Skip to main content
NEJM Catalyst homepage
This article is available to subscribers. Subscribe now. Already a subscriber? Sign in.

The Current Situation and Thinking of Medical Services, Medical Quality, and Medical Safety in China

Published April 22, 2024
NEJM Catal Innov Care Deliv 2024;5(s1)
DOI: 10.1056/CAT.23.0279

Abstract

Medical service quality and patient safety are pivotal to hospital management. Recent years have witnessed the evolution of China’s medical quality management and control system, resulting in improvements in medical services and patient safety. Based on the 2021 National Report on the Services, Quality and Safety in Medical Care System, the authors analyzed the current situation of the health care quality and safety of China’s medical services using annual hospital quality survey data and routine administrative and quality control data. The key indicators primarily focused on medical services, medical quality and safety, clinical specialty services, and regional medical services. The authors’ findings indicate a steady improvement in the supply of medical resources and systematic advances in service coverage and efficiency. Decreases were observed in both mortality rates among low–risk group patients (defined by using diagnosis-related group classifications) and rates of unplanned readmission. The authors also identified improvements in the quality of treatments for major diseases and surgical procedures. Although the technical capability of clinical specialties was largely consistent, a marginal decrease was noted in secondary hospitals. A trend toward in-province but out-of-city care has been seen in the patient populations. For patients seeking out-of-province care, the average cost per hospitalization was higher compared with their in-province counterparts. Longer hospital stays and higher mortality rates were observed for patients treated in province, but these indicators declined over time. This study suggests promising advancements in China’s health care system; it also highlights areas requiring further attention and improvement, including regional health care provision and clinical specialty services in secondary hospitals. This research underscores the need for ongoing monitoring and evaluation to ensure optimized medical resource allocation, enhanced quality management, and specific goals of quality improvement.

This article is available to subscribers.

Subscribe Now

Notes

Xudong Ma, Bing Du, Sifa Gao, Chang Yin, Qiannan Liu, and You Wu have nothing to disclose.

Information & Authors

Information

Published In

NEJM Catalyst Innovations in Care Delivery

History

Published in issue: March 14, 2024
Published online: April 22, 2024

Topics

Authors

Affiliations

Director, Department of Medical Administration, National Health Commission of the People’s Republic of China, Division of Healthcare Quality and Evaluation, Beijing, China
Bing Du
Deputy Director, Department of Medical Administration, National Health Commission of the People’s Republic of China, Division of Healthcare Quality and Evaluation, Beijing, China
Sifa Gao
Level I Principal Staff, Department of Medical Administration, National Health Commission of the People’s Republic of China, Division of Healthcare Quality and Evaluation, Beijing, China
Chang Yin
Director, National Institute of Hospital Administration, National Health Commission of the People’s Republic of China, Medical Quality Monitoring and Control Research Unit, Beijing, China
Qiannan Liu
Analyst, National Institute of Hospital Administration, National Health Commission of the People’s Republic of China, Medical Quality Monitoring and Control Research Unit, Beijing, China
Assistant Professor, Institute for Hospital Management, Tsinghua Medicine, Tsinghua University, Beijing, China
Adjunct Assistant Professor, Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA

Metrics & Citations

Metrics

Altmetrics

Citations

Export citation

Select the format you want to export the citation of this publication.

View Options

View options

PDF

View PDF

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

CONTENT LINK

Share

This article is available to subscribers.

Subscribe Now