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Public hospital reforms in China: towards a model of new public management?

Public hospital reforms in China: towards a model of new public management? The purpose of this paper is to explore how far plans to “modernize” hospital management in China are converging toward a global model of new public management (NPM) or represent a distinctive pathway.Design/methodology/approachThis paper draws on a systematic review of available secondary sources published in English and Chinese to describe both the nature and trajectory of hospital management reforms in China.FindingsIn China, while public hospital reforms bear many of the hallmarks of the NPM, they are distinctive in two key respects. First, the thrust of current reforms is to partially reverse, not extend, the trend toward marketization in order to strengthen the public orientation of public hospitals. Second is a marked gap between the rhetoric and reality of empowering managers and freeing them from political control.Practical implicationsThis paper develops a framework for understanding the drivers and obstacles to hospital management reforms in China that is useful for managers, clinicians and policy makers.Originality/valueIn China, few authors have considered NPM reform in relation to healthcare. This paper contributes in better understanding current reforms taking place in China’s expanding healthcare sector and locates these within broader theoretical and policy debates. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Public Sector Management Emerald Publishing

Public hospital reforms in China: towards a model of new public management?

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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
0951-3558
DOI
10.1108/ijpsm-03-2018-0063
Publisher site
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Abstract

The purpose of this paper is to explore how far plans to “modernize” hospital management in China are converging toward a global model of new public management (NPM) or represent a distinctive pathway.Design/methodology/approachThis paper draws on a systematic review of available secondary sources published in English and Chinese to describe both the nature and trajectory of hospital management reforms in China.FindingsIn China, while public hospital reforms bear many of the hallmarks of the NPM, they are distinctive in two key respects. First, the thrust of current reforms is to partially reverse, not extend, the trend toward marketization in order to strengthen the public orientation of public hospitals. Second is a marked gap between the rhetoric and reality of empowering managers and freeing them from political control.Practical implicationsThis paper develops a framework for understanding the drivers and obstacles to hospital management reforms in China that is useful for managers, clinicians and policy makers.Originality/valueIn China, few authors have considered NPM reform in relation to healthcare. This paper contributes in better understanding current reforms taking place in China’s expanding healthcare sector and locates these within broader theoretical and policy debates.

Journal

International Journal of Public Sector Management – Emerald Publishing

Published: May 1, 2019

Keywords: New public management; Chinese healthcare system; Hospital management and governance; Public hospitals reform

References

  • Public hospital autonomy in China in an international context
    Allen, P.; Cao, Q.; Wang, H.
  • Public management reform and its consequences for professional organisation: a comparative analysis
    Ackroyd, S.; Kirkpatrick, I.; Walker, R.
  • Autocracy with Chinese characteristics: Beijing’s Behind-the-Scenes Reforms
    Ang, Y.Y.
  • Theorizing contemporary public management: international and comparative perspectives
    Ashworth, R.; Ferlie, E.; Hammerschmid, G.; Moon, M.J.; Reay, T.
  • The hospital of the future in China: China’s reform of public hospitals and trends from industrialized countries
    Barber, S.L.; Borowitz, M.; Bekedam, H.; Ma, J.
  • Privatization and its discontents – the evolving Chinese health care system
    Blumenthal, D.; Hsiao, W.
  • Lessons from the East: China’s rapidly evolving health care system
    Blumenthal, D.; Hsiao, W.
  • Constructing organizations: the example of public sector reform
    Brunsson, N.; Sahlin-Andersson, K.
  • Public sector reform and the state: the case of China
    Burns, J.P.
  • Cadre personnel management in China: the Nomenklatura system, 1990-1998
    Chan, H.S.
  • Public management policy and practice in Western China-meta policy, tacit knowledge, and implications for management innovation transfer
    Chan, H.S.; Chow, K.W.
  • Imitating the West? Evidence on administrative reform from the upper echelons of Chinese provincial government
    Christensen, T.; Dong, L.
  • China’s public hospital governance reforms are setting the stage for corporatization
    Collins, G.; Erickson, A.
  • Clinicians and the governance of hospitals: a cross-cultural perspective on relations between profession and management
    Degeling, P.; Zhang, K.; Coyle, B.; Xu, L.Z.; Meng, Q.Y.; Qu, J.B.; Hill, M.
  • China’s healthcare provider market – riding the waves of reform
  • Global health care outlook – battling costs while improving care
  • Post-new public management in public sector hospitals? The UK, Germany and Italy
    Dent, M.
  • A case study of China’s administrative reform: the importation of the super-department
    Dong, L.; Christensen, T.
  • Where is the pilot? The changing shapes of governance in the European hospital sector
    Eeckloo, K.; Delesie, L.; Vleugels, A.
  • China to establish a modern hospital management system
  • What is the job satisfaction and active participation of medical staff in public hospital reform: a study in Hubei province of China
    Fang, P.; Luo, Z.; Fang, Z.
  • Managing the care of health and the cure of disease. Part I: differentiation
    Glouberman, S.; Mintzberg, H.
  • Bureaucratic marketization and reforms of public hospitals in China
    Gu, X.
  • ’Bureaucracy-lite’ and continuities in managerial work
    Hales, C.
  • Urban hospital reform in China
    Hall, S.
  • The ‘new public management’ in the 1980s: variations on a theme
    Hood, C.
  • Reform of how health care is paid in China: challenges and opportunities
    Hu, S.; Tang, S.; Liu, Y.; Zhao, Y.; Escobar, M.; Ferranti, D.
  • Evaluating the effectiveness of public hospital reform from the perspective of efficiency and quality in Guangxi, China
    Jiang, S.; Wu, W.; Fang, P.
  • Corporatisation and the emergence of (under managered) managed organizations: the case of English public hospitals
    Kirkpatrick, I.; Veronesi, G.; Altanlar, A.
  • The development of medical-manager roles in European hospital systems: a framework for comparison
    Kirkpatrick, I.; Bullinger, B.; Dent, M.; Lega, F.
  • The translation of hospital management models in European health systems: a framework for comparison
    Kirkpatrick, I.; Bullinger, B.; Lega, F.; Dent, M.
  • Antecedents and consequences of corporatization: an empirical analysis of German public hospitals
    Lindlbauer, I.; Winter, V.; Schreyögg, J.
  • Global hospital management survey – China
    Liu, G.G.; Huang, J.
  • China’s health reform update
    Liu, G.G.; Vortherms, S.A.; Hong, X.
  • Reform of staff system in public institutions: process, problems and countermeasures
    Liu, X.; Wang, J.
  • People’s republic of China health system review
    Meng, Q.; Yang, H.; Chen, W.; Sun, Q.; Liu, X.
  • Healthcare reform in China: making sense of a policy experiment?
    Millar, R.; Jian, W.; Mannion, R.; Miller, R.
  • Understanding the welfare state: the case of health care’
    Moran, M.
  • International profiles of health care systems
    Mossialos, E.; Wenzl, M.; Osborn, R.; Sarnak, D.
  • How does corporatization improve the performance of government agencies? Lessons from the restructuring of state-owned forest agencies in Australia
    Nelson, H.W.; Nikolakis, W.
  • The Chinese healthcare system: how it works and future trends
    Nofri, E.M.
  • Interim measures for the management of leadership of public hospitals
  • How does separating government regulatory and operational control of public hospitals matter to healthcare supply?
    Pan, J.; Liu, G.G.; Gao, C.
  • Convergence, a useful myth
    Pollitt, C.
  • Health governance and healthcare reforms in China
    Ramesh, M.; Wu, X.; He, A.
  • An analysis of China’s physician salary payment system
    Ran, L.; Luo, K.; Wu, Y.; Yao, L.; Feng, Y.
  • Governance, government, and the search for new provider models
    Saltman, R.B.; Duran, A.
  • Management control, results-oriented culture and public sector performance: empirical evidence on new public management
    Verbeeten, F.H.M.; Speklé, R.F.
  • Reforms cut costs and improve services
    Wang, X.
  • Re-stratification, hybridity and professional elites
    Waring, J.
  • Fixing the Public Hospital System in China
  • Deepening Health Reform in China: building high-quality and value-based service delivery
  • China’s 1998 administrative reform and new public management: applying a comparative framework
    Yang, K.
  • The Chinese health system at a crossroads
    Yip, W.; Hsiao, W.C.
  • What drove the cycles of Chinese health system reforms?
    Yip, W.C.; Hsiao, W.C.
  • Early appraisal of China’s huge and complex health-care reforms
    Yip, W.C.M.; Hsiao, W.C.; Chen, W.; Hu, S.; Ma, J.; Maynard, A.
  • Modern hospital management system in a new era: evolving pathways and policy linkings
    Zhang, J.; Wang, H.
  • An investigation report on large public hospital reforms in China
    Zhang, L.; Li, M.; Ye, F.; Ding, T.; Kang, P.
  • Guiding opinions on comprehensive reform pilots for urban public hospitals
  • Guidelines on establishing a modern hospital management system