Medical Reform under the Public Governance Perspective in Zichang County
MAO Ying;YANG Jie;LIU Jin-lin;School of Public Policy and Administration,Xi’an Jiaotong University;
Based on the data collected from the periodic assessment project about the reform in public hospitals of Zichang County which led by the Ministry of Health and the Public and Administration of Xi'an Jiaotong University, using the public governance analysis framework to analyze the process and effect of health care reform in Zichang County from perspective of governance goal, governance concept, governance structure, governance mechanisms, governance tools and governance performance. Through the analysis, it is found that governance body of Zichang County's health care reform has the concept of serving the public, the reform achieved its governance goal of "expensive to visit the doctor", the governance performance determined by "the people benefited, medical staff encouraged" was also evident, and a set of more mature governance mechanisms was established as well. But its governance structure is still relative simple and its governance tools lack of long-term effectiveness. Based on the analysis, suggestions are given for the health care reform of Zichang County.