Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Nov 19, 2019
Date Accepted: Apr 30, 2021
Rating hospital performance in China: a review of publicly available measures and the development of a ranking system
ABSTRACT
Background:
In China, significant emphasis and investment into healthcare reform since 2009, has brought with it increasing scrutiny of its public hospitals. The call for accountability in health care quality has fueled the development of hospital ratings. However, up to now there has yet to be a comprehensive analysis of what performance information is actually available in China.
Objective:
To review the publicly available performance information about China with the view different ways in which hospital performance can be ranked.
Methods:
A review was performed to identified performance measures based on publicly available data. With several rounds of expert consultation, we clustered these into three key areas: research and development, academic reputation, and quality and safety. Following the identification and clustering of the available performance measures, we set out to translate these into a practical performance ranking table to assess hospital performance variation.
Results:
A new hospital ranking system was presented, what we termed the China Hospital Development Index (CHDI). A total of 310 hospitals were reviewed to calculate the CHDI.
Conclusions:
While this ranking system faces several limitations, the development of a ranking system may break new ground for hospital performance in China and share practical experience across international borders. Clinical Trial: Not Applicable
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