Public Healthcare Reform In Hong Kong.

4631 words - 19 pages

Contents:1Introduction2Executive Summary3Recent Reforms3.1Overview of Healthcare System3.2Reasons of Reforms3.3Recent Reforms4Impacts of Healthcare Reforms5ConclusionReferencesAppendices1 IntroductionAs a major endeavour at implementing administrative change, Public sector reform impacts on both the organisational structure of the public sector as well as the operational principles and philosophy of public sector managers and workers. In Hong Kong, public sector reforms have been initiated within a significant period of transition in which political considerations have constituted important elements of the change process.Before 1997 handover, Hong Kong was under the control of United Kingdom, it was a colony of British, and a small government. The functions of government were to regulate, facilitate, purchase and provide services on behalf of community, it looks as a safety net to deal with the needs in the community. As such the community's expectations of the Government continuously are growing and needs are expanding and, at the same time, as the society is challenged by increasingly complex situations - economic, social, and technological. In response to these challenges, the Government has made big strides to improve continuously the public services and public management processes.Furthermore, driven by the "New Public Management" (NPM) concept introduced and the impact of globalization, public sector reform has become a worldwide trend. The first major trend was the bureaucracy, "...Bureaucracy as an approach to public management took hold in industrializing Europe, and later North America, over a century ago." (Richard C. 2001: P81).1 In Hong Kong, driven by the pressures for policy convergence such as the economic globalization, internationalization, transnationalization of the state etc. and for policy divergence, the Government carried out a series of reforms programmes. The first public sector reform programme - a programme of financial management reforms was launched by the Finance Branch in 1989, introducing the new initiatives such as performance pledges, trading funds, budget devolution, contracting-out of services and performance management etc.. This programme includes an ongoing review of the public expenditure, a match of resource allocation system and management responsibilities, emphasis on "top-down" value for money studies and performance measurement, and appropriate organisation and management frameworks etc. For example, Performance pledges, induced by the NPM concept, is to ensure that the government provides the best possible services to the public and to help engender a culture of service which regards the public as customers. Trading Funds are expected to improve the productivity of the public services, allowing some government departments to retain revenue and operating with more financial autonomy in order to improve services. A management system - balance Scorecard has been introduced to measure...

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