CHN_2015_APPROACHIE-BL_v01_M_PUF DDI_CHN_2015_APPROACHIE-BL_v01_M_PUF_WB Development Economics Data Group 2016 Nesstar Publisher Version 01 (September 2015) Analysis of Provider Payment Reforms on Advancing China's Health Impact Evaluation 2015 Baseline Survey APPROACHIE-BL 2015 CHN_2015_APPROACHIE-BL_v01_M_PUF Winnie Yip Nesstar Publisher Health Result Innovation Trust Fund, World Bank Group Wei Han Winnie Yip Wei Han Impact Evaluation Edited anonymous dataset for public distribution The Analysis of Provider Payment Reforms on Advancing China's Health Impact Evaluation, Baseline Survey was conducted in July 2015. The primary objective of the project is to design policy intervention in innovative provider payment methods to incentivise hospitals to deliver services with quality and do so efficiently. It also examines how governance of public hospitals and internal management affect hospital performances. The County-level Hospital Survey (CHS) and World Management Survey (WMS) are designed to collect baseline data about county-level hospitals. CHS covers the following sections: general information about the hospital, human resources, financial situation, governance, management, provider payment methods, and public hospital reform. WMS covers the following sections: operation management, monitoring management, target management, and people management. China Guizhou Province The survey covers all county-level public hospitals and a couple of county-level non-public hospitals in the 58 counties of Guizhou. Sample survey data [ssd] Guizhou Medical University Zunyi Medical University Face-to-face [f2f] Training was held before the survey. Pilot survey was conducted. On average, the interview took around 45 minutes to 1 hours. The interview was conducted in Chinese. University of Oxford, UK; Sichuan University, China; Fudan University China Data was edited using STATA. Data was entered manually using EpiData by students from Guizhou Medical University and Zunyi Medical University. Approximately 20% of the data was double entered. CHS_V2.1 and WMS_V2.1 are for public distribution. Winnie Yip The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. CHS_V2.1.NSDstat County-level hospital survey; edited anonymous dataset for public distribution 143 299 Nesstar 200801 WMS_V2.1.NSDstat WMS survey; edited anonymous dataset for public distribution 273 74 Nesstar 200801 ID 143 0 1 143 Is the hospital a pilot hospital in the national public hospital reform pilot? 143 0 -999 2 Job title of the respondent 143 0 -999 3 Other leader(job title) 143 0 -888 1 -999 105 0 1 °ì¹«ÊÒ¸±Ö÷ÈÎ 1 °ì¹«ÊÒ¹¤×÷Ô± 1 °ì¹«ÊÒÖ°Îñ 1 °ì¹«ÊÒÖ÷ÈÎ 4 ²ÆÎñ¡¢Ò©¼Á¡¢ºÏÒ½ 1 ²ÆÎñ¡¢Ò½Îñ 1 ²ÆÎñ£¬Ôº°ì£¬ÈËÊ 1 ²ÆÎñ£¬Ôº°ìÖ÷ÈÎ 1 ²ÆÎñ¿Æ£¬Ò½Îñ¿Æ£¬ 1 ²ÆÎñ¿ÆÖ÷ÈΡ¢Ôº°ì 1 µ³Ö§²¿Êé¼Ç 1 ·ÇÁìµ¼Ö°Îñ 1 ºÏÒ½¿Æ¿Æ³¤ 1 »ÆԶı 1 ÈËÊ¿ơ¢²ÆÎñ¿ÆµÈ 1 Êé¼Ç 1 Íâ¿ÆÖ÷ÈΡ¢»¤Ê¿³¤ 1 Ò½±£°ìÖ÷ÈÎ 1 Ò½±£¿Æ£¬Ôº°ì 1 Ò½±£¿Æ¿Æ³¤ 1 Ò½¸Ä°ìÖ÷ÈÎ 1 Ò½Îñ¿Æ³¤ 2 Ò½Îñ¿Æ¿Æ³¤ 1 Ôº°ì¹«ÊÒÖ÷ÈÎ 2 Ôº°ìÖ÷ÈÎ 2 Ôº³¤ÖúÀí 1 Ö÷ÈÎ 2 ×ܾ­Àí 1 ×ÜÎñ¿Æ¿Æ³¤ 1 Type of hospital Type of hospital: .General hospital .Traditional Chinese hospital .Others (specify) Note: fill table according to the real situation. Please put “-888” if do not know; please put “-999” if not applied (the same applies to the rest tables). 143 0 -999 3 1 General hospital 99 2 Traditional Chinese hospital 39 3 Others (specify) 4 Others(specify) 143 0 -999 140 ˽Á¢Ò½Ôº 1 ÖÐÎ÷Ò½½áºÏÒ½Ôº 1 ÖÐÒ½×ÛºÏÒ½Ôº 1 Level of hospital:Primary/Secondary/Tertiary/Unassigned Level of hospital 143 0 -999 4 -999 1 1 Primary 19 2 Secondary 108 3 Tertiary 1 4 Unassigned 14 Level of hospital:First/Second/Third class 143 0 -999 4 -999 1 1 First class 88 2 Second class 12 3 Third class 1 4 41 Ownership of hosptal:Public(MOH)/Public(non-MOH)/Non-public 143 0 -999 3 1 Public(MOH) 97 2 Public(non-MOH)(specify) 7 3 Non-public (specify) 38 Profit status:For profit/Not-for-profit Profit status 143 0 -999 2 1 For profit 33 2 Not-for-profit 104 Official quota on number of posts and receive government subsidies for basic sal Official quota on number of posts that receive government subsidies for basic salary 143 0 -999 2286 Number of staff on duty Number of staff on duty 143 0 -999 943 Among which:number of staff holding official posts with government subsidies Among which: number of staff holding official posts with government subsidies 143 0 -999 999 Number of staff holding conntracted posts Number of staff holding contracted posts 143 0 -999 533 Number of staff recuited after their retirement Number of staff recruited after their retirement 143 0 -999 999 Number of temporary staff Number of temporary staff 143 0 -999 999 Number of medical professionals Number of medical professionals 143 0 -999 815 classification:Medical practitioners Classification: Medical practitioners 143 0 -999 191 Assistant medical practitioners Assistant medical practitioners 143 0 -999 202 Certified nurses Certified nurses 143 0 -999 409 Pharmacist Pharmacist 143 0 -999 33 Laboratory technician Laboratory technician 143 0 -999 23 Imaging technician Imaging technician 143 0 -999 136 Other medical professionals Other medical professionals 143 0 -999 318 Professional title:Senior Professional title: Senior 143 0 -999 888 Associate senior Associate senior 143 0 -999 888 Medium Medium 143 0 -999 888 Junior Junior / Assistant 143 0 -999 888 Others Other 143 0 -999 13584 Number of retired staffs Number of retired staffs 143 0 -999 999 In the past 3 years (2012-2014), did any medical practitioners or assistant medi In the past 3 years (2012-2014), did any medical practitioners or assistant medical practitioners leave your hospital? 143 0 -999 4 1 Yes 113 2 No 26 If yes, number of medical practitioners who left If yes, number of medical practitioners who left 143 0 -999 112 Number of assistant medical practitioners who left Number of assistant medical practitioners who left 143 0 -999 30 In the past 3 years (2012-2014), the number of the newly recruited practicing ph In the past 3 years (2012-2014), number of medical practitioners newly recruited 143 0 -999 76 In the past 3 years (2012-2014), the number of the assistant praticing physician In the past 3 years (2012-2014), number of assistant medical practitioners newly recruited 143 0 -999 200 Official quota on number of beds Official quota on number of beds 143 0 -999 800 Number of beds in operation Number of beds in operation 143 0 -999 1200 Number of ICU beds Number of ICU beds 143 0 -999 2488 Total value of medical equipments with value greater than 10,000 RMB Total value of medical equipment (in 10,000 RMB) with value greater than 10,000 RMB 143 0 -999 26436 Number of medical equipments with value greater than 10,000 RMB Quantity of medical equipment with value greater than 10,000 RMB 143 0 -999 7230 Among which: total value of CT Among which: Total value of CT 143 0 -999 3267 Total value of MRI Total value of MRI 143 0 -999 2160 Total value of DR or CR Total value of DR or CR 143 0 -999 2885 Total revenue Total revenue (in 10,000 RMB) 143 0 -999 22529 Government subsidy Government subsidy, among which: (in 10,000 RMB) 143 0 -999 3069 How much is for basi expense? Basic expense budget (in 10,000 RMB) 143 0 -999 6709 How much is for basic salary of official posts? Basic salary of official posts (in 10,000 RMB) 143 0 -999 6709 Among which: how much is for salary of retired staffs Among which: salary of retired staffs (in 10,000 RMB) 143 0 -999 1289 How much is for policy-related compensation? Policy-related compensation (in 10,000 RMB) 143 0 -999 999 How much is for project expense? Project expense (in 10,000 RMB) 143 0 -999 2105 How much is for basi infrastructure construction? Basic infrastructure construction (in 10,000 RMB) 143 0 -999 2000 How much is for medical equipment purchase? Medical equipment purchase (in 10,000 RMB) 143 0 -999 999 How much is for priority service capability building? Priority service capability building (in 10,000 RMB) 143 0 -8588 999 How much is for performing public health functions assigned by the government? Performing public health functions assigned by the government (in 10,000 RMB) 143 0 -999 999 Revenue from medical service Medical service (in 10,000 RMB) 143 0 -999 20394 Revenue from outpatient services Outpatient services (in 10,000 RMB) 143 0 -999 8444 Revenue from drugs Drugs (in 10,000 RMB) 143 0 -999 2988 Revenue from examination and tests Examination and tests (in 10,000 RMB) 143 0 -999 3124 Revenue from others Others (in 10,000 RMB) 143 0 -999 3642 Revenue from inpatient services Inpatient services (in 10,000 RMB) 143 0 -999 13927 Revenue from drugs Drugs (in 10,000 RMB) 143 0 -999 186372 Revenue from examination and tests Examination and tests (in 10,000 RMB) 143 0 -999 6540 Revenue from others Others (in 10,000 RMB) 143 0 -999 8990 Revenue from research and teaching Research and teaching (in 10,000 RMB) 143 0 -999 999 Revenue from others Other sources (in 10,000 RMB) 143 0 -999 2203 Revenue from insurance Insurance (in 10,000 RMB) 143 0 -999 35433 Revenue from New Cooperative Medical Scheme Among which: From New Cooperative Medical Scheme (in 10,000 RMB) 143 0 -999 9574 Revenue from Urban Resident Basic Medical Insurance From Urban Resident Basic Medical Insurance (in 10,000 RMB) 143 0 -999 1489 Revenue from Urban Employee Basic Medical Insurance (fill 0 if no) From Urban Employee Basic Medical Insurance (fill 0 if no) (in 10,000 RMB) 143 0 -999 5230 Total expense Total expense (in 10,000 RMB) 143 0 -999 23060 On health care services Health care services (in 10,000 RMB) 143 0 -999 48009 On staff salary, bonus etc. Staff salary, bonus etc. (in 10,000 RMB) 143 0 -999 7224 On salary Among which: Salary (in 10,000 RMB) 143 0 -999 3362 On allowance Allowance (in 10,000 RMB) 143 0 -999 2336 On bonus Bonus (in 10,000 RMB) 143 0 -999 2967 On merit pay Pay-for-performance (in 10,000 RMB) 143 0 -999 4472 On drugs Drug purchasing (in 10,000 RMB) 143 0 -999 6872 On projects Project (in 10,000 RMB) 143 0 -999 1750 On infrastructure development Infrastructure development (in 10,000 RMB) 143 0 -999 1750 On medial equipment purchasing Medical equipment purchasing (in 10,000 RMB) 143 0 -999 999 On capability building Capacity building (in 10,000 RMB) 143 0 -999 999 On performing public health function Performing public health function (in 10,000 RMB) 143 0 -999 999 On research and teaching Research and teaching (in 10,000 RMB) 143 0 -999 999 On administration Administration (in 10,000 RMB) 143 0 -999 4785 Among which: on salary of administrative staff Among which: Salary of administrative staff (in 10,000 RMB) 143 0 -999 3329 On salary of retired staff Salary of retired staff (in 10,000 RMB) 143 0 -999 1099 On other expenses Other expenses (in 10,000 RMB) 143 0 -999 3188 Total unpaid bills of patients Total unpaid bills of patients (in 10,000 RMB) 143 0 -999 3796 Among which: unpaid bills of patients of this year Among which: unpaid bills of patients of this year(in 10,000 RMB) 143 0 -999 1852 In 2014, what is total surplus (revenue net of expenses) as share of total medic In 2014, what is total surplus (revenue net of expenses) as a share of total medical service revenue? 143 0 -0.42 1 -1 1 -1.64 1 -10 1 -2.37 1 -22 1 -3.33 1 -5.08 1 -5.92 1 -888 14 -999 11 0 9 0.01 1 0.02 1 0.19 1 0.80 1 0.92 1 1 2 1.34 1 1.55 1 1.67 1 1.93 1 10 5 10.5 2 100 1 11.48 1 12 1 12.39 1 12.62 1 13 3 13.32 1 13.6 1 14 1 14.23 1 14.4 1 14.57 1 14.96 1 15 2 15.36 1 15.93 1 16.6 1 17 2 17.24 1 19.06 1 19.45 1 2 2 2.7 1 2.8 1 20 2 26 3 27 1 29.7 1 3 2 3.08 1 3.4 1 3.5 2 3.6 2 34.64 1 35 1 4 3 4.13 1 4.14 1 4.31 1 4.63 1 44.03 1 5 1 5.17 1 5.31 1 5.8 1 5.9 1 5.94 1 6 2 6.36 1 6.9 1 7 4 7.68 1 8 2 8.14 1 8.3 1 8.4 1 8.43 1 8.5 1 8.75 1 8.9 1 9.4 1 9.6 1 9.9 1 999 1 Does your hospital have discretion on how to spend surplus? Does your hospital have discretion on how to spend surplus? 143 0 -999 2 1 Yes 114 2 No 12 If yes, what is the persentage of the surplus your hospital has discretion(%)? If yes, what is the percentage of the surplus your hospital has discretion 143 0 -888 20 -999 17 0 1 0.92 1 10 2 100 78 14.96 1 15 1 3.5 1 30 1 4.13 1 40 7 45 1 50 3 8.75 1 8.9 1 80 2 862 1 90 1 999 2 Among discretionary surplus: how much is spent on staff's bonus? Among discretionary surplus: The percentage that your hospital spent on staff’s bonus 143 0 -888 19 -999 20 0 19 10 4 100 3 12 1 18 1 20 8 25 1 28.3 1 3 1 30 5 37 1 38 1 4.9 1 40 37 43 1 45 1 5 1 50 10 55 1 60 1 65 1 70 1 888 1 999 2 How much is spent on hospital development? The percentage that your hospital spent on hospital development 143 0 -888 18 -999 18 0 1 0.92 1 1 1 10 1 100 14 15 3 20 1 25 1 3.0 1 3.6 1 30 2 4.9 1 40 4 45 3 50 13 53 1 55 1 60 36 70 5 80 7 85 1 888 1 90 4 92 1 999 2 How much is spent on the others? 143 0 -888 29 -999 22 0 54 0.5 1 1 1 10 13 100 2 12 2 2 2 20 2 30 2 45 1 5 3 5.16 1 50 1 55 1 8 3 888 1 999 2 How many departments are there in your hospital excluding administrative and log How many departments are there in your hospital excluding administrative and logistics/cleaning departments? 143 0 -999 33 The share of revenue for each of the top three departments by revenue: The first 143 0 -888 5 -999 2 TCU 1 ¶ù¿Æ 2 ·ÅÉä 2 ·ÅÉä¿Æ 2 ·Î²¡¿Æ 1 ¸¾²ú¿Æ 9 ¸¾¿Æ 8 ¹Ç¿Æ 9 ¹ÇÉË 1 ¹ÇÉË¿Æ 2 ¹ÇÍâ 1 ¹ÇÍâ¿Æ 1 ¼±Õï 1 ¼±Õï¿Æ 1 ¼ìÑé 1 ¼ìÑé¿Æ 3 ¿ÆÊÒÃûÍâÒ»¿Æ 1 Âé×í¿ÆÊÖÊõÊÒ 1 ÃÅÕﲿ 1 ÃÅÕï¿Æ 1 ÄÚ2¿Æ 1 ÄÚ¶ù¿Æ 2 ÄÚ¶þ£¨¶ù¿Æ¡¢Éñ¾­ÄÚ£© 1 ÄÚ¶þ¿Æ 3 ÄÚ¶þ¿Æ£¨ÐÄÄÚ¿Æ£© 1 ÄÚ¿Æ 26 ÄÚÈý¿Æ 1 ÄÚÒ» 2 ÄÚÒ»£¨Ñª¹Ü¡¢Éñ¾­¡¢ÃÚ£© 1 ÄÚÒ»¿Æ 5 ÆÕÍâ 1 Éö²¡¿Æ 1 ÊÖÊõÂé×í¿Æ 2 Ìå¼ìÖÐÐÄ 1 Íâ1 1 Íâ1¿Æ 1 Íâ2£¨¹Ç¿Æ£© 1 Íâ2¿Æ 1 Íâ¶þ 2 Íâ¶þ¿Æ 2 Íâ¶þ¿Æ£¨¹ÇÉË£© 1 Íâ¶þ¿Æ£¨¹ÇÍ⣩ 1 Íâ¿Æ 12 ÍâÈý¿Æ 1 ÍâÒ» 1 ÍâÒ»¿Æ 2 Î÷Ò©·¿ 1 Ò©¼Á¿Æ 1 Ó°Ïñ¿Æ 1 Õë¾Ä¿Æ 3 Ö°·À¿Æ 1 Öзç¿Æ 1 ÖÐÒ½¿Æ 1 ÖÐÒ½ÌÛÍ´¿Æ 1 ×ۺϲ¡·¿ 1 ×ÛºÏ¿Æ 1 ƒÈÒ» 1 The proportion of the revenue made by the first department 143 0 -888 9 -999 7 10 2 10.11 1 10.36 1 10.54 1 10.60 1 11 2 11.02 1 11.61 2 11.67 1 11.7 1 11.99 1 110.5 1 12 1 12.17 2 12.2 1 12.4 1 12.8 1 12.84 1 13 1 13.57 1 13.67 1 13.71 1 13.75 1 13.9 1 14 4 14.09 1 15 4 15.15 1 15.22 1 15.58 1 15.61 1 15.7 1 16 1 16.3 1 17 1 17.07 1 17.3 1 17.53 1 17.63 1 17.7 1 18 4 18.9 1 19 1 19.13 1 19.67 1 19.75 1 20 5 21 1 22 2 22.14 1 22.58 1 22.66 1 23 3 24 2 24.5 1 24.71 1 25 4 26.55 1 26.61 1 29 1 30 2 31 1 32.89 1 33.4 1 34.6 1 35 5 36 1 38 2 39.33 1 4.04 1 40 6 45 2 47 1 5.2 1 5.3 1 50 2 56 1 6 2 60 4 7.04 1 7.27 1 70 1 8.5 1 84 1 9.2 1 9.73 1 The second department 143 0 -888 5 -999 2 ²ú¿Æ 2 ¶ù2¿Æ£¨ÐÂÉú¶ù£© 1 ¶ù¿Æ 2 ¶ùÒ»¿Æ 1 ¶ú±Çºí¿Æ 1 ¶ú±Ç¿Æ 1 ·ÅÉä¿Æ 4 ¸¾²ú 1 ¸¾²ú¿Æ 6 ¸¾¿Æ 6 ¹Ç¿Æ 3 ¹ÇÄÔÍâ¿Æ 1 ¹ÇÉË¿Æ 5 ¹ÇÉËÒ»¿Æ 1 »¯ÑéÊÒ 1 ¼±Õï 1 ¼±Õï¿Æ 1 ¼ìÑé 2 ¼ìÑé¿Æ 3 ¿µ¸´¿Æ 2 ¿ÆÊÒÃûÍâÈý¿Æ 1 ÄÔ²¡¿Æ 1 ÄÚ1 1 ÄÚ1¿Æ 1 ÄÚ¶ù¿Æ 3 ÄÚ¶þ 3 ÄÚ¶þ£¨ÄÚ·ÖÃÚ¡¢ºôÎü¡¢£© 1 ÄÚ¶þ¿Æ 5 ÄÚ¿Æ 17 ÄÚ¿Æ£¨ÐÄÄÔ£© 1 ÄÚÈý¿Æ 2 ÄÚÒ» 3 ÄÚÒ»£¨ÐÄѪ¹ÜÄÚ¿Æ£© 1 ÄÚÒ»¿Æ 4 ÄÚÒ»¿Æ£¨ºôÄÚ¡¢¶ù¿Æ£© 1 ÄÚÒ»¿Æ£¨ÐÄÄÚ£© 1 ÆÕÍâ 3 ÆÕÍâ¿Æ 1 Éñ¾­Íâ¿Æ 1 ÊÖÊõÊÒ 1 Íâ1¿Æ 1 Íâ3£¨ÏÔ΢Íâ¿Æ£© 1 Íâ¶þ 1 Íâ¶þ¿Æ 3 Í⸾¿Æ 1 Íâ¿Æ 17 ÍâÒ» 2 ÍâÒ»¿Æ 3 Ò©¼Á¿Æ 1 ҽѧ¼ìÑé¿Æ 1 Õë¾Ä¿Æ 5 Õë¾ÄÍÆÄÃ¿Æ 1 ÖÐÒ½¿Æ 1 ×ÛºÏ¿Æ 1 The proportion of the revenue made by the second department 143 0 -888 9 -999 7 10 3 10.16 1 10.2 1 10.25 1 10.89 1 11 1 11.1 1 11.66 1 11.85 1 11.93 1 11.94 1 12 4 12.05 1 12.68 1 13 2 13.2 1 13.46 1 13.86 1 13.94 1 14 6 14.31 1 14.7 1 15 2 15.1 1 15.21 1 16 3 16.1 1 16.5 1 16.61 1 17 2 17.26 1 17.42 1 17.43 1 18 2 18.47 1 18.5 1 18.9 1 20 11 21 1 22 2 22.56 1 23.75 1 25 5 25.14 1 26 3 27 1 3.89 1 3.9 1 30 7 30.2 1 30.4 1 30.74 1 31 1 33.17 1 35 3 38 1 4.7 1 40 2 5 1 5.9 1 6.35 1 6.82 1 6.87 1 6.96 1 7 1 7.03 1 7.04 1 8 1 8.04 1 8.2 1 8.42 1 8.73 1 80.13 1 9 3 9.11 1 9.25 1 9.33 1 9.5 1 9.6 1 9.76 1 9.77 1 9.8 1 9.91 1 The third department 143 0 -888 7 -999 2 ²ú¿Æ 2 ³¬Éù¿Æ 1 ¶ù1¿Æ£¨ÆÕͨ¶ù¿Æ£© 1 ¶ù¿Æ 3 ¶ú±Çºí¿Æ 2 ·ÅÉä¿Æ 3 ·çʪ¿Æ 1 ¸¾²ú 1 ¸¾²ú¿Æ 10 ¸¾¿Æ 3 ¹Ç¡¢ÄÔÍâ 1 ¹Ç¿Æ 3 ¹ÇÉË 1 ¹ÇÉ˶þ¿Æ 1 ¹ÇÉË¿Æ 2 ¹ÇÉËÍâ¿Æ 1 ¼±Õï 1 ¼ìÑé 1 ¼ìÑé¿Æ 5 ¿µ¸´¿Æ 1 ¿ÆÊÒÃûÍâ¶þ¿Æ 1 Âé×í 1 ÃÅÕï 1 ÃÅÕﲿ 2 ÄÚ1¿Æ 1 ÄÚ2 1 ÄÚ2¿Æ 1 ÄÚ¶ù¿Æ 1 ÄÚ¶þ 1 ÄÚ¶þ¿Æ 2 ÄÚ¿Æ 14 ÄÚÈý 2 ÄÚÈý¿Æ£¨Ïû»¯¡¢¸ÐȾ£© 1 ÄÚÒ» 1 ÄÚÒ»£¨ÑªÒºÏû»¯ÐÄѪ¹Ü£© 1 ÄÚÒ»¿Æ 4 ÆÕÍâ 2 ÆÕÍâ¿Æ 2 Éñ¾­ÄÚ¿Æ 1 ÊÖÊõÊÒ 2 ÌØɫר¿Æ 1 Íâ1£¨Î¢´´£© 1 Íâ2¿Æ 1 Íâ¶þ 1 Íâ¶þ¿Æ 4 Íâ¿Æ 18 Íâ¿Ç 1 ÍâÈý¿Æ 2 ÍâÒ» 1 ÍâÒ»£¨ÆÕÍâ¿Æ) 1 ÍâÒ»¿Æ 3 ÍâÒ»¿Æ£¨ÆÕÍ⣩ 1 Îå¹Ù¿Æ 1 ÐÄÄÔ²¡¿Æ 1 ÐÄÄÚ 1 Ó°Ïñ¿Æ 1 Õë¾Ä 1 Õë¾Ä¿µ¸´¿Æ 1 Õë¾Ä¿Æ 4 ÕëÍÆ¿Æ 1 ÖÐÒ½¿Æ 2 The proportion of the revenue made by the third department 143 0 -888 11 -999 7 10 9 10.08 1 10.34 1 10.7 1 11 7 11.16 1 11.56 1 11.57 1 11.82 1 11.94 1 12 4 12.03 1 12.40 1 12.5 1 12.8 1 13 2 13.2 1 13.3 1 13.35 1 14 4 14.58 1 15 7 15.08 1 15.6 1 16 1 17 3 17.14 1 17.6 1 18 3 18.03 1 2.7 1 20 7 21.56 1 22.6 1 22.75 1 23 1 24 1 25 4 26.8 1 3.71 1 3.76 1 30 1 30.83 1 34.52 1 4.4 1 4.48 1 5 3 5.84 1 5.87 1 6 1 6.32 1 6.34 1 6.47 1 6.5 1 6.57 1 6.75 1 6.89 1 7 2 7.38 1 7.61 1 7.64 1 7.8 1 8 3 8.11 1 8.14 1 8.5 1 8.52 1 8.7 1 8.73 1 8.77 1 8.8 1 9 3 9.34 1 9.37 2 9.5 1 9.7 1 9£¬76 1 Do the departments in your hospital have separate financial acounts? Do the departments in your hospital have separate financial accounts? 143 0 -999 3 1 Yes 61 2 No 49 3 Partially independent 26 For those who need to be treated by multiple departments, who are responsible fe For those who need to be treated by multiple departments, who are responsible for coordination across the various departments? 143 0 -999 1234 -999 32 0 1 1 Doctors 94 2 Departments 2 3 Hospital 0 4 Patient 0 5 Others_______ 2 12 6 13 1 123 4 1234 1 Doctors 143 0 -999 1 Deparments 143 0 -999 1 Hospital 143 0 -999 1 Patients 143 0 -999 1 Others 143 0 -999 5 Others(specify) 143 0 -999 134 ²¡ÈË»áÕïºóÈÔÔÚËùÔÚ¿ÆÊÒÖÎÁÆ 1 Ò½½Ì²¿ 1 Ò½Îñ¿Æ 5 Ò½Îñ¿ÆЭµ÷ 1 Ôº³¤ 1 Has your hospital implemented director-in-charge management system? Has your hospital implemented director-in-charge management system? 143 0 -999 2 1 Yes 136 2 No 5 How to appoint the director of your hospital? ¢Ùdirect appointment by the govern How to appoint the director of your hospital? 143 0 -999 12 1 direct appointment by the government 123 2 open Competition 16 Which department is responsible for appointing director? ¢ÙDepartment of organiz Which department is responsible for appointing director? 143 0 -999 12 -999 1 1 Department of organization 98 2 Bureau of Health 2 3 Hospital itself 31 4 Others (specify) 10 12 1 Others (specify) 143 0 -999 124 0 7 1 4 ¶­Ê»á¾ö¶¨ 1 ¹É¶« 1 ¹É¶«ÍÆÑ¡ 1 Éϼ¶¶­Ê»á 1 Ͷ×Ê·½ÍƼö ÓÉÕþ¸®Æ¸Óà 1 Ò½Ôº¶­Ê»á 1 Ò½Ôº×ÔÖ÷ 1 Öк½Ò½ÁÆ 1 Is there a set of assessment criteria on appointing directors?¢ÙYes ¢ÚNo Is there a set of assessment criteria on appointing directors? 143 0 -999 12467 1 Yes 100 2 No 36 What are the indicators used in the assessment of the director? (multiple-choice What are the indicators used in the assessment of the director? 143 0 -999 147 -999 49 -888 4 0 6 1 Service volume 81 2 Health care quality 0 3 Population health 0 4 Patient satisfaction 0 5 Revenue and expenditures of the hospital 0 6 Development of the hospital 0 7 Emergency management 0 8 Administrative assessment 1 9 Others (specify) 0 68 1 147 1 Service volume 143 0 -999 1 Health care quality 143 0 -999 1 Population health 143 0 -999 1 Patient satisfaction 143 0 -999 1 Revenue and expenditures of the hospital 143 0 -999 1 Development of the hospital 143 0 -999 1 Emergency management 143 0 -999 1 Administrative assessment 143 0 -999 1 Others (specify) 143 0 -999 1 Others (specify) 143 0 -999 139 °´ºÏ×÷ЭÒéÀ´°ì 1 Ò½ÔºÊÕÖ§ 1 ×ÔÉíרҵˮƽ 1 ×éÖ¯²¿ÃŵÄ×ۺϿ¼ÆÀ 1 Has any diretor failed the assessment? Has any director failed the assessment? 143 0 -999 2 -999 7 -888 1 0 1 1 Yes 8 2 No 126 If the director failed the assessment, what are the consequences? (multiple-choi If the director failed the assessment, what are the consequences? 143 0 -999 999 -999 46 -888 10 0 12 1 affects income 64 2 affects re-appointment 2 3 affects promotion 0 4 other (please specify) 0 12 2 23 2 123 3 124 1 999 1 affects income 143 0 -999 1 affects re-appointment 143 0 -999 2 affects promotion 143 0 -999 3 other - specify 143 0 -999 4 other(specify) 143 0 -888 1 -999 132 0 2 ²»Çå³þ 3 µ÷Õû¸Úλ 1 »»¸Ú 1 ¿ª³ý¹«Ö° 1 ÅúÆÀ¡¢ÈÎÖ° 1 Ó°ÏìҽԺδÀ´·¢Õ¹ 1 Does your hospital have discretion in recruiting staffs holding officially budge Does your hospital have discretion in recruiting staffs holding officially budget posts? 143 0 -999 3 1 Yes 23 2 No 93 3 Not applied 23 Does your hospital have discretion in recruiting staffs not holding officially b Does your hospital have discretion in recruiting staffs not holding officially budget posts? 143 0 -999 3 -999 4 1 Yes 125 2 No 3 3 Not applied 11 What are the factors affecting promotion of the doctors in your hospitals? (mult What are the factors affecting promotion of the doctors in your hospitals (can choose more than one)? 143 0 -999 42 0 2 1 93 12345 1 12346 1 1236 2 127 1 2346 1 Working experience 143 0 -999 1 Competency 143 0 -999 1 Service volume 143 0 -999 1 Reputation 143 0 -999 1 Interpersonal skills 143 0 -999 1 Medical ethics 143 0 -999 1 Others (specify) 143 0 -999 7 Others (specify) 143 0 -999 131 ¹ÜÀíÄÜÁ¦ 1 ¹ú¼Òͳһ¿¼ÊÔ 1 ¿¼ÊÔ 1 ¿¼ÊÔ¡¢¿¼ÆÀ 1 È«¹úͳ¿¼ 1 È«¹úͳһ¿¼ÊÔ»ñÈ¡ 1 ÊÇ·ñÈ¡µÃÏàÓ¦×ʸñ 1 Îȶ¨ÐÔ 1 ÎÞÖ°³Æ½úÉý±ê×¼ 1 Ðëͨ¹ýÏà¹ØÈÎÖ°×ʸñÈ«¹úͳһ¿¼ÊÔ 1 ÓªÏúˮƽµÈ 1 ×ÊÖÊ¡¢Ò½µÂ¡¢¼¼Êõ¡¢ÔðÈÎ¸ÐµÈ 1 On average, total income (including salary, bonus, subsidies etc.) of doctors ho On average, total income (including salary, bonus, subsidies etc.) of doctors holding officially budgeted posts is how many times as much as that of those not holding officially budget posts? 143 0 -888 14 -999 28 0 10 0.3 1 0.5 3 0.7 1 0.75 2 0.8 1 1 20 1.1 1 1.15 1 1.2 4 1.22±¶ 1 1.3 1 1.38 2 1.3±¶ 1 1.4 2 1.42 1 1.5 16 1.5-2 1 1.6 2 1.73 1 1.8 1 1.9 1 1±¶ 1 1±¶¡¢ 1 2 15 2-3±¶ 1 2.1 1 2.5 2 2.8 1 4 1 8 1 999 2 Ïàͬ 1 Does your hospital have discretion in designing annual development plan? 143 0 -999 2 -999 1 1 Yes 139 2 No 3 In terms of drug purchasing, which of following areas is your hospital have autonomy? 143 0 -999 34 0 1 1 97 12 5 123 6 Quantity 143 0 -999 1 Variety 143 0 -999 1 Purchasing channels 143 0 -999 1 Others (specify) 143 0 -999 1 Others (specify) 143 0 -999 138 1 1 °´¹ú¼ÒÏà¹ØÕþ²ß²É¹º 1 Àû±ê²É¹º 1 ÌØÐèÒ©Æ· 1 ÍøÉϼ¯Öвɹº 1 In terms of procurement of non-durable goods, which of following areas does your In terms of procurement of non-durable goods, which of following areas does your hospital have autonomy? 143 0 -999 34 1 98 12 4 123 7 Quantity 143 0 -999 1 Variety 143 0 -999 1 Purchasing channels 143 0 -999 1 Others (specify) 143 0 -999 1 Others (specify) 143 0 -999 137 0 4 ¼Û¸ñ 1 Àû±ê²É¹º 1 In terms of procurement of medical equipment, which of following areas does your In terms of procurement of medical equipment, which of following areas does your hospital have autonomy? 109 0 1 98 12 4 123 5 1234 1 23 1 Quantity 143 0 -999 1 Variety 143 0 -999 1 Purchasing channels 143 0 -999 1 Others (specify) 143 0 -999 1 Others (specify) 143 0 -999 135 0 2 °´ºÏ×÷ЭÒéÒªÇóÀ´ÅäÖà 1 Àû±ê²É¹º 1 É걨Õþ¸®²É¹º. 1 ÎÞ×ÔÖ÷Ȩ 1 Õþ¸®²É¹º 1 Öк«Ò½ÁÆ. 1 Which department has the final right to decide on how to use the discretionary f Which department has the final right to decide on how to use discretionary funding? 143 0 -999 246 -999 3 -888 1 1 Committee of the Communist Party of the hospital 24 2 The director 30 3 The board 13 4 Workers union 8 5 Shareholders 16 6 Others_______ 29 12 3 14 5 24 1 25 5 46 2 124 1 134 1 246 1 Others (specify) 143 0 -999 110 0 3 ¡¢ 1 °ì¹«»á 1 ²»Ïê 1 µ³Õþ¹¤ÁªÏ¯»á 1 Ͷ×Ê·½ 1 Ôº°à×Ó»á 1 Ôº°à×Ó¼¯Ìå 1 Ôº°ì°ì¹«»á 1 Ôº°ì¹«»á 2 Ôº°ì¹«»áºÍ¼ÍÂɼì²é¹¤×÷ίԱ»á 1 Ôº³¤°ì¹«»á 5 Ôº³¤°ì¹«»á£¬×¨Ìâ»áÒé 1 Ôº³¤°ì¹«ÊÒ 1 Ôº³¤ºÍ¹É¶« 1 Ôºµ³ÕþÁÐϯ»á 1 ÔºÎñ¹ÜÀíίԱ 1 ÔºÎñ»á 7 ÔºÎñίԱ»á 2 Up to 2013, how much has your hospital borrowed from financial institutions (e.g Up to 2014, how much has your hospital borrowed from financial institutions (e.g. banks)? (Fill in 0 if no) (in 10,000 RMB) 143 0 -999 20000000 How does your hospital pay off debt? Fund raising by hospital 143 0 -999 1 -999 4 0 16 1 123 Subsidy from public finance 143 0 -999 1 Default 143 0 -999 1 Others (specify) 143 0 -999 1 Others (specify) 143 0 -888 1 -999 133 0 3 ²ÆÕþ¹é»¹ 1 Ϊ¸ºÕ® 1 ÎÞ 1 Õþ¸®´¦Àí 1 Õþ¸®½èÕþ¸®»¹ 1 Õþ¸®ÈÚ×Ê 1 Does your hospital have official documents on the mission and objectives that th Does your hospital have official documents on the mission and objectives that the hospital pursue? (Please get the document if yes) 143 0 -999 888 1 Yes 106 2 No 31 Does your hospital face competition from other hospitals? ¢ÙIntense ¢ÚSome ¢ÛNo Does your hospital face competition from other hospitals? 143 0 -999 3 -999 1 1 Intense 88 2 Some 48 3 No 6 If yes, where does the competition come from? ¢ÙOut-of-county hospitals ¢ÚPublic If yes, where does the competition come from? 143 0 -999 1234 -999 7 1 Out-of-county hospitals 36 2 Public hospitals within the county 36 3 Non-public hospitals within the county 12 4 Others (specify) 5 12 4 13 6 23 15 32 1 123 17 234 2 1234 2 Others(specify) 143 0 -999 127 0 6 ²¡È˲»Àí½â 1 ²»Õýµ±¾ºÕù 1 µØ·½Õþ¸®¹ÜÀíȱÏÝ 1 È˲Š1 ÈËÔ±Á÷¶¯¡£×Ô¸ºÓ¯¿÷ 1 Ê¡ÊÐÈý¼¶Ò½Ôº 1 Îï¼Û 1 Ò½×Êˮƽ¡¢µØÀíλÖà 1 Õþ²ß 1 Õþ¸®Í¶Èë²»×ã 1 How does your hospital deal with competition? (multiple-choice, 0 means no choic How does your hospital deal with competition? (can choose more than one) 143 0 -999 12345 -999 37 1 95 1245 1 1345 2 12345 8 Improve efficiency of internal management of the hospital 143 0 -999 1 Recruit highly competent doctors 143 0 -999 1 Introduce more high-tech medical equipments 143 0 -999 1 Improve the environment/ambience of the hospital 143 0 -999 4 Improve health care services 143 0 -999 1 Others(specify) 143 0 -999 1 Others (specify) 143 0 -999 137 ·¢Õ¹ÖÐÒ½ÌØÉ«ÓÅÊÆ 1 È«ÌìºòÎÞ¼ÙÍí¹ÒºÅ 1 ʵÐÐͬ¹¤Í¬³ê 1 Ìá¸ß·þÎñÖÊÁ¿ 1 Ìá¸ßÒ½ÁÆÖÊÁ¿ 1 Ö÷¶¯½µµÍÒ½ÁÆ×ÜÊÕ·Ñ 1 Overall, does your hospital use centralized or decentralized management approach Overall, does your hospital use centralized or decentralized management approach? 143 0 -999 12 -999 1 1 Centralized management mode at the hospital level 85 2 Decentralized management to department level 12 3 Combination of both of the above 43 4 1 12 1 Please list three main dimensions managed at the hospital level using centralize Please list three main dimensions managed at the hospital level using centralized management mode? 143 0 -888 11 -999 9 ²¡Àúͳһ¹ÜÀí 1 ²¡ÀúÖÊÁ¿¹ÜÀí 1 ²¡ÀýÖÊÁ¿ 1 ²ÆÎñ 22 ²ÆÎñ¡¢ÈËÊ 1 ²ÆÎñ·ÖÅäºËËãͳһ 1 ²ÆÎñ¹ÜÀí 1 ²ÆÎñͳһ¹ÜÀí 1 ¶½´Ù¼ÓÇ¿Ò½ÁÆÖÊÁ¿ 1 ·þÎñ¼¼Êõ 1 ·þÎñÖÊÁ¿ 1 ¹ºÂòÒ½ÁÆÉ豸 1 »áÒé 1 »ù´¡ÉèÊ© 1 ¼¨Ð§ 1 ¼¨Ð§·ÖÅä 1 ¼¨Ð§¹¤×Ê 2 ¾­¼Ã 1 ¾­Óª¹æ»®Í³Ò»¹ÜÀí 1 ¾­ÓªÈ¨ 1 ¿¼ÇÚ 1 ¿ÆÊÒÈËÔ±¹ÜÀí 1 ¿ÆÊÒÈËÔ±Ö°½Ì 1 ÁÙ´²Ò½Ê¦ÓÉÒ½Îñ¿Æ¹ÜÀí 1 ÁÙƸÈËÔ±ÓÉ¿ÆÊÒ±¨ÐèÇó£¬ÔºÍ³Ò»ÕÐƸ 1 È«ÔºµÄ·¢Õ¹·½Ïò 1 È«ÔºÈËÊÂȨ¹ÜÀí 1 ÈË 1 È˲ÅÅ䱸 1 ÈËÊ 21 ÈËÊ°²ÅÅ 1 ÈËʵ÷¶¯ 1 ÈËʹÜÀí 2 ÈËʹÜÀíÓëÈËÔ±µ÷¶È 1 ÈËÊÂȨ 3 ÈËÊÂÈÎÃâ 1 ÈËÔ± 1 ÈËÔ±·ÖÅä 1 ÈËÔ±¹ÜÀí 1 ÈËÔ±ÅäÖà 1 ÈËԱͳһµ÷Åä 1 ÈÏÈËÊ 1 ÉÏ´«Ï´ִÐÐͳһµÄÕþ²ß¡¢±ê×¼ 1 ÊÕÈë 1 ͳһÊÕÖ§ 1 ͳһÎï×ʲɹº 1 ͳһн³ê±ê×¼¼°°ì·¨ 1 ͳһҽԺҩƷ²É¹º 1 ÏÖ½ðÊÕ֧ͳһºËËã 1 ÐÐÕþ¹ÜÀí 1 Ò©Æ· 1 Ò©Æ·¡¢É豸¼°ºÄ²Ä²É¹º 1 Ò©Æ·²É¹º 1 Ò©Æ·¹ÜÀí 1 Ò©Æ·É豸²É¹º 1 Ò½¸Ä 1 Ò½ÁÆ 1 Ò½ÁÆ°²È« 1 Ò½ÁÆ·¢Õ¹ 1 Ò½ÁÆ»¤Àí·½Ãæ 1 Ò½ÁÆ»¤ÀíÖÊÁ¿ 1 Ò½ÁÆÉ豸ºÍÒ©Æ·ºÍºÄ²ÄµÄ²É¹º 1 Ò½ÁÆÖÊÁ¿ 4 Ò½ÁÆÖÊÁ¿¹ÜÀí 1 Ò½ÁÆÖÊÁ¿Ó밲ȫ 1 Ò½Ôº·¢Õ¹·½Ïò 1 Ò½Ôº¹ÜÀí¹æÕÂÖÆ¶È 1 Ò½ÔºÖÆ¶È 1 Ò½Ôº×ʲú 1 Ô¤Ëã 1 Ö°³ÆƸÈÎ 1 ÖƶÈÖ´ÐÐ 1 ÖØ´óÊÂÏÖоö²ß 1 ×ʽðÔËÐÐ 1 ×ʽðÔËת 1 ¢Ú 143 0 -888 10 -999 10 ²Æ 1 ²ÆÎñ 16 ²ÆÎñ¹ÜÀí 4 ²ÆÎñ¹ÜÀí·½Ãæ 1 ²ÆÎñÉóÅú 1 ²É¹º 2 ´óÐÍÉ豸ºÍÒ©Æ·²É¹º 1 ·ÖÅä¹ÜÀí 1 ¹¤×Ê 2 ¹¤×ʺËËã 1 ºÄ²Ä²É¹º 2 ºÏÀíÓÃÒ© 1 »¤Àí 1 »¤ÀíÈËÔ±ÓÉ»¤Àí²¿Í³Ò»¹ÜÀí 1 ¼¨Ð§ 2 ¼¨Ð§·¢·Å 1 ¼¨Ð§·ÖÅä 2 ¼¨Ð§·ÖÅäÖÆ¶È 1 ¼¨Ð§¹ÜÀí 1 ¼¨Ð§¿¼ºË 1 ¾­¼Ã 1 ¿ÆÊÒ¼¨Ð§·ÖÅä 1 ¿ÆÊÒÊÕÈë¹ÜÀí 1 ¿ÆÖ÷ÈΡ¢»¤Ê¿³¤ÈÎÃü 1 ÁÙ´²Ò½ÁÆ 1 Å©ºÏ£¬Ôº¸Ð 1 ƸÓÃÓë´ÇÍËÈËÔ± 1 È«Ôº²ÆÎñȨ¹ÜÀí 1 ÈËÁ¦×ÊÔ´ 1 ÈËÊ 13 ÈËÊ¡¢¹æÕÂÖƶÈͳһִÐÐÁ¦ 1 ÈËʵ÷Õû 1 ÈËʹÜÀí 3 ÈËÊÂȨ 1 ÈËÊÂͳһ¹ÜÀí 1 ÈËÔ± 1 ÈËÔ±µ÷Åä 1 ÈËÔ±Å䱸 1 ÈËԱͳһµ÷Åä 1 ÈËԱͳһ¹ÜÀí 1 ÈËÔ±ÕÐƸ 1 ÈýÖØÒ»´ó 1 É豸 1 ÊÕÈëÖ§Åä 1 ÊÕÖ§ 1 Ìá¸ßÒ½ÁÆ·þÎñÖÊÁ¿ 1 ÌåÖÆ 1 ͳһ²ÆÎñ¹ÜÀí 1 ͳһ¿¼ºË±ê×¼ 1 ͳһÈÕ³£¹ÜÀíÐÎʽ 1 ͳһÔË×÷ 1 ÎÀÉúÖÊÁ¿ 1 ÎïÆ·²É¹º 1 Îï×ʲɹº 1 Îï×ʺIJÄҩƷͳһ²É¹º 1 Îï×ʺóÇÚ±£ÕÏ 1 н³ê 1 ÐÅϢͳһµ÷Åä 1 Ò©Æ· 1 Ò©Æ·¡¢Æ÷е²É¹º¡¢Ê¹Óà 1 Ò©Æ·²É¹º 1 Ò©Æ·É豸ºÄ²Ä²É¹º 1 ÒµÎñ 1 ÒµÎñ¹ÜÀí 1 Ò½»¤ 1 Ò½»¤ÈËÔ±µÄ¸Úλ°²ÅÅ 1 Ò½ÁÆ°²È« 2 Ò½ÁÆ°²È«ÖÊÁ¿ 1 Ò½ÁÆ»¤ÀíÖÊÁ¿ 1 Ò½ÁƼ¼Êõ 1 Ò½ÁÆÖÊÁ¿ 3 Ò½ÎñÈËÔ±µÄƸÈÎ 1 Ò½Ôºµµ°¸¼¯ÖÐͳһ¹ÜÀí 1 Ò½ÔºÈËʹÜÀí 1 Ò½ÔºÊÕÖ§ 1 Ô±¹¤¹¤×ʽ±½ð 1 Ö°³Æ 1 Ö°¹¤Í³Ò»¹ÜÀí 1 ÖÊÁ¿¹ÜÀí 2 ×ʽðʹÓà 1 ×ʽðÖ§¸¶ 1 ×ÜÎñ 1 ¢Û 143 0 -888 12 -999 11 ²ÆÎＯÖÐͳһ¹ÜÀí 1 ²ÆÎñ 2 ²ÆÎñ¹ÜÀí 1 ²ÆÎñȨ 1 ²ÆÎñÊÕÖ§ÓɲÆÎñ¿Æ¹ÜÀí 1 ²É¹º 4 ·ÖÅä 2 ·þÎñÖÊÁ¿ 1 ¸ß¼¶ÈËԱƸÓà 1 ¸÷¿ÆÊÒ²¿ÃżäÁª¶¯ÓëЭµ÷ 1 ºóÇÚ 1 »ù½¨ 1 ¼¨Ð§ 1 ¼¨Ð§·½°¸Í³Ò»Ö´ÐÐ 1 ¼¨Ð§¹¤×Ê 1 ¼¨Ð§¹¤×ʵĵ÷¼Á 1 ¼¨Ð§¹ÜÀí 1 ¼¨Ð§¿¼ºË 1 ¼¼Êõ·þÎñÖÊÁ¿¹ÜÀí 1 ¼Ì½Ì 1 ½±³Í¹ÜÀí 1 ¾­¼Ã 1 ¾­¼Ãͳһµ÷Åä 1 ¿¼ºË 1 ¿ÆÊÒÈËÔ±±àÖÆ 1 ¿ÆÊÒÒ©Æ·¡¢Æ÷е½ø¹º 1 ÀͶ¯¼ÍÂÉ 1 ƽ̨ͳһ 1 Ç¿»¯²ÆÎñÖÊÁ¿¹ÜÀí 1 ÈËÁ¦×ÊÔ´¹ÜÀí 1 ÈËÁ¦×ÊÔ´ÀͶ¯¼ÍÂÉ 1 ÈËÊ 3 ÈËʹ¤×÷¹ÜÀí 1 ÈËʹÜÀí 1 ÈËʹÜÀí·½Ãæ 1 ÈËÊÂÈÎÃâ 1 ÈËÊÂÈÎÃ⣬µ÷Åä 1 ÈËÊÂÖƶÈÖƶ¨ 1 ÈËÔ±µ÷Åä 2 ÈËÔ±¹ÜÀí 2 ÈËÔ±¹ÜÀíÖÆ¶È 1 ÈËÔ±¿¼ºË 1 ÈËÔ±Åàѵ 1 ÈËԱƸÓà 1 ÈËԱƸÓùÜÀí 1 É豸 1 É豸¡¢ºÄ²Ä 1 É豸¡¢Æ÷е¡¢ºÄ²ÄµÄ²É¹º 1 É豸¡¢Ò©Æ·Í³Ò»¹ÜÀí 1 É豸·ÖÅäȨ 1 É豸¼°Ò©Æ·²É¹º 1 É豸ҩƷºÄ²Ä¹ÜÀí 1 ÊÕÈëºÍÖ§³öµÄ¹ÜÀí 1 ͳһ²ÆÎñ¹ÜÀí 1 ͳһ½±·£ 1 ͳһÈËÁ¦×ÊÔ´¹ÜÀí 1 ÎïÖÊ 1 Îï×Ê 4 Îï×ʲɹº 2 Îï×ʲɹºÍ³Ò» 1 Îï×ʹÜÀí 2 ÏîÄ¿½¨Éè 1 ÐÅÏ¢ 1 Ò©¼Á 2 Ò©Æ· 2 Ò©Æ·¡¢ºÄ²Ä²É¹º 1 Ò©Æ·¡¢É豸¡¢Îï×ʲɹº 1 Ò©Æ·²É¹º 4 Ò©Æ·ºÄ²Ä 1 Ò©Æ·¼°Æ÷е 1 Ò©Æ·Æ÷²Ä 1 ҩƷͳһ³öÈë¿â 1 ÒµÎñ 1 ÒµÎñÔËÐÐ 1 Ò½µÂÒ½·ç 1 Ò½¸Ä 1 Ò½ÁÆ 2 Ò½ÁÆ·þÎñ 2 Ò½ÁƼ¼Êõ 1 Ò½ÁƼ¼Êõ¡¢·þÎñµÈ 1 Ò½ÁÆÉ豸άÐÞ 1 Ò½ÁÆÖÊÁ¿ 4 Ò½ÁÆÖÊÁ¿¡¢¼¨Ð§Í³Ò»ÆÀ¼Û±ê×¼ 1 Ò½ÁÆÖÊÁ¿¹ÜÀí 1 Ò½ÁÆÖÊÁ¿ºÍÒ½ÁÆ°²È« 1 Ò½ÁÆ×ÊÔ´ 1 Ò½ÎñÈËԱƸÓá¢ÈÎÃü 1 Ò½Ôº²ÆÎñ¹ÜÀí 1 Ò½Ôº·¢Õ¹ 1 Ò½ÔºÔ±¹¤ÈËÊý 1 Ö§³ö 1 ÖÆ¶È 1 ÖÊÁ¿¿ØÖÆ 1 ר¿ÆÌØÉ« 1 ×ʽðͳһ¹ÜÀí 1 ×ۺϾö²ß¼°ÖÊÁ¿¿ØÖÆ 1 ¢Ù 143 0 -888 18 -999 60 0 2 999 2 ²¡ÀúÖÊÁ¿ 1 ²¡ÀúÖÊÁ¿£¨Ò½ÁÆÖÊÁ¿£© 1 ²¡ÈË 1 ²ÆÎñ£¨½±½ð£© 1 ³õ¼¶ÈËԱƸÓà 1 ¶þ´Î·ÖÅä 1 ¹ºÂò°ì¹«ºÄ²Ä 1 ¼¨Ð§ 1 ¼¨Ð§¶þ´Î·ÖÅä 4 ¼¨Ð§·ÖÅä 4 ¼¨Ð§¹¤×ʵĶþ´Î·ÖÅä 1 ¼¨Ð§¹¤×ʵķÖÅäȨ 1 ¼¨Ð§½±½ð¶þ´Î·ÖÅä×ÔÖ÷Ȩ 1 ¼¨Ð§¿¼ºËÓÉ¿ÆÊÒ×ÔÐнøÐжþ´Î·ÖÅä 1 ¼¨Ð§¿ÆÊÒ¶þ´Î·ÖÅä 1 ¼ÍÂÉ 1 ¿ÆÄÚ¼¤Àø·½Ê½ 1 ¿ÆÄÚÈËÔ±µ÷Å䣨ÐÐÕþ£© 1 ¿ÆÊÒ¹¤×÷¼ÍÂɹÜÀí 1 ¿ÆÊÒ¹ÜÀíÖƶȵÄÖƶ¨ 1 ¿ÆÊÒÄÚ²¿¹¤×÷ÈËÔ±¹ÜÀí 1 ¿ÆÊÒÄÚ²¿ÈËÔ±Öµ°àÇé¿ö 1 ¿ÆÊÒÅÅ°à 1 ¿ÆÊÒÈËÔ± 1 ¿ÆÊÒÈËÔ±¼¨Ð§ 1 ¿ÆÊÒм¼Êõ¿ªÕ¹ 1 ¿ÆÊÒÒµÎñ 1 ¿ÆÊÒÒµÎñ¹ÜÀí 1 ¿ÆÊÒÓÃÈËȨ 1 ¿ÆÊÒÖÊ¿Ø 1 ¿ÆÊÒ×ÔÖ÷°²ÅÅ 1 ÁÙ´²¿ÆÊÒ 1 ÃÅÕï¹ÜÀí 1 ÄÚ¿Æ 1 ÈËÊ 1 ÈËʼÍÂÉ 1 ÈËÊÂȨ 1 ÈËÔ±°²ÅÅ 1 ÈËÔ±¹¤×÷°²ÅÅ 1 ÈËÔ±Åàѵ¡¢½øÐÞ 1 ÈËÔ±ÈÕ³£¹¤×÷°²ÅÅ 1 ÈËԱʹÓà 1 É豸 1 ÊÕÖβ¡ÈËÊý 1 Ë®µçµÈÏà¹Ø³É±¾ 1 δÌî 2 Ò©Õ¼±È 1 ÒµÎñ 1 Ò½ÁÆ»¤Àí£¬ÖʿعÜÀí 1 Ò½ÁƼ¼Êõ 1 Ò½ÁÆÖÊÁ¿ 1 Ôº¿Æ¶þ¼¶¸ºÔðÖÆ 1 Öƶ¨¼¨Ð§·ÖÅäϸÔòÔò 1 ÖÊÁ¿ 1 ¢Ú 143 0 -888 18 -999 63 0 2 999 2 °²È«¹ÜÀí 1 °ì¹«É豸άÐÞ 1 ±¾¿ÆÊÒÈËÔ± 1 ±¾¿ÆÒ½ÁÆÖÊ¿Ø 1 ²ÆÎñ 1 ²ÆÎñȨ 1 ¶þ´Î·ÖÅä 1 ¶þ¼¶·ÖÅä 1 ¸É²¿ÈËÊ¿¼ºË 1 ¹¤×÷·Ö¹¤ 1 ¹©Ñõ 1 ¼¨Ð§ 1 ¼¨Ð§¶þ´Î¿¼ºË 1 ¼¨Ð§·ÖÅä 2 ¼¨Ð§¹ÜÀí 1 ¿ªÕ¹Ð¼¼Êõ 1 ¿¼ºË 1 ¿¼ÇÚ 1 ¿ÆÄÚ¼¨Ð§¹¤×Ê·ÖÅä 1 ¿ÆÊҲƲúµÄ±£¹Ü 1 ¿ÆÊÒ¼¨Ð§ 1 ¿ÆÊÒ¼¨Ð§¶þ´Î·ÖÅä 1 ¿ÆÊÒ¼¨Ð§·ÖÅäȨ 1 ¿ÆÊÒ½±½ð·ÖÅä 1 ¿ÆÊÒ½øÈËÑ¡Ôñ 1 ¿ÆÊÒ¿¼ÇÚ¹ÜÀí 1 ¿ÆÊÒÄÚ²¿µÄÒ½ÁÆÖÊÁ¿¿ØÖÆ 1 ¿ÆÊÒÄÚ¹¤×÷Á¿»¯¹ÜÀí 1 ¿ÆÊÒÈËÔ±¹ÜÀí¿¼ºË 1 ¿ÆÊÒÈËÔ±ÓÅ»¯×éºÏȨ 1 ¿ÆÊÒÒµÎñ·¢Õ¹¼Æ»® 1 ¿ÆÊÒÒµÎñ¿ªÕ¹ 1 ¿ÆÊÒ×ÔÖ÷µ÷Åä¿ÆÄÚÈËÔ± 1 ¿ÆÖ÷ÈÎÊÇ¿ÆÊÒµÚÒ»ÔðÈÎÈË 1 ¿ÎÄÚÈËÔ±µÄÑ¡Ôñ¡¢Æ¸Óà 1 ÀͶ¯¼ÍÂÉ 1 ÁÙ´²½Ìѧ 1 ÈËÊ 1 ÈËÔ±¹¤×÷°²ÅÅ 1 ÈËÔ±¾ßÌ幤×÷°²ÅÅ 1 É豸²É¹º¼Æ»®½¨Éè 1 ÊÖÊõÖÊÁ¿ 1 Íâ¿Æ 1 δÌî 2 ÎïÆ· 1 ÒµÎñ·¢Õ¹·½Ïò 1 ÒµÎñ¿¼ºË 1 ÒµÎñÅàѵ 1 Ò½µÂ 1 Ò½ÁÆÉ豸µÈÓÉ¿ÆÊÒ°´ÐèÉêÇë 1 Ò½ÁÆÖÊÁ¿ 1 Ò½Îñ¿Æ 1 Ôº¸Ð¿ØÖÆ 1 סԺ¹ÜÀí 1 רҵ¼¼Êõ 1 רҵÄÚµÄÒ½ÁÆÊÊÁ¿¹ÜÀí 1 ¢Û 143 0 -888 18 -999 65 0 3 999 2 ±¾¿ÆÊÒÒ½ÁÆÎÀÉúÖÊÁ¿ 1 ²¡ÈË 1 ²¡ÈËÖÎÁÆ·½°¸ 1 ³µÁ¾ 1 ³öÇÚ 1 ¸¾²ú¿Æ 1 ºÄ²ÄÁìÈ¡ 1 ºóÇÚ¹ÜÀí 1 »¤Àí²¿ 1 ¼¨Ð§¶þ´Î·ÖÅä 1 ½±³Í 1 ½øÈ˼ƻ® 1 ¿¼ºË 1 ¿ÆÄÚÈËÔ±µÄÒµÎñÅàѵ 1 ¿ÆÄÚÈËÔ±¿¼ºË 1 ¿ÆÄÚÒµÎñ¡¢ÕþÖÎ˼Ïëѧϰ 1 ¿ÆÄÚÖÊ¿Ø 1 ¿ÆÊÒ¶Ô¼¨Ð§¶þ´Î·ÖÅäÆäÓоö¶¨È¨ 1 ¿ÆÊÒ¶þ´Î¼¨Ð§·ÖÅä 1 ¿ÆÊÒ·¢Õ¹¹æ»® 1 ¿ÆÊÒ¸ºÔðÈ˶Ա¾¿ÆÊÒÈËÔ±µÄ¹ÜÀí 1 ¿ÆÊÒ¼¨Ð§¿¼ºË 1 ¿ÆÊÒÄÚ²¿µÄ»¤ÀíÖÎÁÆ¿ØÖÆ 1 ¿ÆÊÒÒ»°ãÈËÔ±ÐݼٺÍÇë¼Ù 1 ¿ÆÊÒÖƶÈÖ´ÐÐ 1 ¿ÆÊÒ×ÔÖ÷·ÖÅäÀÍÎñ·Ñ 1 ÄêÖÕ¿¼ºËÆÀÓÅÆÀÏÈȨ 1 ÈËÔ±¹ÜÀí 1 ÈËÔ±¿¼ºË 1 ÈËԱʹÓÃÓÉ¿ÆÊÒÉêÇë 1 ÈÕ³£¹¤×÷ 1 Éϰ๤×÷ʱ¼ä 1 É豸 1 É豸¡¢Ò©Æ· 1 É豸²É¹º½¨ÉèȨ 1 δÌî 2 ÎïÆ·Ö§Åä 1 ÐÐÕþ¹ÜÀí 1 Ò©Æ·±ÈÀý¿Û·£ 1 ÒµÎñ´¦Àí 1 ÒµÎñ¼¼ÄÜÅàѵ 1 ÒµÎñÅàѵ 2 ÒµÎñÔËÐÐ 1 ÒµÎñÖ¸±ê 1 Ò½µÂÒ½·ç 1 Ò½·ç 1 Ò½ÁƺËÐÄÖƶÈÖ´ÐÐ 1 Ò½ÁÆÖÊÁ¿¹ÜÀí 1 Ò½ÁÆÖÊÁ¿Ó밲ȫ 1 ÕÐƸÈËÔ±µÄƸÓà 1 ÕïÁÆ·½°¸ 1 ÕïÁƻ 1 ÖʿعÜÀí 1 Is your hospital contracted with New Cooperative Medical Scheme? ¢ÙYes ¢ÚNo Is your hospital contracted with New Cooperative Medical Scheme? 143 0 -999 2 -999 1 1 Yes 141 2 No 1 What is the provider payment method for general outpatient services used by New What is the provider payment method for general outpatient services used by New Cooperative Medical Scheme? (can choose more than one) 143 0 -999 888 -999 39 -888 2 1 97 2 1 12 1 13 1 14 1 888 1 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 1 What is the provider payment method for outpatient services of chronic diseases What is the provider payment method for outpatient services of chronic diseases used by New Cooperative Medical Scheme? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 4 Others 143 0 -999 1 What is the provider payment method for inpatient services used by New Cooperati What is the provider payment method for inpatient services used by New Cooperative Medical Scheme? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 1 Is your hospital contracted with Urban Resident Basic Medical Insurance? ¢ÙYes ¢ Is your hospital contracted with Urban Resident Basic Medical Insurance? No (skip to Question 9) 143 0 -999 2 What is the provider payment method for general outpatient services used by Urba What is the provider payment method for general outpatient services used by Urban Resident Basic Medical Insurance? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 1 What is the provider payment method for outpatient services of chronic diseases What is the provider payment method for outpatient services for chronic diseases used by Urban Resident Basic Medical Insurance? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 1 What is the provider payment method for outpatient services for chronic diseases What is the provider payment method for inpatient services used by Urban Resident Basic Medical Insurance? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 4 Others 143 0 -999 5 Is your hospital contracted with Urban Employee Basic Medical Insurance? ¢ÙYes ¢ Is your hospital contracted with Urban Employee Basic Medical Insurance? No (skip to the next section) 143 0 -999 2 What is the provider payment method for general outpatient services used by Urba What is the provider payment method for general outpatient services used by Urban Employee Basic Medical Insurance? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 5 What is the provider payment method for outpatient services of chronic diseases used by Urban Employee Basic Medical Insurance? (can choose more than one) 143 0 -999 888 -999 40 -888 2 1 95 2 1 5 1 12 1 13 2 888 1 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 1 What is the provider payment method for inpatient services used by Urban Employe What is the provider payment method for inpatient services used by Urban Employee Basic Medical Insurance? (can choose more than one) 143 0 -999 888 Fee-For-Service 143 0 -999 1 Case-based payment 143 0 -999 1 Capitation 143 0 -999 1 Global budget 143 0 -999 1 Others 143 0 -999 1 Which reform approach do you prefer?Government operates public hospitals, inc Table 7. Public hospital reform (skip if not a public hospital) Which reform approach do you prefer? 143 0 -999 2 -999 38 -888 1 1 Government operates public hospitals... 80 2 Government purchases health care services... 24 Table 7. Public hospital reform (skip if not a public hospital) Has your hospital implemented zero-drug policy? 143 0 -999 2 1 Yes 50 2 No 55 When did you start to implement zero-drug policy? ( Year/Month) Table 7. Public hospital reform (skip if not a public hospital) When did you start to implement zero-drug policy? ( Year/Month) 143 0 -888 9 -999 77 0 3 12 1 2011/11 1 2011/12 1 2012.10 1 2012.11 1 2012.12 3 2012/10 3 2012/11 3 2012/12 1 2013/2 2 2013/4 2 2014,12 1 2014/10 7 2014/11 17 2014/12 2 2014Äê11 1 2015/01/1 1 2015/7 1 2015/8 1 2015Äê2Ô 1 999 2 £¿ 1 If you implement zero-drug policy, did you receive any of the following compensa Table 7. Public hospital reform (skip if not a public hospital) 143 0 -999 999 -999 79 -888 8 0 3 1 Yes 37 2 No 14 999 2 Compensation from soial insurance Table 7. Public hospital reform (skip if not a public hospital) 143 0 -9999 999 -9999 1 -999 78 -888 10 0 3 1 Yes 15 2 No 34 999 2 Through charging consultation fee Table 7. Public hospital reform (skip if not a public hospital) 143 0 -999 999 -999 79 -888 11 0 3 1 Yes 19 2 No 29 999 2 Increase price of health care service Table 7. Public hospital reform (skip if not a public hospital) 143 0 -999 999 -999 78 -888 9 0 3 1 Yes 21 2 No 30 999 2 Others Table 7. Public hospital reform (skip if not a public hospital) 143 0 -999 999 1 Yes 5 2 No 42 Total value of drug purchased in 2014 (10 thousand RMB) Table 7. Public hospital reform (skip if not a public hospital) Total value of drug purchased in 2014 (in 10,000 RMB) 143 0 -999 9616469 Among which: total value of basic drug purchased (10 thousand RMB) Table 7. Public hospital reform (skip if not a public hospital) Among which: total value of essential drug purchased (in 10,000 RMB) 143 0 -999 370659 Has the government set a target on the percentage of basic drug prescribed in te Table 7. Public hospital reform (skip if not a public hospital) Has the government set a target on the percentage of essential drug prescribed in terms of value? 143 0 -999 2 -999 40 -888 7 1 Yes 77 2 No 19 If yes, what is the percentage of basic drugs prescribed in total drugs prescrib Table 7. Public hospital reform (skip if not a public hospital) If yes, what is the percentage of essential drugs prescribed in total drugs prescribed in terms of value? 143 0 -888 9 -999 51 0 2 30 18 31 2 35 4 36 1 40 9 40-50 1 40.24 1 40.61 1 41.3 2 41.74 1 43 1 43.87 1 43.9 1 44.34 1 45 1 45.03 1 46.59 1 46.8 1 47.39 1 47.74 1 47.82 1 471 1 48 1 50 1 50.73 1 515 1 52 1 52.17 1 60 2 61 1 61.60 1 65 1 70 4 72 1 75 2 79.15 1 80 4 82 1 85 1 86.7 1 95 1 999 1 £¿ 1 Has the government set a target on the percentage of basic drug prescribed in te Has the government set a target on the percentage of essential drug prescribed in terms of quantity? 143 0 -999 999 -999 40 -888 5 1 Yes 77 2 No 20 999 1 If yes, what is the percentage of basic drugs prescribed in total drugs prescrib If yes, what is the percentage of essential drugs prescribed in total drugs prescribed in terms of quantity 143 0 -888 11 -999 53 0 2 25-35 1 30 6 31 2 35 2 38.5 1 40 2 40-50 1 43 1 45.4 1 49 1 50 4 51 1 51.30 1 52 1 52.6 1 55 1 56.6 1 60 6 61.2 1 63 1 64 1 64.74 1 65 2 66.7 1 68 1 70 7 70.39 1 75 13 77.3 1 80 5 85 1 90 3 94.5 1 95 2 999 1 Is staff salary linked to performance? Yes No Is staff salary linked to performance? 143 0 -999 2 -999 38 -888 1 1 Yes 100 2 No 4 If yes, what is the percentage of performance-related salary in total salary (%) If yes, what is the percentage of performance-related salary in total salary (%) 143 0 -888 8 -999 44 0 2 0.02 1 1.81 1 10 2 10.78 1 10.92 1 12 4 12.02 1 13 1 14.05 1 14.13 1 14.6 1 15 5 16 1 16.21 1 16.8 1 17 4 17-19 1 17.5 2 18 2 18.8 1 19 2 2.99 1 20 3 20.55 1 20.7 1 21.2 1 2190 1 22.27 1 23 1 24 2 26 1 28 1 29 1 30 11 35 2 36 1 37 1 40 6 44.32 1 45 1 48 1 50 5 51 1 6.65 1 60 5 70 1 888 1 9.9 1 What is the percentage of salary linked to revenue generating activities in tota What is the percentage of salary linked to revenue generating activities in total performance-related salary (%) 143 0 -888 19 -999 58 0 18 0¡£1 1 10 1 100 1 15 1 17 2 17.85 1 2 1 20 3 20.55 1 23.2 1 25 1 30 4 32 1 32.8 1 38 2 39 2 40 2 42 1 5 2 50 4 60 2 69.35 1 7 1 70 2 8 1 80 3 81 1 84.26 1 90 1 95 1 999 1 Attendance Attendance 143 0 -999 3 -999 41 -888 3 0 1 1 positively associated 97 2 negatively associated 0 3 not associated 1 The volume of services provided The volume of services provided 143 0 -999 3 -999 41 -888 2 1 positively associated 92 2 negatively associated 2 3 not associated 6 Length-of-stay Length-of-stay 143 0 -999 3 -999 41 -888 2 1 positively associated 20 2 negatively associated 27 3 not associated 53 The number of prescriptions The number of prescriptions 143 0 -999 3 -999 41 -888 2 1 positively associated 35 2 negatively associated 7 3 not associated 58 Average value of the prescriptions Average value of the prescriptions 143 0 -999 3 -999 41 -888 2 1 positively associated 9 2 negatively associated 20 3 not associated 71 The quantity of drugs prescribed and the value The quantity of drugs prescribed and the value 143 0 -999 3 -999 41 -888 2 1 positively associated 8 2 negatively associated 21 3 not associated 71 The quantity or value of the examination prescribed The quantity or value of the examination prescribed 143 0 -999 3 -999 41 -888 2 1 positively associated 30 2 negatively associated 4 3 not associated 66 Surplus/loss of the department Surplus/loss of the department 143 0 -999 3 -999 42 -888 4 1 positively associated 71 2 negatively associated 2 3 not associated 24 Incidence of accident/medical error Incidence of accident/medical error 143 0 -999 3 -999 41 -888 2 1 positively associated 24 2 negatively associated 66 3 not associated 10 The number of complaints received from patients and their relatives The number of complaints received from patients and their relatives 143 0 -999 3 -999 41 -888 2 1 positively associated 24 2 negatively associated 71 3 not associated 5 Whether involved in scientific research Whether involved in scientific research 143 0 -999 3 -999 41 -888 2 1 positively associated 66 2 negatively associated 3 3 not associated 31 Quality of health care services Quality of care 143 0 -999 3 -999 41 -888 2 1 positively associated 95 2 negatively associated 1 3 not associated 4 Medical ethics Medical ethics 143 0 -999 3 -999 41 -888 2 1 positively associated 96 2 negatively associated 2 3 not associated 2 Does your hospital use clinical pathways to manage some conditions? Yes No Does your hospital use clinical pathways to manage some conditions? 143 0 -999 2 1 Yes 79 2 No 25 If yes, how many conditions are implementing clinical pathways? If yes, how many conditions are implementing clinical pathways? 143 0 -999 12256 What is the percentage of discharges followed clinical pathways in total dischar What is the percentage of discharges followed clinical pathways in total discharges (%) 143 0 -888 11 -999 58 0 7 0.025 1 0.04 1 0.46 1 0.6 2 0.8 1 1 2 1.89 1 1.95 1 10 7 10.34 1 11 1 11.13 1 13.24 1 14 2 15.01 1 17.43 1 2 3 2.05 1 2.5 1 20 3 21.73 1 23 1 24.5 1 26.82 1 3 3 3.46 1 3.51 1 3.8 1 30 2 33.4 1 36.13 1 4.3 1 40 1 49 1 5 5 5.02 1 5.6 1 50 1 6 1 6.2 1 70 1 8 1 8.3 1 888 1 9 2 9.77 1 Does your hospital have a governing board? Yes No Does your hospital have a governing board? Yes No 143 0 -999 3 -999 38 -888 1 1 Yes 28 2 No 75 3 1 Does your hospital have a quality management committee? Yes No Does your hospital have a quality management committee? 143 0 -999 2 -999 38 -888 1 1 Yes 99 2 No 5 Does your hospital have independent department responsible for quality managemen Does your hospital have independent department responsible for quality management? 143 0 -999 2 -999 38 -888 1 1 Yes 77 2 No 27 In terms of quality management, what are the three dimensions your hospital valu In terms of quality management, what are the three dimensions your hospital value most ? 143 0 -888 3 -999 40 °²È« 1 ²¡Àú 3 ²¡ÀúÊé¼Ç¹æ·¶ 1 ²¡ÀúÊéд 2 ²¡ÀúÊéдÖÊÁ¿ 1 ²¡ÀúÖÊÁ¿ 11 ²¡ÀúÖÊÁ¿¿ØÖÆ 1 ²¡ÀýÊéд 2 ²¡ÀýÖÊÁ¿ 1 ²¡ÖÊ 1 µç×Ó²¡Àú¹ÜÀí 1 ·þÎñ 1 ·þÎñ̬¶È 1 ·þÎñÖÊÁ¿ 2 ºËÐÄÖÆ¶È 1 ºËÐÄÖƶȵÄÕÆÎÕÔËÓà 1 ºËÐÄÖƶȹÜÀí 1 ºËÐÄÖƶÈÖ´ÐÐÇé¿ö 1 ºÏÀíÓÃÒ© 1 »¤ÀíÖÊÁ¿ 1 »¤ÀíÖÊÁ¿¹ÜÀí 1 »¼ÕßÖªÇéͬÒâÖƶȵÄÂäʵ 1 ¼¼ÊõÌáÉý£¬ÐÂÏîÄ¿¿ªÕ¹ 1 ÁÙ´²ÁÆЧ 1 Ê®ÁùÏîºËÐÄÖÆ¶È 1 ËÀÍöÂÊ 1 Ò½µÂÒ½·ç 1 Ò½ÁÆ 7 Ò½ÁÆ°²È«ÖÊÁ¿µÄÌá¸ß 1 Ò½ÁƲ¡ÀúÖÊÁ¿ 1 Ò½Áƹý³ÌµÄÖص㻷½Ú 1 Ò½ÁÆ»¤ÀíÖÊÁ¿ 3 Ò½ÁÆÉ豸 1 Ò½ÁÆÖÊÁ¿ 33 Ò½ÁÆÖÊÁ¿¹ÜÀí 1 Ò½ÁÆÖÊÁ¿Ó밲ȫ 1 Ò½ÉúµÄÕïÁÆˮƽ 1 Ò½Ôº¸ÐȾ 1 Ò½ÔºÖÊÁ¿ 3 Ôº¸Ð 1 Õï¶Ï 1 Õï¶Ï·ûºÏÂÊ 1 ÕïÁÆ 1 143 0 -888 3 -999 40 ²¡°¸ÖÊÁ¿¹ÜÀí 1 ²¡Àú±í¼Ç¼ 1 ²¡ÀúÊéдÖÊÁ¿¹ÜÀí 1 ²¡ÀúÖÊÁ¿ 3 ²¡ÖÊÖÊÁ¿ 1 ²î´íÂÊ 1 ·þÎñ 1 ·þÎñÖÊÁ¿ 4 ¸ÐȾ 1 ºËÐÄÖÆ¶È 1 ºËÐÄÖƶȵÄÂäʵÇé¿ö 1 ºÏÀíÓÃÒ© 6 ºüÀêÖÊÁ¿ 1 »¤Àí 6 »¤ÀíÈËÔ±µÄ»¤Àí 1 »¤ÀíÖÊÁ¿ 25 »¤ÀíÖÊÁ¿¹ÜÀí 1 »¤ÀíÖÊÁ¿Ò½ 1 »¤ÀíÖÊÁ¿Ó밲ȫ 1 »¼ÕßÂúÒâ¶È 1 ¿¹ÉúËصÄʹÓà 1 ¿¹ÉúËØʹÓà 2 ÁÙ´²ÁÆЧ 1 ÁÙ´²Â·¾¶ 1 ÿÔÂÒ½ÁÆÖÊÁ¿¼ì²é 1 Å©ºÏÒ½±£Õþ²ßµÄÖ´ÐÐÇé¿ö 1 È˲ÅÒý½ø£¬È˲ÅÅàÑø 1 ÊÖÊõÖÊÁ¿ 1 ΣÖز¡È˹ÜÀí 1 ҩʹÜÀí 1 Ò©ÊÂÖÊÁ¿ 1 Ò½µÂÒ½·ç 1 Ò½ÁÆ 1 Ò½ÁÆ°²È« 2 Ò½ÁÆ·þÎñ 2 Ò½ÁÆ·þÎñ̬¶Èת±ä 1 Ò½ÁƸÐȾ 1 Ò½ÁƺËÐÄÖÆ 1 Ò½ÁƺËÐÄÖƶÈÂäʵÇé¿ö 1 Ò½ÁƼ¼Êõ 1 Ò½ÁÆÖÊÁ¿ 5 Ò½ÁÆÖÊÁ¿¹ÜÀí 1 Ôº¸Ð 3 Ôº¸Ð¹ÜÀíÖÊÁ¿ 1 Ôº¸Ð¿ØÖÆ 1 Ôº¸ÐÖÊÁ¿ 2 ÕïÁÆˮƽ 1 ÕïÁÆÐÐΪ¹æ·¶ 1 ÖÊÁ¿ 1 ÖÊÁ¿¿ØÖÆ 1 ÖÎÓúÂÊ 1 143 0 -888 5 -999 41 ²¡°¸ÖÊÁ¿ 1 ²¡ÀúÎÄÊ飨µç×Ó²¡Àú£© 1 ²¡ÀúÖÊÁ¿ 2 ²¡ÈËÂúÒâ¶È 2 ·Ö¼¶¹ÜÀí 1 ·þÎñ 4 ·þÎñ̬¶È£¬·þÎñ¼Û¸ñ 1 ·þÎñÖÊÁ¿ 6 ·þÎñÖÊÁ¿µÄÌáÉý 1 ¸¨Öú¼ì²é±¨¸æÖÊÁ¿ 1 ¸¨Öú¼ì²é׼ȷÐÔ 1 ¸ÐȾ¿ØÖÆ 1 ¹ÜÀí 1 ¹ÜÀíÖÊÁ¿ 1 ºÏÀí¼ì²é 3 ºÏÀí¼ì²é¡¢ºÏÀíÓÃÒ©Çé¿ö 1 ºÏÀíÓÃÒ© 2 »¤Àí 1 »¤Àí¹¤×÷ÄÜÁ¦ 1 »¤Àí¹ÜÀí 1 »¤ÀíÖÊÁ¿ 5 »·½ÚÖÊ¿Ø 1 »¼ÕßÂúÒâ¶È 1 ¼¼Êõ 1 ¼ì²éÖÊÁ¿ 1 ¾«ÉñÒ©Æ·¹ÜÀí 1 ¿ÆÊÒµÄЭͬÅäºÏ 1 ÁÙ´²¼¼ÄÜ 1 Âäʵ 1 ÂúÒâ¶È 1 ƽ¾ùסԺÈÕ 1 È˲ÅÅàÑø 1 È˲ÅÅàÑø¼°¿ÆÑÐ 1 ÈËÊ 1 ÊÖÊõ¸ÐȾÂÊ 1 ÊäѪ 1 ÊäѪ¹ÜÀí 2 ÌØÊⲡÈËÖÊÁ¿¾À·×Ô¤¾¯¹ÜÀí 1 ÎÞ 1 Ò©Æ·±ÈÀý¼°»ù±¾Ò©ÎïʹÓñÈÀý 1 ҩʹÜÀí 1 ҩʹÜÀíÖÊÁ¿ 1 Ò½±£ 1 Ò½±£ÊÕ·ÑÖÊÁ¿ 1 Ò½µÂÒ½·ç 2 Ò½µÂÒ½·ç£¨¸öÈËËØÖÊ£© 1 Ò½¼¼¼ìÑéÖÊÁ¿ 1 Ò½¼¼ÖÊÁ¿ 1 Ò½ÁÆ°²È« 6 Ò½ÁÆ°²È«·À·¶ 1 Ò½ÁÆ·þÎñ 1 Ò½ÁƺËÐÄÖƶÈÖ´ÐÐ 1 Ò½ÁƾÀ·× 1 Ò½Ôº¸ÐȾ 2 Ò½Ôº¸ÐȾ¹ÜÀí 2 Ò½Ôº¸ÐȾ¿ØÖÆ 1 Ò½ÔººËÐÄÖƶȵÄÂäʵ 1 Ôº¸Ð¹ÜÀí¿ØÖÆ 1 Ôº¸Ð¹ÜÀíÖÊÁ¿ 1 Ôº¸Ð¿ØÖÆ 2 Ôº¸ÐÖÊÁ¿ 4 Ôº¸ÐÖÊÁ¿¹ÜÀí 1 ÔºÄÚ¸ÐȾ 1 ÕïÁÆÄÜÁ¦ 1 ÕïÁÆЧ¹û»Ø·Ã 1 ÖÊÁ¿¹ÜÀíÌåϵ 1 ÖØ´óÊÖÊõµÄΧÊÖÊõÆÚ¹ÜÀí 1 Has your hospital established mentor-mentee relationship with any tertiary hospi Has your hospital established mentor-mentee relationship with any tertiary hospital? 143 0 -999 2 1 Yes 67 2 No 36 Which department has established mentor-mentee relationship? Which department has established mentor-mentee relationship? 143 0 -888 13 -999 72 0 2 0£¨ÎÞ£© 1 2 1 7 1 999 1 ICU 1 ICU¡¢ÐÄÄÚ¿Æ¡¢¶ù¿Æ 1 ¶ù¿Æ¡¢Éñ¾­¿Æ¡¢ºôÎüÄÚ¡¢Ïû»¯ÄÚ¡¢·ÅÉä¿Æ 1 ·ÅÉä¿Æ 1 ·ñ 1 ¸¾²ú¿Æ 1 ¸¾²ú¿Æ£¬ÄÔ¿Æ£¬¹Ç¿Æ 1 ¸Ø³¦¿Æ 1 ¹Ç¿Æ 1 ¹Ç¿Æ¡¢¸¾¿Æ 1 ¹Ç¿Æ¡¢ÃÚÄòÍâ¿Æ¡¢Îå¹Ù¿Æ 1 ¹Ç¿Æ¡¢ÉöÄÚ¿Æ¡¢Ãż±Õï¡¢Ïû»¯ÄÚ¿Æ¡¢ÐÄÄÚ¿Æ¡¢¸¾²ú¿Æ¡¢Îå¹Ù¿Æ 1 ¹Ç¿Æ¡¢ÐÄÄÚ¡¢·ÅÉä¡¢ÄÔѪ¹Ü½éÈë 1 ¹ÇÉË¿Æ 1 ¹ÇÍâ 1 ºôÎüÄÚ¿Æ£¬¶ù¿Æ£¬¼ìÑé¿Æ£¬ÄÔÍâ¿Æ£¬¹ÇÍâ¿Æ 1 ¼±Õï 1 ¼±Õï¿Æ¡¢ÑÛ¿Æ¡¢¹Ç¿Æ 1 ¼×ÈéÍâ¿Æ¡¢¸Îµ¨Íâ¿Æ¡¢ICU¡¢½éÈëÖÎÁÆ¡¢·ÅÉä¡¢Ïû»¯Î¸³¦¾µ¡¢¸¾¿Æ¡¢»¤Àí 1 ¿µ¸´¿Æ¡¢ÉñÄÚ¡¢ÐÄÄÚ¡¢ÕûÐÎ 1 Âé×í¿Æ£¬¸¾²ú¿Æ£¬ÄÚ¿Æ£¬ÆÕÍâ¿Æ£¬ 1 ûÓÐ 1 ÃÚÍ⡢Ѫ͸ 1 ÄÔÍ⣬¹ÇÍ⣬ÆÕÍâ 1 ÄÔÍâ¿Æ¡¢¶ù¿Æ 1 ÄÚ¡¢Íâ¡¢¸¾¿Æ¡¢Âé×í¿Æ¡¢Î¸¾µÊÒ 1 ÄÚ¶þ¿Æ¡¢ÍâÒ»¿Æ¡¢Íâ¶þ¿Æ¡¢¸¾²ú¿Æ 1 ÄÚ¿Æ¡¢Íâ¿Æ¡¢¶ù¿Æ¡¢·ÅÉä¿Æ¡¢¿ÚÇ»¿Æ¡¢ÖØ֢ҽѧ¿Æ 1 ÄÚ¿Æ¡¢Íâ¿Æ¡¢Õë¾Ä¿Æ 1 ÄÚ¿Æ£¬Íâ¿Æ£¬¸¾¿Æ£¬¼ìÑé¿Æ 1 ÆÕͨÍâ¿Æ 1 È«¿Æ 1 È«Ô±¶Ô¿ÚÖ§Ô®£¬È«Ãæ¶Ô¿ÚÖ§Ô® 1 È«Ôº 1 Éñ¾­Íâ¿Æ 1 Éñ¾­Íâ¿Æ¡¢¸¾²ú¿Æ¡¢Éñ¾­ÄÚ¿Æ 1 ÍâËÄ¿Æ¡¢ÍâÒ»¿Æ¡¢Íâ¶þ¿Æ¡¢ÄÚ¿Æ 1 ÍâÒ»¿Æ 1 ÍâÒ»¿Æ¡¢·ÅÉä¿Æ¡¢Éñ¾­ÄÚ¿Æ 1 ÍâÒ»¿Æ£¬Íâ¶þ¿Æ£¬ÍâÈý¿Æ£¬ÄÚÒ»¿Æ£¬ÄÚ¶þ¿Æ£¬¶ù¿Æ 1 ÎÞ 1 Îå¹Ù¿Æ 1 Îå¹Ù¿Æ¡¢¹ÇÒ»¿Æ¡¢¸¾²ú¿Æ¡¢Î¸¾µÊÒ¡¢¶ù¿Æ 1 Ïû»¯ÄÚ¿Æ¡¢ÐÄÄÚ¿Æ¡¢¹Ç¿Æ¡¢¸¾²ú¿Æ 1 ÐÄÄÚ¿Æ 1 ÐÅÏ¢¿Æ 1 Ѫ͸ 1 Ѫ͸ÊÒ¡¢ÖØÖ¢¼à»¤ÊÒ¡¢ÍâËÄ¿Æ¡¢Íâ¶þ¿Æ¡¢ÍâÈý¿Æ¡¢ÄÚÈý¿Æ¡¢B³¬ÊÒ 1 Ò©¿Æ¡¢¼ìÑé¿Æ¡¢¶ú±Çºí¿Æ¡¢Éñ¾­Íâ¿Æ¡¢»¤Àí²¿ 1 Ò½Îñ¿Æ 1 ÖØ֢ҽѧ¿Æ 1 ÖØ֢ҽѧ¿Æ ¶ù¿Æ ¸¾²ú¿Æ ¿ÚÇ»¿Æ ÐÄѪ¹Ü 1 How many times do the mentor hospital provide assistance to you on average in a How long does the mentor hospital provide assistance to you on average in 2014? (people * months) 143 0 -999 312 Does your hospital provide training to doctors from township or community health centres on a regular basis? 143 0 -999 9 -999 39 -888 2 1 Yes 75 2 No 26 9 1 For each of the following staff type, how many times is total annual income (inc 143 0 -888 34 -999 82 0 4 0.8 1 1 3 1.2 1 1.37 1 1.5 2 10.1 1 2 3 2.5 1 3.58 1 3.8 1 4 5 5 1 999 1 X 1 Internal medicine director Director - Internal medicine 143 0 -888 36 -999 82 0 4 1 4 1.2 1 1.8 1 10.1 1 2 2 2.2 1 3.58 1 3.6 1 4 4 4.28 1 5 1 6 1 999 1 X 1 Surgery vice director Surgery vice director 143 0 -888 26 -999 50 0 1 0.5 1 0.7 1 0.83 1 1 3 1.1 2 1.2 2 1.25 1 1.3 4 1.4 2 1.5 7 1.7 1 1.71 1 1.8 4 1.9 2 10.1 1 2 13 2.09 1 2.2 1 2.34 1 2.47 1 3 5 3.09 1 3.23 1 3.5 2 4 2 4.65 1 5 2 5.36 1 6 1 Internal medicine vice direvtor Internal medicine vice direvtor 143 0 -888 27 -999 50 0 1 0.7 1 0.8 1 0.85 1 1 7 1.1 1 1.2 3 1.4 1 1.5 4 1.6 2 1.7 1 1.72 1 1.77 1 1.78 1 1.8 1 10.1 1 2 16 2.06 1 2.3 1 2.4 1 3 5 3.10 1 3.23 1 3.5 2 4 2 4.35 1 4.94 1 5 2 5.01 1 7.2 1 8 1 X 1 Surgical consultant Surgical consultant 143 0 -888 25 -999 44 0 1 0.3 1 0.5 1 0.6 1 0.8 2 0.81 1 1 5 1.1 1 1.2 4 1.3 3 1.4 1 1.5 9 1.54 1 1.6 5 1.68 1 1.7 3 1.8 2 10.1 1 2 9 2.04 1 2.2 1 2.5 1 2.53 1 3 2 3.3 1 3.42 1 3.45 1 3.5 1 3.6 1 4 4 4.10 1 5 2 5.40 1 6.91 1 7 1 8.87 1 Internal medicine consultant Internal medicine consultant 143 0 -888 25 -999 45 0 1 0.5 1 0.6 2 0.8 3 0.9 1 1 3 1.1 1 1.2 4 1.3 1 1.4 5 1.5 8 1.57 1 1.59 1 1.63 1 1.7 3 1.8 5 1.89 1 10.1 1 2 8 2.11 1 2.2 1 2.4 1 2.5 1 3 2 3.09 1 3.1 1 3.45 1 3.5 1 3.51 1 3.6 1 4 3 4.28 1 5 2 5.39 1 7 1 7.30 1 9.17 1 Surgical registrar Surgical registrar 143 0 -888 25 -999 43 0 2 0.3 1 0.5 3 0.6 1 0.79 1 0.8 1 0.85 1 1 9 1.0 2 1.1 1 1.2 4 1.3 3 1.4 2 1.5 6 1.51 1 1.53 1 1.6 3 1.62 1 10.1 1 2 7 2.1 1 2.11 1 2.2 1 2.3 1 2.5 1 2.98 1 3 3 3.15 1 3.2 1 3.5 1 3.8 1 4 3 4.02 1 4.03 1 5 2 5.83 1 7 1 7.55 1 9.67 1 Internal medicine registrar Internal medicine registrar 143 0 -88 1 -888 24 -999 44 0.5 3 0.6 3 0.78 1 0.8 1 1 9 1.0 2 1.1 1 1.2 4 1.3 2 1.4 1 1.45 1 1.5 7 1.50 1 1.51 1 1.55 1 1.58 1 1.6 2 1.7 2 10.1 1 10.31 1 2 6 2.05 1 2.14 1 2.2 1 2.3 2 2.8 1 3 3 3.15 1 3.5 1 3.57 1 4 3 4.02 1 4.03 1 4.57 1 5 2 5.95 1 7 1 7.39 1 ID 273 0 52032811 551700125 Hospital ID 273 0 5203281 5647004 County ID 273 0 520328 564700 Department 273 0 1 4 1 165 2 15 3 64 4 29 Department (specify) 31 0 ´óÄÚ¿Æ 4 ´óÍâ¿Æ 1 ¸¾²ú¿Æ 2 ¸¾²ú¿ÆÖ÷ÈÎ 1 ¸¾¿Æ 2 ¹ÇÉË¿Æ 1 »¤Àí²¿ 1 ¼¹ÖùÍâ¿Æ 1 ÄÚ¿Æ 6 È«¿Æ 1 Éñ¾­Íâ¿Æ 1 Íâ¿Æ 4 Ôº³¤ 1 Õë¾Ä¿Æ 1 Ö»ÓÐÒ»¸ö¿ÆÊÒ 1 Ö÷¹ÜÄÚ¿Æ 1 ×ۺϲ¡·¿ 1 ×ۺϿÆÊÒ 1 Job title 273 0 1 4 1 126 2 138 3 7 4 2 Job title (specify) 4 0 Ôº³¤ 1 Ö÷ÈÎ 1 ×Ü»¤Ê¿³¤ 1 ×ÜסԺҽʦ 1 Years of working in this hospital 273 0 -999 48 Years of working at the current post 273 0 -999 19 Interviewer1 ID 273 0 1 24 Interviewer2 ID 273 0 1 24 What does the patient journey feel like 273 0 1 5 How closely located are the different points of the journey 273 0 1 5 How often are there problems with this pathway 273 0 1 5 What was the rationale for implementing improvements 273 0 1 5 How often is the pathway challenged 273 0 1 5 Who within the hospital drives the changes 273 0 -999 5 Standardization of protocols and clinical processes 273 0 1 5 Clarity of process and procedures 273 0 1 5 Monitoring tools, resources and protocols 273 0 1 5 Finding and documenting problems 273 0 1 5 Who resolves problems 273 0 -999 5 Who improves processes 273 0 1 5 What happens when one area of the hospital becomes busier 273 0 1 5 What tools exist to help managers allocate human resources 273 0 1 5 How is the flow of the staff coordinated 273 0 1 5 Types of parameters 273 0 1 5 Tracking and compilation frequency 273 0 1 5 Communicated to whom and how 273 0 1 5 Frequent discussions 273 0 1 4 Who is involved in the meetings and how are results communicated 273 0 1 5 Action plan follows the meeting 273 0 1 5 Follow a clear agenda 273 0 1 5 Meetings have appropriate data present 273 0 1 5 Get people involved in constructive feedback 273 0 1 5 Clear responsibilities for action plan 273 0 1 5 How long it takes to identify and deal with a problem 273 0 1 5 How they avoid having the same problem again 273 0 1 5 Clarity and Balance of Targets 273 0 1 5 Set at the district, hospital, departmental and individual levels 273 0 1 5 Linked to patient outcomes and defined by internal and external factors 273 0 1 5 Motivation and clarity of goals through the hierarchy chain 273 0 1 5 Goals are well communicated within the hospital 273 0 1 5 Breaking down big goals into smaller ones 273 0 1 5 A range of short, mid term, long term goals 273 0 1 5 Emphasis of goals 273 0 1 5 Interlinked goals that staircase from short to longAterm 273 0 1 5 Goals are tough but achievable 273 0 1 5 Goals are set with reference to external benchmarks 273 0 1 5 Goals are equally difficult/demanding for all 273 0 1 5 What is the role of clinicians in achieving targets 273 0 1 5 What is the accountability clinicians have to targets 273 0 1 5 Who defines the accountability of clinicians 273 0 1 5 Clearly defined and strongly communicated to all 273 0 1 5 Based on both qualitative and quantitative measures 273 0 1 5 Everyone knows how everyone is doing and can compare 273 0 1 5 Identification of good performers 273 0 1 5 Formally evaluated 273 0 1 5 Separate reward system for individuals and teams 273 0 1 5 Identification of poor performers 273 0 1 5 Methods of dealing with poor performers 273 0 1 5 Time scale of action 273 0 1 5 Identification of good performers 273 0 1 5 Development of good performers 273 0 1 5 Reason for promotion 273 0 1 5 Who makes hiring decisions, how are they made 273 0 1 5 Ensuring senior managers show talent is a top priority for the hospital 273 0 1 5 Seeking out talented candidates 273 0 1 5 Is there a formal process to understand the reason for leaving clinicians 273 0 1 5 What can they offer to keep best clinicians who want to leave 273 0 1 5 What do they do to ensure top clinicians want to stay in the hospital 273 0 1 4 Why would clinicians want to work at your hospital 273 0 1 5 Clinicians are aware of the benefits of working at your hospital 273 0 1 5 How do you keep track that the communication is effective 273 0 1 5