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. 2019 Nov 20;14(11):e0225243. doi: 10.1371/journal.pone.0225243

Table 4. Comparisons Delphi results between China and USA.

Panel A: 2nd Delphi results in China Panel B: 2nd Delphi results in the U.S.
China Rank HCB activity/ program Score USA Rank HCB activity/ program Score
1 Emergency preparedness or disaster relief 4.85 1 Charity care 4.71
1 Adhering/complying with government mandates 4.85 2 Emergency preparedness above what is required for license 4.36
3 Health promotion and health education 4.75 3 Disaster relief above what is required 4.29
4 Environmental protection 4.70 3 Social benefit activities 4.29
4 Education and research 4.70 5 Health promotion and health education 4.21
6 Charity care 4.65 6 Education and research 4.07
6 High quality medical services 4.65 7 Environmental protection that directly affect the heath of population, above what is required for license 4.00
8 Medical services with positive externality 4.45 7 Provision of low profit services 4.00
9 Provision of low profit services 4.35 9 Sliding scale fees based on income level 3.93
10 Social benefit activities 4.35 10 Medicaid shortfall 3.86
11 Bad debt 4.10 10 Medical services with positive externality 3.79
12 Discounted pricing 4.10 12 Bad debt to low-income group 3.57
13 Tax payments 3.65 13 Bad debt because of catastrophic expenditure 3.43
14 Tax payments or payments in lieu of taxes 3.14
15 High quality medical services 2.50
16 Adhering/complying with government mandates 2.43

Sources: Study findings; China: 2010, USA: 2014