Jiangjiang He, Duo Chen, Zhenqing Tang, Lixuan Cong, Yuan Tian, C. Xie, Linan Wang, Jiajie Xu, C. Jin, Wen Chen
OBJECTIVE To understand the effect of the health institution combinative contracting mechanism (which make participating residents make a "combinative contracting" involving family doctor of community health center, one secondary hospital, and one tertiary hospital) on community residents' patient experiences in Shanghai, China. METHODS We conducted two questionnaire surveys (2016 and 2018) on the patient experiences of 1200 permanent residents of 12 subdistricts of Shanghai, who were selected via stratified random sampling. Of these, 926 participants were included after propensity score matching. We compared five dimensions of patient experience-accessibility, environment and facilities, service attitude and emotional support, communication and patient engagement, and service integration-before and after implementation of the health institution combinative contracting mechanism in June 2016. Furthermore, logistic regression analysis was used to explore the factors related to residents' overall experience. RESULTS The health institution combinative contracting mechanism influenced most dimensions of residents' patient experience, such as accessibility, service attitude and emotional support, communication and patient participation, and service integration. The mechanism in general helped contracted residents obtain a better patient experience than before its implementation. Referral had a significant effect on participants' overall experience. CONCLUSION Contracted family doctors play active roles in improving nearly every dimension of residents' service experience, as well as their overall experience of services. The health institution combinative contracting mechanism not only increases interaction and strengthens trust between doctors and patients but also makes it possible for residents to obtain integrated health services.
{"title":"How the health institution combinative contracting mechanism influences community residents' patient experiences in Shanghai: A comparative study of data from two cross-sectional surveys.","authors":"Jiangjiang He, Duo Chen, Zhenqing Tang, Lixuan Cong, Yuan Tian, C. Xie, Linan Wang, Jiajie Xu, C. Jin, Wen Chen","doi":"10.1002/hpm.2873","DOIUrl":"https://doi.org/10.1002/hpm.2873","url":null,"abstract":"OBJECTIVE\u0000To understand the effect of the health institution combinative contracting mechanism (which make participating residents make a \"combinative contracting\" involving family doctor of community health center, one secondary hospital, and one tertiary hospital) on community residents' patient experiences in Shanghai, China.\u0000\u0000\u0000METHODS\u0000We conducted two questionnaire surveys (2016 and 2018) on the patient experiences of 1200 permanent residents of 12 subdistricts of Shanghai, who were selected via stratified random sampling. Of these, 926 participants were included after propensity score matching. We compared five dimensions of patient experience-accessibility, environment and facilities, service attitude and emotional support, communication and patient engagement, and service integration-before and after implementation of the health institution combinative contracting mechanism in June 2016. Furthermore, logistic regression analysis was used to explore the factors related to residents' overall experience.\u0000\u0000\u0000RESULTS\u0000The health institution combinative contracting mechanism influenced most dimensions of residents' patient experience, such as accessibility, service attitude and emotional support, communication and patient participation, and service integration. The mechanism in general helped contracted residents obtain a better patient experience than before its implementation. Referral had a significant effect on participants' overall experience.\u0000\u0000\u0000CONCLUSION\u0000Contracted family doctors play active roles in improving nearly every dimension of residents' service experience, as well as their overall experience of services. The health institution combinative contracting mechanism not only increases interaction and strengthens trust between doctors and patients but also makes it possible for residents to obtain integrated health services.","PeriodicalId":250539,"journal":{"name":"The International journal of health planning and management","volume":"179 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117677800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jianwei Shi, Leiyu Shi, Jinsong Geng, Rui Liu, X. Gong, Xiaojie Bo, Ning Chen, Qian Liu, Yan Yang, Zhaoxin Wang
BACKGROUND Given the rapid increase in chronic disease epidemics in developing countries and the lagging research and practice in evidence-based chronic diseases prevention (EBCDP), we evaluated the status of public health practitioners' implementation of EBCDP and its impeding factors in China, as well as made a comparison between China and the developed countries to encourage better utilisation of this new field of science in China. METHODS We interviewed health practitioners and patients from various health institutions in China and conducted a literature review to assess the current status of EBCDP practice in developed countries and identify the contextual driving factors. RESULTS China is in its initial stage of EBCDP practice, as it lacks evidence-based interventions. Moreover, health practitioners' awareness of EBCDP is inadequate. The lack of policy support, especially funding, has restricted the efficiency and quality of EBCDP in terms of its adoption, implementation, and maintenance. Currently, EBCDP practice is limited to the practitioners' spontaneous behaviours. The literature review showed that developed countries practising EBCDP did well in evidence development and awareness; however, much has yet to be explored regarding practitioners' adoption and implementation and the maintenance of evidence-based practice. The impeding factors in developed countries were related to individual (patients and physicians) and organisational factors (such as resources, leaders, and climate). CONCLUSION To promote EBCDP practice in China, more evidence for effective chronic disease prevention programmes is needed, and multiple and flexible measures should be implemented for a successful transition to evidence-based practice.
{"title":"Status of evidence-basedchronic diseases prevention implementation in Shanghai, China: A qualitative study.","authors":"Jianwei Shi, Leiyu Shi, Jinsong Geng, Rui Liu, X. Gong, Xiaojie Bo, Ning Chen, Qian Liu, Yan Yang, Zhaoxin Wang","doi":"10.1002/hpm.2863","DOIUrl":"https://doi.org/10.1002/hpm.2863","url":null,"abstract":"BACKGROUND\u0000Given the rapid increase in chronic disease epidemics in developing countries and the lagging research and practice in evidence-based chronic diseases prevention (EBCDP), we evaluated the status of public health practitioners' implementation of EBCDP and its impeding factors in China, as well as made a comparison between China and the developed countries to encourage better utilisation of this new field of science in China.\u0000\u0000\u0000METHODS\u0000We interviewed health practitioners and patients from various health institutions in China and conducted a literature review to assess the current status of EBCDP practice in developed countries and identify the contextual driving factors.\u0000\u0000\u0000RESULTS\u0000China is in its initial stage of EBCDP practice, as it lacks evidence-based interventions. Moreover, health practitioners' awareness of EBCDP is inadequate. The lack of policy support, especially funding, has restricted the efficiency and quality of EBCDP in terms of its adoption, implementation, and maintenance. Currently, EBCDP practice is limited to the practitioners' spontaneous behaviours. The literature review showed that developed countries practising EBCDP did well in evidence development and awareness; however, much has yet to be explored regarding practitioners' adoption and implementation and the maintenance of evidence-based practice. The impeding factors in developed countries were related to individual (patients and physicians) and organisational factors (such as resources, leaders, and climate).\u0000\u0000\u0000CONCLUSION\u0000To promote EBCDP practice in China, more evidence for effective chronic disease prevention programmes is needed, and multiple and flexible measures should be implemented for a successful transition to evidence-based practice.","PeriodicalId":250539,"journal":{"name":"The International journal of health planning and management","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"118840311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yimin Zhang, Shanshan Liu, X. Sheng, Jiquan Lou, H. Fu, Xiaoming Sun
BACKGROUND Preventive interventions of hypertension and health care activities are often performed in the community and at home. Studies have shown that self-management plays an indispensable role in the management of chronic diseases. This study aimed to explore an innovative community-based hypertension self-management model and to evaluate its effects. METHODS The study involved qualitative and quantitative research methods. A community-based hypertension self-management model was developed using consultation with experts and qualitative interviews. The intervention was executed in the communities of Pudong New Area in Shanghai, China. We enrolled 1080 patients with hypertension in the intervention group and 588 similar patients in the control group. A questionnaire was administered before and after the intervention to collect information on patients' health status, self-management skills, and disease management abilities. Analyses were conducted to evaluate changes in the health-related outcomes. RESULTS There was a significant difference in general health and health literacy after the intervention for the intervention patients group (P < .05). Furthermore, the proportion of health literacy was higher in the intervention group than in the control group (71.6% vs 59.6%). The significant differences were demonstrated in the comparison of the disease management ability data between the intervention and control group, especially in drug compliance, physical activity, regulate diet, and smoking. In addition, there is other evidence of the successful applicability and effectiveness of the community-based hypertension self-management program in 2007-2013, such as self-management teams formation and blood pressure control rate. CONCLUSIONS The community-based self-management hypertension model, which involved the participation of general practitioners, is suitable for the management of hypertension disease in Pudong of Shanghai and could provide a reference for its large-scale promotion and application.
{"title":"Evaluation of a community-based hypertension self-management model with general practitioners.","authors":"Yimin Zhang, Shanshan Liu, X. Sheng, Jiquan Lou, H. Fu, Xiaoming Sun","doi":"10.1002/hpm.2867","DOIUrl":"https://doi.org/10.1002/hpm.2867","url":null,"abstract":"BACKGROUND\u0000Preventive interventions of hypertension and health care activities are often performed in the community and at home. Studies have shown that self-management plays an indispensable role in the management of chronic diseases. This study aimed to explore an innovative community-based hypertension self-management model and to evaluate its effects.\u0000\u0000\u0000METHODS\u0000The study involved qualitative and quantitative research methods. A community-based hypertension self-management model was developed using consultation with experts and qualitative interviews. The intervention was executed in the communities of Pudong New Area in Shanghai, China. We enrolled 1080 patients with hypertension in the intervention group and 588 similar patients in the control group. A questionnaire was administered before and after the intervention to collect information on patients' health status, self-management skills, and disease management abilities. Analyses were conducted to evaluate changes in the health-related outcomes.\u0000\u0000\u0000RESULTS\u0000There was a significant difference in general health and health literacy after the intervention for the intervention patients group (P < .05). Furthermore, the proportion of health literacy was higher in the intervention group than in the control group (71.6% vs 59.6%). The significant differences were demonstrated in the comparison of the disease management ability data between the intervention and control group, especially in drug compliance, physical activity, regulate diet, and smoking. In addition, there is other evidence of the successful applicability and effectiveness of the community-based hypertension self-management program in 2007-2013, such as self-management teams formation and blood pressure control rate.\u0000\u0000\u0000CONCLUSIONS\u0000The community-based self-management hypertension model, which involved the participation of general practitioners, is suitable for the management of hypertension disease in Pudong of Shanghai and could provide a reference for its large-scale promotion and application.","PeriodicalId":250539,"journal":{"name":"The International journal of health planning and management","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119574774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ad van Wijk Department Process and Energy Faculty of Mechanical, Maritime and Materials Engineering. TU Delft Leeghwaterstraat 39 2628 CB Delft The Netherlands a.j.m.vanwijk@tudelft.nl Andreas Züttel Laboratory of Materials for Renewable Energy (LMER) Institute of Chemical Sciences and Engineering (ISIC) Basic Science Faculty (SB) École polytechnique fédérale de Lausanne (EPFL) Valais/Wallis Energypolis Rue de l’Industrie 17, CP 440 CH-1951 Sion Switzerland and Empa Materials Science and Technology, Dub̈endorf Switzerland andreas.zuettel@epfl.ch
机械、海事及材料工程学院过程与能源学系。TU Delft Leeghwaterstraat 39 2628 CB Delft荷兰a.j.m.vanwijk@tudelft.nl Andreas ztel可再生能源材料实验室(LMER)化学科学与工程研究所(ISIC)基础科学学院(SB) École洛桑理工学院(EPFL) Valais/Wallis Energypolis Rue del 'Industrie 17, CP 440 CH-1951 Sion瑞士和Empa材料科学与技术，Dub endorf瑞士andreas.zuettel@epfl.ch
{"title":"List of Contributors.","authors":"M. V. D. Voorde, G. Iaquaniello","doi":"10.1002/hpm.2829","DOIUrl":"https://doi.org/10.1002/hpm.2829","url":null,"abstract":"Ad van Wijk Department Process and Energy Faculty of Mechanical, Maritime and Materials Engineering. TU Delft Leeghwaterstraat 39 2628 CB Delft The Netherlands a.j.m.vanwijk@tudelft.nl Andreas Züttel Laboratory of Materials for Renewable Energy (LMER) Institute of Chemical Sciences and Engineering (ISIC) Basic Science Faculty (SB) École polytechnique fédérale de Lausanne (EPFL) Valais/Wallis Energypolis Rue de l’Industrie 17, CP 440 CH-1951 Sion Switzerland and Empa Materials Science and Technology, Dub̈endorf Switzerland andreas.zuettel@epfl.ch","PeriodicalId":250539,"journal":{"name":"The International journal of health planning and management","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122888848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND Policy makers are on quest for estimates of health costs to achieve maximum efficiency and sustainability. In Jordan, there is a scarcity of information on hospital service costs. AIM The purpose of this study was to estimate the direct cost of hospital services in one of the biggest public hospitals in Amman, Jordan. METHODS A retrospective analysis forms a 400-bed public urban hospital. Costs were estimated in Jordanian dinars (JD) (exchange rate was US$1.41). RESULTS Inpatient costs contributed to 50% of all costs whilst outpatient clinics consumed 17%. Average cost per admission was JD 481.6 (US$674.2), JD 106.7 (US$149.3) per inpatient day and JD 63.1 (US$88.3) per bed day. The average cost per visit to emergency room was JD 14.1 s (US$19.7). Cost per visit to ambulatory care services ranged between JD 37.3 and 473 (US$52.6-662.2). The average cost per surgery was JD 322.1 (US$454.2). CONCLUSIONS With high health costs, areas for improvements in efficiency and cost savings must be identified and discussed with managers and policy makers. A larger-scale study is advocated to understand the costs of various health providers such as military, teaching and private hospitals.
{"title":"Costs of hospital services in Jordan","authors":"Eman A. Hammad, T. Fardous, Ibrahim Abbadi","doi":"10.1002/hpm.2343","DOIUrl":"https://doi.org/10.1002/hpm.2343","url":null,"abstract":"BACKGROUND\u0000Policy makers are on quest for estimates of health costs to achieve maximum efficiency and sustainability. In Jordan, there is a scarcity of information on hospital service costs.\u0000\u0000\u0000AIM\u0000The purpose of this study was to estimate the direct cost of hospital services in one of the biggest public hospitals in Amman, Jordan.\u0000\u0000\u0000METHODS\u0000A retrospective analysis forms a 400-bed public urban hospital. Costs were estimated in Jordanian dinars (JD) (exchange rate was US$1.41).\u0000\u0000\u0000RESULTS\u0000Inpatient costs contributed to 50% of all costs whilst outpatient clinics consumed 17%. Average cost per admission was JD 481.6 (US$674.2), JD 106.7 (US$149.3) per inpatient day and JD 63.1 (US$88.3) per bed day. The average cost per visit to emergency room was JD 14.1 s (US$19.7). Cost per visit to ambulatory care services ranged between JD 37.3 and 473 (US$52.6-662.2). The average cost per surgery was JD 322.1 (US$454.2).\u0000\u0000\u0000CONCLUSIONS\u0000With high health costs, areas for improvements in efficiency and cost savings must be identified and discussed with managers and policy makers. A larger-scale study is advocated to understand the costs of various health providers such as military, teaching and private hospitals.","PeriodicalId":250539,"journal":{"name":"The International journal of health planning and management","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123599100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paton C, The politics of health policy reform in the UK: England's permanent revolution, Palgrave Macmillan, 2016, 214 pp.","authors":"S. Peckham","doi":"10.1002/hpm.2428","DOIUrl":"https://doi.org/10.1002/hpm.2428","url":null,"abstract":"","PeriodicalId":250539,"journal":{"name":"The International journal of health planning and management","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128741233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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