Policy frameworks for promoting public hospital development in major economies: implications for China

There are differences among countries in the selection of policy tools and practical effects to support the development of public hospitals, but all demonstrate an ongoing balance between ensuring the supply of basic medical services, enhancing the efficiency of the service system, and addressing structural challenges. China should draw on international experience, taking into account its national conditions, to further strengthen the central government's coordinating role, clarify the boundaries of financial investment, optimize health insurance payment and price formation mechanisms, promote the reform of public hospitals toward legal person status and group management, accelerate digital transformation and the implementation of a tiered diagnosis and treatment system, and build an efficient, equitable, and sustainable development model for public hospitals.

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Publication Details

Journal
Frontiers in Public Health
Published
2026-02-23
DOI
https://doi.org/10.3389/fpubh.2026.1774539
Primary Topic
Healthcare Systems and Reforms
Type
article
Field-Weighted Citation Impact
0.00

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article

Policy frameworks for promoting public hospital development in major economies: implications for China

Ruijin Xie, Zhiguang Li, Yuetian Shu
Frontiers in Public Health
Healthcare Systems and Reforms
article

Policy frameworks for promoting public hospital development in major economies: implications for China

Ruijin Xie, Zhiguang Li, Yuetian Shu
article en

Abstract

There are differences among countries in the selection of policy tools and practical effects to support the development of public hospitals, but all demonstrate an ongoing balance between ensuring the supply of basic medical services, enhancing the efficiency of the service system, and addressing structural challenges. China should draw on international experience, taking into account its national conditions, to further strengthen the central government's coordinating role, clarify the boundaries of financial investment, optimize health insurance payment and price formation mechanisms, promote the reform of public hospitals toward legal person status and group management, accelerate digital transformation and the implementation of a tiered diagnosis and treatment system, and build an efficient, equitable, and sustainable development model for public hospitals.

Frontiers in Public HealthVol. 14
Anhui University of Traditional Chinese Medicine (CN)
Anhui University, Anhui University of Chinese Medicine, Jilin Office of Philosophy and Social Science
Partnerships for the goals
Openalex Percentile: Top 49%
Healthcare Systems and Reforms
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