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The Role and Scope of Private Medical Practice in China

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Chapter 3. Result part 3<br />

Table 27. Op<strong>in</strong>ions towards health care system<br />

Strongly disagree,<br />

disagree, neither<br />

%<br />

Agree <strong>and</strong><br />

strongly agree<br />

Total No<br />

<strong>Private</strong> health facilities have a useful role to play <strong>in</strong> my prov<strong>in</strong>ce’s health care<br />

49.7 50.3 (646)<br />

system<br />

<strong>The</strong>re is a need to encourage more private health facilities to be set up 62.2 37.8 (650)<br />

It is difficult to start up a private medical practice <strong>in</strong> my prov<strong>in</strong>ce 47.7 52.3 (615)<br />

I th<strong>in</strong>k the health authorities <strong>in</strong> my prov<strong>in</strong>ce are not supportive <strong>of</strong> private medical 64.2 35.8 (602)<br />

practice <strong>in</strong> my prov<strong>in</strong>ce<br />

It is acceptable for private health facilities to make pr<strong>of</strong>its 42.3 57.7 (652)<br />

It is acceptable for public health facilities to make pr<strong>of</strong>its 43.2 56.8 (651)<br />

Advertisement <strong>of</strong> health care facilities should be strictly regulated 7.8 92.2 (654)<br />

Health care is a government responsibility, government should pay the bulk <strong>of</strong><br />

37.5 62.5 (653)<br />

health care costs<br />

Health care is an <strong>in</strong>dividual responsibility, people should pay the bulk <strong>of</strong> health<br />

76.5 23.5 (655)<br />

care costs<br />

<strong>Private</strong> medical services should be closely monitored for compliance with<br />

8.0 92.0 (655)<br />

regulation<br />

Public medical services should be closely monitored for compliance with<br />

8.3 91.6 (654)<br />

regulation<br />

Doctors <strong>in</strong> the public sector should be allowed to have part-time private practice<br />

62.7 37.3 (647)<br />

outside <strong>of</strong> the hospital they work <strong>in</strong> to supplement their <strong>in</strong>come<br />

Doctors <strong>in</strong> the public sector should be allowed to have part-time public practice<br />

62.4 37.6 (649)<br />

outside <strong>of</strong> the hospital they work <strong>in</strong> to supplement their <strong>in</strong>come<br />

I am presently underpaid for the work that I do 24.3 75.6 (644)<br />

Given a choice between private <strong>and</strong> public, I would rather work <strong>in</strong> a private health<br />

care facility<br />

46.9 53.0 (630)<br />

Need to encourage more private health facilities<br />

As to whether “there is a need to encourage more private health facilities to be<br />

set up”, 38% agreed overall. But aga<strong>in</strong>, public sector doctors agreed much less (18%)<br />

than private doctors (63%). <strong>The</strong>re was a rural-urban divide <strong>in</strong> op<strong>in</strong>ion as well, with<br />

rural doctors show<strong>in</strong>g less agreement (27%) than urban doctors (47%).<br />

Multivariate analysis showed urban practitioners <strong>and</strong> educational level<br />

(university) as the <strong>in</strong>dependent factors associated with support for the establishment<br />

<strong>of</strong> more private cl<strong>in</strong>ics (Table 28).<br />

37

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