggested that more medical services and resources be alloted to the proles. The state and government also should play an important role in institution supply which can promote the organizational institutional innovations of China's pubilc hospital.