The Role and Scope of Private Medical Practice in China

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Chapter 3. Results part 1 Between 1993 and 1994 the Ministry of Health and the State Bureau of Industry and Commence jointly laid down the Methods of Administration of Advertisements for Medical Services and Medications. In 1994, the Ministry of Health issued Basic Standards Of Healthcare Facilities (Draft) and Key Principles Of Distribution Of Healthcare Facilities, but made no mention of how private health facilities would fit into the overall master plan. In 1997, the State General Bureau of Industry and Commence and the State General Bureau of Tax issued separate requirements for registration of private medical practice and taxation. In 1998, the Ministry of Health issued a regulation that made it illegal to operate a medical practice without a license from the State Bureau of Tax and urged all private doctors and health care facilities to comply with tax registration. In the same year, the Ministry of Health issued The Notice of Enhanced Management of Employment of Social Health Workers which regulated the management and employment of non-institutional medical health workers. Since 2000, the Ministry of Health has required all medical facilities to be registered as either non-profit or for profit entities. A list of relevant official documents reviewed by the study team is given in Annex C. In addition, we reviewed a number of regulations on private medical practice promulgated by the Provincial governments. A list of these documents in given in Annex D. It can be seen that there are adequate rules and regulations already laid down, ranging from prescribed examinations and minimum standards for the licensing of medical practitioners, through the minimum standards and monitoring of health care facilities, to the fees and taxes levied by different government agencies. A point to note is the large number of agencies involved in the issuing and administration of the regulations.. Table 3 shows additional statistics compiled from official sources, which reveal some basic information on the status of health care facilities in the three study provinces, as well as the cities/counties that were studied. The combined population of the three study provinces accounted for one sixth of total Chinese population. Based on GDP and average individual income, Guangdong is economically more developed than Shanxi and Sichuan. Urban residents have also much higher income than rural residents. Private health care providers can be divided into “private hospitals” and “private clinics”. There are altogether 5792 public hospitals and 192 private hospitals in the three provinces combined. Private hospitals comprise only a small percentage (3.3%) of the total number of hospitals. Sichuan has the most number of private 16
Chapter 3. Results part 1 hospitals (84), followed by Guangdong (64) and Shanxi (44). As for private clinics, there are 14,665 in Sichuan, 8455 in Shanxi, and an indeterminate number in Guangdong. Among the urban and rural sites studied in each province (data for the entire province were unavailable), the highest concentration of private clinics is found in Taiyuan city in Shanxi Province (4.4 per 10,000 population), followed by Shenzhen city in Guangdong Province (2.6 per 10,000 population) and Leshan city (1.8 per 10,000 population) in Sichuan Province. The highest concentration of private clinics among the rural areas is in Yangqu County in Shanxi Province (2.1 per 10,000 population) followed by Haifeng in Guangdong Province and Weiyuan in Sichuan, which have the same concentration (1.3 per 10,000 population). Table 3. Basic statistics compiled from official sources for study provinces, cities and counties (1999) Guangdong Shanxi Sichuan Province Shenzhen City Haifeng County Province Taiyuan City Yangqu County Province Leshan City Weiyuan County Area (10,000km 2 ) 17.8 0.2 0.2 15.6 0.7 0.3 48 1.3 0.1 Population (10,000) 7298.9 119.9 71.2 3203.6 300 14 8316 345.1 74.9 Average individual income 9125(U*) 20240 3511 4342(U) 6019 1181 5127(U) 4947 2080 3628(R*) 1772(R) 1789(R) GDP (yuan) 11596 35896 8397 4727 3620 4339 3950 3954 No. medical institutions# 8699 687 39 16500 3338 197 75217 1323 629 No. hospitals 2415 76 12 2634 149 14 935 455 512 Public hospitals 2351 70 25 2590 132 14 851 324 426 Private hospitals 64 6 2 44 17 0 84 3 0 Private hospitals per 0.09 0.50 0.28 0.14 0.57 0.00 0.10 0.09 0.00 100,000 pop. No. private clinics 317 97 8455 1379 29 14665 610 92 No. per 10,000 pop. 2.6 1.3 4.4 2.1 1.8 1.3 Health Manpower 320423 18841 1520 152123 20000 895 11663 1499 Private health manpower 8667 867 161 26245 3060 76 935 186 Private health manpower 1.19 7.23 2.26 8.19 10.20 5.43 2.71 2.48 per 10,000 pop. Consultations (10,000) 10383 2051 108 4547 836 3.6 6416 730 140 Private (10,000) 110 269 31 0.9 250 20 Private consultation per 10,000 pop. 150.71 22435.36 4353.93 642.86 7244.28 2670.23 * U- Urban areas, R- Rural areas # does not include private clinics. = data unavailable 17
Page 1: The Role and Scope of Private Medic
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Page 7: Abstract The objective of this stud
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Chapter 4. Discussion Health care m
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Chapter 4. Discussion services poin
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Chapter 5. Conclusion and recommend
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Chapter 5. Conclusion and recommend
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