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Building China’s Regional Municipal Healthcare Performance Evaluation System: A Tuscan Perspective


  • Hao Li

    () (Istituto di Management - Scuola Superiore Sant’Anna, Pisa)

  • Sara Barsanti

    () (Istituto di Management - Scuola Superiore Sant’Anna, Pisa)

  • Anna Bonini

    () (Istituto di Management - Scuola Superiore Sant’Anna, Pisa)


Regional healthcare performance evaluation system (PES) can help optimize healthcare resources on regional basis and to improve the performance of healthcare services provided. The Tuscany region in Italy is a good example in meeting these requirements. China is yet to build such a system based on international experience. In this paper, based on comparative studies between Tuscany and China we propose that the Chinese managing institutions can select and commission a third party agency to respectively evaluate the performance of their affiliated hospitals and community health service centers. Following some features of the Tuscan experience, the Chinese municipal PES can be built by focusing on the selection of an appropriate performance evaluation agency, the design of an adequate performance evaluation mechanism, and the formulation of a complete set of laws, rules and regulations. When a PES system at city level is formed, the provincial government can extend the successful experience to other cities.

Suggested Citation

  • Hao Li & Sara Barsanti & Anna Bonini, 2012. "Building China’s Regional Municipal Healthcare Performance Evaluation System: A Tuscan Perspective," Working Papers 201204, Scuola Superiore Sant'Anna of Pisa, Istituto di Management.
  • Handle: RePEc:sse:wpaper:201204

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    References listed on IDEAS

    1. Nuti, Sabina & Vainieri, Milena & Bonini, Anna, 2010. "Disinvestment for re-allocation: A process to identify priorities in healthcare," Health Policy, Elsevier, vol. 95(2-3), pages 137-143, May.
    2. Sabina Nuti & Milena Vainieri & Anna Bonini, 2008. "Managing gaming phenomena in the Tuscan performance evaluation system," Working Papers 200801, Scuola Superiore Sant'Anna of Pisa, Laboratorio MeS.
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    Cited by:

    1. Laura Mariani & Marco Tieghi & Sabrina Gigli, 2016. "The efficacy of performance management system in healthcare. A literature review and research perspectives," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2016(3), pages 97-116.

    More about this item


    healthcare performance; performance evaluation system; evaluation agency; evaluation mechanism; evaluation laws; rules and regulations;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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