title: Evaluating the effectiveness of public hospital reform from the perspective of efficiency and quality in Guangxi, China.
abstract: The evaluation of hospital reform effectiveness in health care reform is very important and beneficial since it helps the government to understand the current situation of pilot county public hospitals and smoothly start the reform in all county hospitals. This study used sample hospitals data from 2010 to 2012 to evaluate the effectiveness of public hospital reform through comparisons between 2010 and 2012 in hospital operating efficiency, clinical terminal quality, the average medical expense of patients, patient and medical staff overall satisfaction. The results highlight that there was no improvement in hospitals' operating efficiency, pilot hospitals' clinical terminal quality was lower than its counterpart, and the two objectives had been improved: medical expense control and inpatients' satisfaction, however, nearly 68.46% medical staffs were dissatisfied with the outcomes of the reform in pilot hospitals staff satisfaction. Nevertheless, the reform was helpful to improve the hospital current situation with some of the objectives having been achieved. It has not completely succeeded in Guangxi, China.
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan, 430030 Hubei China ; Academy of Health Policy and Management, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan, 430030 Hubei China.
authors.forename: Shuai
authors.initials: S
authors.lastname: Jiang
authors.affiliation: School of Information and Management, Guangxi Medical University, 22 Shuangyong Road, Qingxiu District, Nanning, 530021 Guangxi China ; Guangxi Institute for Food and Drug Control, 9 Qinghu Road, Qingxiu District, Nanning, 530021 Guangxi China.
authors.forename: Wei-Min
authors.initials: WM
authors.lastname: Wu
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan, 430030 Hubei China ; Academy of Health Policy and Management, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan, 430030 Hubei China.
authors.forename: Pengqian
authors.initials: P
authors.lastname: Fang
keywords: Clinical terminal quality; Data envelopment analysis; Effectiveness evaluation; Patient satisfaction; Public hospital reform