In China, the medical organizations refer to the organizations received Practice License of Medical Institution, mainly including the specialized diagnostic and curative hospitals, health centers, convalescent hospitals, out-patient clinics, clinics, hygiene centers and first-aid stations etc.

The medical organizations in China belong to service industry, directly faced to numerous consumers and supervised by medical executive departments of Chinese government. The regional distributions of Chinese hygiene resources are comparatively balanced, regional distribution disparity mainly showing in the levels of medical organizations, asset scales, revenues and expenditures, private medical organization distribution and foreign funded medical distribution, reflecting the regional economic development differences. Chinese medical industry is mainly concentrated in Shanghai, Beijing, Guangdong and Zhejiang, accounting for most hygiene resources and higher level technologies.

In 2008, the total expenditures of Chinese medical industry were 1.22 trillion Yuan (174 billion USD), increasing by 8.2% of last year. The expenditures per capita were 915 Yuan (130 USD). 

By the end of 2008, Chinese health organizations were about 300 thousand, in which hospitals were 19,701 (13,111 public hospitals), 40 thousand clinics, 28 thousand community health service centers, 3,020 maternity and child care centers, 3,560 centers for disease control and prevention and 2,591 health monitoring institutions. Compared with last year, the health organizations were increased by two thousand, with the increased numbers of community health service centers and health monitoring institutions and the reduction in hospitals, town clinics, maternity and child care centers and centers for disease control and prevention.

By the end of 2008, the total beds of Chinese medical organizations were 3.97 million, up by year on year 7.2%. Chinese medical technicians were 4.92 million, including 2.05 million licensed assistant doctors and registered nurses of 1.62 million, rising by 130 thousand of Chinese medical technicians, 40 thousand of licensed assistant doctors and 80 thousand of registered nurses compared with the year of 2007. The licensed assistant doctor number per one thousand was increased from 1.54 in 2007 to 1.55 in 2008, as well as the registered nurse number from 1.18 to 1.22. The county doctors and health workers were 1.06 per one thousand agricultural populations.

In 2008, it was predicted that the outpatient visits in Chinese hospitals reached to 1.69 billion man-times, including 1.53 billion man-times in public hospitals, accounting for 90.5%. The inpatient number was 68 million, including 62.3 million in public hospitals, accounting for 91.5%.

For a long time, Chinese medical systems were state-governed, lack of competition and vigor, co-existences of shortage and surplus in resource allocation, low service quality and inefficiency. Thus, the reforms in medical systems fell far behind than other industries. Since, 2000, Chinese government approved the guidelines of medical system reforms and carried out classified regulation in the medical organizations. The perspectives of medical organization market came into open. 

Because of the promising perspectives, Chinese private and joint hospitals were established recently.

Chinese government guided and encouraged the entry of private and other assets into medical organizations by two means: first, asset acquisition, that is the participation of property right and operation means reforms in public hospitals, the acquisition of original stored assets; second, the added investment, that is the direct participation in the investment in the medical industry, constructions and operations, in which asset acquisition accounted for the most.

It is a long time to receive profits in a newly built hospital, at least five years. But if you merged with the present hospitals, the time will be shortened sharply, some of which will keep balance in the revenues and expenditures because of the fixed doctors, nurses and patients in the former hospitals.

The works of Chinese medical service systems will be divided rationally in the future among the community health service centers, comprehensive hospitals and the specialized hospitals, with the community health service centers specializing in the prevention, health care, health education, birth control and easily diagnose chronic disease treatment and rehabilitation of common diseases and  frequently-occurring diseases, the comprehensive hospitals and the specialized hospitals specializing in the disease diagnostics. The large hospitals will mainly diagnose the critical illness and difficult or complicated illness and develop education and research combining clinical experiments. 

More following information can be obtained in this report:

- Development of Chinese Medical Industry

- Sub-sectors of Chinese Medical Industry

-Value Chains of Chinese Medical Service Industry

- Competitions of Chinese Medical Industry

- Investment Opportunities of Chinese Medical Industry

- Trends of Chinese Medical Industry

- Influences of International Financial Crisis on Chinese Medical Industry        

If you are interested in this report, please visit Research Report on Chinese Medical Industry, 2009

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Alice is an industry analyst in this field for more than 5 years with depth insight in the recent market trends. Based on the database, Interviews and research methods from China Research and Intelligence, she analyzes the development and opportunities in this industry clearly.

Government cutbacks on NHS staff have been felt heavily by qualified nurses looking to obtain positions within the health service. However, new independent research carried out with the elderly may hold out a ray of hope for frustrated and skilled nurses who are currently out of the employment loop.

The independent research was conducted during November 2006, by TNS Face to Face Services on behalf of Consultus Care & Nursing Agency, with adults aged 75 and over. The results have revealed an overwhelmingly strong preference for live-in nursing: 88% (of adults aged 75 and over) preferring to receive long-term nursing care at home compared to 7% who would prefer a nursing home.

At a time when nurses who have been let down by government overspending are in need of opportunities to utilise their skills, the results of the survey make for encouraging news. An increase in live-in nursing care might also ensure that at least some of the estimated 600 million spent on health care training by the government in 2005 is not wasted: firms such as Consultus giving well-trained staff an opportunity to build on their skills rather than nurses choosing alternative career paths.

The research also raises questions pertaining to the plight of the elderly, many of whom are currently forced into nursing homes without other options being made available to them.

Philippa Easterbrook, a Registered Nurse based in Powys, currently working with Consultus, commented on the recently released research findings in relation to 87% of respondents who agreed that live-in nursing should be more readily available through the NHS.

“Everybody should be offered the choice – rehab patients, people who’ve had operations – if it’s the right option for them and their health, of course they should.”

Her colleague, Lorna Shaw agreed.

“It should be more available…and people don’t realise the funding is there for special category patients. But social workers won’t offer it because it can be more expensive. Patients need to be educated about this so they can put pressure on the local authorities or the health authorities to give them what’s best for them.”

The research, which is the first of its kind, has underlined the strong views held by the elderly about where they choose to be nursed. Paradoxically at a time when Trusts hit worst by the NHS budget crisis are cutting back on nurses, there is a real demand for live-in nurses.

These skilled health care workers are able to give clients the 24/7 nursing care that they clearly want, whilst a choice of working weeks enables more nurses to remain in the profession that they have chosen. The reality is that live-in Nursing can provide an economical solution to both patients and nurses.

The next question is inevitably funding for live-in nursing patients, Kevin May Registered Manager of Consultus Care feels there is access to available funding for live-in nursing and in some cases sees this as a desirable option for an NHS system currently facing huge deficits.

“The ‘NHS Continuing Care Scheme’ headed up by the Primary Care Trusts (PCT) does provide funding for those who need either long term or palliative care outside of hospital. In order to ascertain whether a client would be eligible for funding a panel of local health and social care advisors such as district nurses, GPs and members of the local health authority meet to decide whether the clients needs are sufficiently deserving of Continuing Care, and what the most appropriate location for that care would be. The patients view is taken into account in these matters in terms of whether they would choose to be cared for at home or in a nursing home – the final decision being dependent on the criteria set by the local PCT or health board.”

“There are also options available to local PCT’s, to offer live-in nursing as an alternative, which are beneficial to the NHS system itself, enabling clients to leave hospital earlier and preventing bed blocking or even hospital admission.”

“Acute Trusts which administer the General Hospitals charge the PCT’s a higher fee if the patient being cared for in hospital has a certain condition – in some cases higher than costs for live-in nursing. In this sense, live-in nursing can be a financially beneficial option for the trusts – actually cutting costs for the NHS.”

It seems live-in nursing which is often deemed to be a more costly option could now be seen as a realistic solution to many of today’s financial ailments where the National Health Service is concerned – full time, one-to-one nursing at home recognised as not only qualitatively very desirable for many patients but also fiscally a better option for the NHS itself.

For further information on Consultus Care & Nursing, a live-in nursing specialist please contact Kevin May on 01732 355231 or visit www.consultuscare.com

Research highlights:

- After a spell in hospital 91% said they would prefer to convalesce in their own home compared with 1% who would choose a hospital ward.

- 87% agreed that live-in nursing should be more readily available through the NHS and 89% agreed that more information should be made available.

- The possibility of going into a nursing home concerned most people with over a third feeling very concerned.

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Corporations Board of Directors and Detroit Metropolitan Wayne County Airport Commissions Board of Directors. In 1997, President Clinton appointed him to the Federal Advisory Commission on Consumer Protection and Quality in the Health Care Industry. In 1995, Mr. Warden served as chairman of the American Hospital Associations Board of Trustees, and was a member of the Pew Health Professions Commission, the National Commission on Civic Renewal and past chairman of the Health Research …

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Now what can be done to get more staffing hours?

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