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Cited by 22Healthcare Quality and ManagementHealth Services Management and PolicyHealthcare Systems and Reforms

A historical review of performance appraisal of public hospitals in China from the perspective of historical institutionalism

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Li, Yaqing, He, Wensheng, Yang, Li, Zheng, Keshuang·2022·Frontiers in Public Health
DOI 10.3389/fpubh.2022.1009780PMC PMC9590688
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Abstract

The government performance appraisal of public hospitals serves as an effective management tool to promote high-quality development. It is also an important means of realizing the “Healthy China” initiative. Since the founding of the People's Republic of China, changes in performance appraisal have been divided into the following four periods: the early stage of performance appraisal (1949–1977), the exploration period (1978–2008), the development period (2009–2018), and the integration period (2019–present). This clarifies the regional practice of public hospital performance and identifies the institutional factors of the evolution. It also demonstrates that administrative forces, market-driving forces, and mission-driving forces combine to bring about change in the public hospital performance appraisal system. However, problems such as insufficient application of performance appraisal and coordination between health administrative departments and medical insurance departments still loom large.

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  • Payment reform and tertiary hospital performance evaluation are pushing hospital management from experience-based practice toward data and process-driven operations.

    “Payment reform and tertiary hospital performance evaluation are pushing hospital management from experience-based practice toward data and process-driven operations [1].”

    From Reforming hospital management education with the P-MASE pedagogy: a randomized controlled trial (2026) · cites this paper as [1]

    The Conclusions (§ The effectiveness of performance appraisal; page unavailable) say national tertiary hospital appraisal is associated with clearer indicators, more refined methods, and improved hospital management. The Regional practice section links medical-insurance payments to assessment results. The paper does not establish a shift from experience-based management to data- and process-driven operations, or identify payment reform as a driver of that shift. (LLM, conf=0.82)

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Cited by

Sorted by citations

Authors
Li, Y., He, W., Yang, L., & Zheng, K.
Affiliations
Lanzhou University (CN)
Corresponding author
He, Wensheng
ORCID
Venue
Frontiers in Public Health
Publisher
Frontiers Media SA
Published
2022-10-10
Volume
10
Pages
1009780-1009780
ISSN
2296-2565 (ISSN-L)
DOI
10.3389/fpubh.2022.1009780
PMC
PMC9590688
OpenAlex
W4304003382
Cited by
22
References
0
Citations by year
2026: 7 · 2025: 7 · 2024: 6 · 2023: 2
FWCI
2.81
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Natural Science Foundation of China
Topics
  • Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
  • Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
  • Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
Keywords
hospital evaluation, historical institutionalism, institutional change, Healthy China initiative, health management, market forces, China
MeSH terms
Agriculture, China, Government, Hospitals, Public, Humans

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