Establishing A Medication Error Reporting And Monitoring Programme In A Developing Country’s Tertiary Care Teaching Hospital

Abstract

performed. Our study was based on document and database analysis. The indicators were obtained from WHO (World Health Organization) databases and Chinese Statistical Yearbook 2003 and 2013. Results: The health insurance coverage of the Chinese population is 96%. 62% of the hospitals are state-runned, 38% are private, from which 88% of the hospital beds are public and 12% are private. 51% of local institutions are public and 49% are private. The four basic pillars of Chinese health care are state budget tax revenue, social security, direct pay and private insurance. The new, most important forms of insurance that are currently in use are: the New Cooperative Rural Medical Scheme (NCRMS), Urban Residence Basic Medical Insurance (URBMI), Urban Employee Basic Medical Insurance (UEBMI) and the Medical Assistant Funds (MAF). In 2009, 94% of rural areas had the population NCRMS health insurance. The public health insurance coverage of the population has been increasing ever since 2010 from outpatient care. However, the insured are obligated to pay co-payment. 50% of the inpatient's care costs, approximately 60-70% of outpatient care costs should be reimbursed by the insured. The use of healthcare services between 2003 and 2013 has changed considerably. The un-visit rate decreased by nearly half in rural (22%) and urban (32,9%) areas. The rate of outpatient's visit decreased in rural (12,8%) areas and increased in cities (13,3 %). Un-hospitalization rate in rural areas went also downward among the urban population. The rate of hospitalization increased considerably among both rural and urban residents. ConClusions: The eleven-year health reform set up by China is to balance the differences between population and market needs. It is important to evaluate the reform's success in the future.