Contents
CHAPTER 1: INTRODUCTION (1)
1.1 Thesis Background (1)
1.1.1 Importance (1)
1.1.2 Methodology (2)
1.1.3 Framework (2)
CHAPTER 2: SHANGHAI HEALTHCARE SYSTEM (3)
2.1 History of Healthcare in Shanghai/China (3)
2.2 Current System Strengths (6)
2.2.1 Better Governance through Centralization (7)
2.2.2 Improved Physician Training (7)
2.2.3 Integrated Health IT System (8)
2.2.4 Increased Hospital Access (9)
2.2.5 Cost Containment through Global Budgets (10)
2.2.6 Gatekeeper Experimentation (11)
2.3 Current System Weaknesses (12)
2.3.1 Crowded Hospitals (12)
2.3.2 Severe Doctor Shortage (13)
2.3.3 Governance Redundancies (14)
2.4 PESTLE Analysis (15)
CHAPTER 3: KAISER PERMANENTE (16)
3.1 History of Kaiser Permanente in California (16)
3.2 KP Model (19)
3.2.1 Integrated patient pathways (19)
3.2.2 Focus on primary care and disease management (20)
3.2.3 Care Integration (21)
3.2.4 Managed care (22)
3.2.5 HealthConnect, integrated IT solution (23)
3.2.6 Mobile Health Care (24)
3.3 KP Finances (25)
3.4 KP Weaknesses (27)
CHAPTER 4: SYSTEM ANALYSIS (29)
4.1 Structural Analysis (29)
4.2 Stakeholder Analysis (30)
4.3 SWOT Analysis (32)
CHAPTER 5: POSSIBLE SHANGHAI INTEGRATED MODEL (34)
5.1 Model Structure (34)
5.1.1 Governance (34)
5.1.2 Structure (35)
5.2 Model Implementation (37)
5.2.1 Integration (37)
5.2.2 Technology (38)
5.2.3 Access (39)
5.3 Private Sector Integration (40)
CHAPTER 6: ANALYSIS ON MODEL IMPLEMENTATION (42)
6.1 Governance Analysis (42)
6.1.1 Governance (42)
6.1.2 Structure (42)
6.2 Implementation Analysis (43)
6.2.1 PESTLE Analysis (43)
6.2.2 Integration (45)
6.2.3 Technology (46)
6.2.4 Access (46)
CHAPTER 7: CONCLUSION ON FEASIBILITY (50)
References (51)
APPENDIXES (53)
Appendix 1: Shanghai Insurance Data, 2000-2013 (53)
Appendix 2: Shanghai Health Data, 1978-2013 (55)
Appendix 3: Shanghai Health Infrastructure 2013 (56)
Appendix 4: Shanghai Medical Treatment Data, 2013 (57)
ACKNOWLEDGEMENTS (58)
THESIS PUBLISHED DURING COURSE OF MBA STUDY (59)