Applying GRA to analyze influencing factors of patients’ financial burden: A case study of hospitals with PPP model in China

Abstract

Purpose

The purpose of this paper is to analyze the influencing factors of patients’ financial burden through a case study of hospital on public‒private partnerships (PPP) model (Chaonan Minsheng Hospital of Guangdong Province) and provide some useful information to policymakers for better development of hospitals on PPP model.

Design/methodology/approach

There are total six indicators that are defined as patients’ financial burden, basing on the policy of “indicators of medical quality management and control on the third level large general hospital (2011 edition),” issued by Chinese Government. In total, 23 potentially influencing factors of patients’ financial burden for hospital on PPP model were chosen from the above policy. The five-year (2007‒2011) data for the above 29 indicators come from statistic department of hospital on PPP model. Grey relational analysis (GRA) was applied to analyze the influencing factors of patients’ financial burden for hospital on PPP model.

Findings

A clear rank of influencing factors of patients’ financial burden is obtained and suggestions are provided from results of GRA, which provide reference for policymakers of hospital on PPP model. The five main influencing factors of patients’ financial burden for hospital on PPP model, in sequence, are rescuing critical ill patients on emergency, rescuing critical ill inpatients, inpatient bed occupancy rate, working days per bed and medical building area.

Originality/value

The study on the influencing factors of patients’ financial burden for hospital on PPP model not only provides decision-making for policymaker of hospital and controlling of medical expenditure but also contributes to release patients’ financial burden for hospitals on PPP model.

Citation

Li, X., Liao, X., Zhong, Q., Zheng, K., Chen, S., Chen, X.-J., Zhu, J.-X. and Yang, H. (2019), "Applying GRA to analyze influencing factors of patients’ financial burden: A case study of hospitals with PPP model in China", Grey Systems: Theory and Application, Vol. 9 No. 2, pp. 175-184. https://doi.org/10.1108/GS-11-2018-0057