Research on Shanghai Integrated Health Care Practical Experience

By: Fen Li  

The research analyzes Shanghai residents’ use of healthcare services and expenses by using big data and proposes policy responses accordingly. The number of outpatients, inpatients, and emergency patients of people aged sixty to sixty-four in Shanghai surpasses all the age groups in 2016. Among all the people aged sixty and over, 56.28% are went to community health centers for outpatient and emergency services, much higher than children and teen group (0-14, 11.93%) and the middle-young-aged group (15-59, 20.97%). For inpatient services, 80.37% of all the elderly are went to general hospitals while the children and teen group account for 45.23% and the middle-young-aged group 72.67%. Moreover, in terms of medical expenses, people aged 60-64 have the highest amount of hospitalization expenses and then with the age growing, the expense lessens. In addition, the old group has the highest average expense and biggest burden for hospitalization. The research finds that the utilization of medical service of the old group is high with a rather heavy expense burden and the in-patient medical service utilization still relies heavily on hospitals. As the degree of population aging is deepening, exploring an integrated healthcare system is a better solution which can better fulfill the elderly’s health needs and improve the resources utilization efficiency. To date, Shanghai has taken five main actions: the macro design, optimization of resource allocation, improvement of medical service capability, perfection of systematic stimulus mechanism, and the advancement of health informatization. Certain practical experience has been accumulated regarding integrated healthcare systems.

Aged people, Medical expenses burden, Health resource allocation, Integrated healthcare
Public Policy and Public Perspectives on Aging
Paper Presentation in a Themed Session

Fen Li

Shanghai Health Development Research Center, China

Li Fen is a research associate in Shanghai Health Development Research Center, the director of Division of Health Financing and Planning Research. Li Fen’s research primarily focuses on health financing, hospital management, whose mechanism has great impact on health outcome. National Health Accounts is one of the main research fields of health financing. Li Fen engaged in health expenditure accounting of Shanghai from 2008 to 2015 under the framework of MOH (Ministry of Health of PRC). From Feb to Aug in 2013, Li Fen worked in the department of Health System Financing, World Health Organization(WHO, Geneva). Li Fen has been the primary investigator of more than 10 research projects, published over 20 papers. The research projects she involved had awarded Silver Prize of East China Science & Technology Information Achievements in 2014, and ward of Excellent Outcomes in Chinese Health Economics Association twice.