Paper Title
Research on The Hungarian General Practitioners System and Enlightened Experience Towards China
Abstract
Introduction: The success of the GPs system in Hungary, over more than twenty years, makes it a great reference to the equivalent Chinese GPs system, particularly, regarding system implementation and development, problem prevention and management, and practical matters, such as payment methods that reduce medical burden to residents. Aim: the article used stakeholder theory to analyze effects of the Hungarian GPs system and factors that the Chinese GPs system needs to consider: Hungarian GPs system be a significant referent for China, regarding experience in implementation, problem solving, issues. Methods: Based on the stakeholder theory, the document and historical analysis research methods method, including research results, documents, policies, regulations and government statistical bulletins issued by two states. Results: First, the analysis based on theories and addresses the framework and direction of GPs system’s development and implementation principles including 1) the focus on the benefit of residents, 2) the establishment of a “biological-psychological” medical model, and 3) the implementation of a first diagnosis and referral system. Then, it examines the capitation as payment mechanism and the incentives on salaries and training. Third, it analyzed effectiveness of Hungarian general practitioners system, while exploring the justifications of informal payment used in Hungary, from a socio-cultural, legal, moral and economic perspective. Thereafter, a description of the current Chinese GPs system is made, including the variations in specialized training of medical professionals, the underdeveloped referral mechanism, the lack of awareness about GPs among community residents, and the supply/demand imbalance. Finally, the review puts forward some suggestions to improve the Chinese GPs system: the improvement of the referral mechanism, the awareness of community residents, the balance between supply and demand, and the enhancement of participation among medical professionals through the establishment of reasonable incentive mechanisms, while avoiding the negative effects of informal payment for medical services.
Keywords- General Practitioner System; Hungary; Experience; China