Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.009
Yongchang Li, Xiaofeng Wang, Qingxia Xie, Yuxiu Liu
In hospital performance evaluation, significant differences in the work objects, work content and economic operation of various departments result in the lack of indicators comparability between different departments. This has become a prominent problem that hospitals have been unable to effectively solve for a long time, and has also affected the fairness of performance distribution to a certain extent. Starting from the dilemma of cost-benefit evaluation, the authors put forward the basic concepts of the sequence advance and retreat method, and comprehensively elaborated the implementation steps and operating points of the performance assessment using the sequence advance and retreat method. It is pointed out that the sequence advance and retreat method has four characteristics: weakening the differences between departments by vertical and horizontal combination, avoiding the deviation of guidance by scientific comparison, highlighting the incentive effect by grade differentiation, and reflecting the advantages and disadvantages by end adjustment. The value of this method in the hospital performance appraisal system is discussed from three aspects: promoting the de-profitization process of hospitals, achieving fair distribution of hospital performance, and strengthening the guidance of hospital performance management. Based on such studies, this article provides new methods and ideas for building a more scientific and fair performance evaluation system. Key words: Evaluation indicators; Performance appraisal; Performance management; Hospital management
{"title":"Application research on the sequence advance and retreat method in hospital performance appraisal system","authors":"Yongchang Li, Xiaofeng Wang, Qingxia Xie, Yuxiu Liu","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.009","url":null,"abstract":"In hospital performance evaluation, significant differences in the work objects, work content and economic operation of various departments result in the lack of indicators comparability between different departments. This has become a prominent problem that hospitals have been unable to effectively solve for a long time, and has also affected the fairness of performance distribution to a certain extent. Starting from the dilemma of cost-benefit evaluation, the authors put forward the basic concepts of the sequence advance and retreat method, and comprehensively elaborated the implementation steps and operating points of the performance assessment using the sequence advance and retreat method. It is pointed out that the sequence advance and retreat method has four characteristics: weakening the differences between departments by vertical and horizontal combination, avoiding the deviation of guidance by scientific comparison, highlighting the incentive effect by grade differentiation, and reflecting the advantages and disadvantages by end adjustment. The value of this method in the hospital performance appraisal system is discussed from three aspects: promoting the de-profitization process of hospitals, achieving fair distribution of hospital performance, and strengthening the guidance of hospital performance management. Based on such studies, this article provides new methods and ideas for building a more scientific and fair performance evaluation system. \u0000 \u0000 \u0000Key words: \u0000Evaluation indicators; Performance appraisal; Performance management; Hospital management","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44142418","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}
Objective To explore the current status of village doctors′ vulnerability in Shandong province in the context of ongoing healthcare reform. Methods A cross-section study was conducted from October 2015 to November 2015 based on a self-designed questionnaire for village doctors. The questionnaire included 6 parts: fundamental state, disturbance from surroundings, disturbance from job, emotional support, instrumental support and self-ability of village doctors. Mean and standard deviation were adopted to describe the level of disturbance and support. Quadrant analysis was adopted to analyze village doctors′ vulnerability. The set pair analysis was adopted to calculate the vulnerability index and sample cluster analysis was adopted to classify village doctors based on the vulnerability index. Results The total disturbance score was 3.39±0.46, and contribution from professional risk was the biggest(19.95%). The self-ability score was 3.33±0.40, and contribution from financial support was the smallest(4.09%). According to the set pair analysis, village doctors′ vulnerability total score was 0.49±0.06, ranging in a medium category. According to the sample cluster analysis, 27.2%(277/1 018)of the village doctors stayed at the upper category, as 30.3%(309/1 018) was defined as a medium category. According to the quadrant analysis, 35.5%(361/1 018)of the village doctors were found as in crisis vulnerability. Conclusions In general, village doctors′ vulnerability stays in the medium category. They have to fight against high disturbance from surroundings, with more emotional support and less financial support expected. Key words: Health human resource; Village doctor; Vulnerability; Set pair analysis; Shandong province
{"title":"Status research of village doctors′ vulnerability in Shandong province based on the set pair analysis","authors":"Zhongming Chen, Guifang Ren, Wenqiang Yin, Lingyu Li, Dong-mei Huang, Hongwei Guo, Kui Sun, Lili Zhu, Xueyan Xu","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.007","url":null,"abstract":"Objective \u0000To explore the current status of village doctors′ vulnerability in Shandong province in the context of ongoing healthcare reform. \u0000 \u0000 \u0000Methods \u0000A cross-section study was conducted from October 2015 to November 2015 based on a self-designed questionnaire for village doctors. The questionnaire included 6 parts: fundamental state, disturbance from surroundings, disturbance from job, emotional support, instrumental support and self-ability of village doctors. Mean and standard deviation were adopted to describe the level of disturbance and support. Quadrant analysis was adopted to analyze village doctors′ vulnerability. The set pair analysis was adopted to calculate the vulnerability index and sample cluster analysis was adopted to classify village doctors based on the vulnerability index. \u0000 \u0000 \u0000Results \u0000The total disturbance score was 3.39±0.46, and contribution from professional risk was the biggest(19.95%). The self-ability score was 3.33±0.40, and contribution from financial support was the smallest(4.09%). According to the set pair analysis, village doctors′ vulnerability total score was 0.49±0.06, ranging in a medium category. According to the sample cluster analysis, 27.2%(277/1 018)of the village doctors stayed at the upper category, as 30.3%(309/1 018) was defined as a medium category. According to the quadrant analysis, 35.5%(361/1 018)of the village doctors were found as in crisis vulnerability. \u0000 \u0000 \u0000Conclusions \u0000In general, village doctors′ vulnerability stays in the medium category. They have to fight against high disturbance from surroundings, with more emotional support and less financial support expected. \u0000 \u0000 \u0000Key words: \u0000Health human resource; Village doctor; Vulnerability; Set pair analysis; Shandong province","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43728769","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.003
Yun-kai Zhai, Ran Zhang, Rui Zhang, F. Cui, Jie Zhao
Precision medicine can achieve precise prevention and treatment of diseases and improve medical standards. The precision medical service system is a carrier and medium for providing precision medical services, which can promote the implementation of precision medical plans and satisfactorily meet the medical service needs of patients. On the basis of literature research and practice, the authors studied the actual situation and development trend of precision medical development in China and built a general framework of precision medical service system. This framework is based on the precision medical service supply system and demand system, centering on the service product system. Ensured by the supporting system, they proposed the implementation path of precision medical service system construction. Key words: Precision medicine; Service system; Basic framework; Implementation path
{"title":"Construction and implementation path analysis for precision medicine service system","authors":"Yun-kai Zhai, Ran Zhang, Rui Zhang, F. Cui, Jie Zhao","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.003","url":null,"abstract":"Precision medicine can achieve precise prevention and treatment of diseases and improve medical standards. The precision medical service system is a carrier and medium for providing precision medical services, which can promote the implementation of precision medical plans and satisfactorily meet the medical service needs of patients. On the basis of literature research and practice, the authors studied the actual situation and development trend of precision medical development in China and built a general framework of precision medical service system. This framework is based on the precision medical service supply system and demand system, centering on the service product system. Ensured by the supporting system, they proposed the implementation path of precision medical service system construction. Key words: Precision medicine; Service system; Basic framework; Implementation path","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49601570","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.001
Ning Ding, Yu Hu, Ming Zhang, Dongsheng Xu, Qiang Zhang
The construction and development of online hospitals will maximize the use of existing health resources, improve the accessibility of high-quality medical care, and alleviate the difficulty in getting medical care for the masses. In this perspective, the authors briefly described the current construction and operation of online hospitals in China, and analyzed in detail the problems existing in the operation management, supporting policies among others. On such basis, they put forward suggestions from the perspectives of construction subjects and supervision subjects, so as to provide references for the benign development of online hospitals. Key words: Information service; Online hospital; Construction; Operation; Medical services
{"title":"Online hospitals in China: existing problems and development suggestions","authors":"Ning Ding, Yu Hu, Ming Zhang, Dongsheng Xu, Qiang Zhang","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.001","url":null,"abstract":"The construction and development of online hospitals will maximize the use of existing health resources, improve the accessibility of high-quality medical care, and alleviate the difficulty in getting medical care for the masses. In this perspective, the authors briefly described the current construction and operation of online hospitals in China, and analyzed in detail the problems existing in the operation management, supporting policies among others. On such basis, they put forward suggestions from the perspectives of construction subjects and supervision subjects, so as to provide references for the benign development of online hospitals. \u0000 \u0000 \u0000Key words: \u0000Information service; Online hospital; Construction; Operation; Medical services","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43613190","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.015
Yingying Du, Chi Zhou, Meng-ye Peng, Shuang Wu, Y. Tong, Liu Huang, Jianping Ren
Objective To evaluate the degree of trust of patients in community traditional Chinese medicine(TCM)physicians, based on the TCM service capability promotion program, and to analyze the impacts by TCM prevention and health care service. Methods 1 391 patients at 22 primary health service centers in 3 cities from Zhejiang province were investigated using the Chinese version of Wake Forest Physician Trust Scale(WFPTS)in September, 2017. Quantitative and qualitative variables were described by mean±SD, and ratio respectively. Differences were compared by t test, ANOVA and Kruskal-Wallis test. Results Chinese version of WFPTS had good reliability and validity in measuring community TCM physicians. The average scoring of patients′ trust in community TCM physicians was 38.00±6.42, while their benevolence and competence were 19.14±3.41, 18.82±3.50 respectively.For patients with different demographic characteristics, their quantity and the way to acquire and utilize TCM prevention and health care service had different degrees of trust in community TCM physicians. Patients′ gender, age, awareness and utilization of TCM prevention and health care service, etc. affect the degree of trust in community TCM physicians. Conclusions Patients have higher degree of trust in community TCM physicians, and improving the rate of awareness and utilization of TCM prevention has positive impacts on the degree of trust in these physicians. It is proposed that health knowledge education be strengthened and skills of community TCM physicians′ capacity be enhanced through various ways. Key words: Community health service; Health manpower; TCM physician; Doctor-patient trust; Prevention and health care service
{"title":"Evaluation and analysis on the degree of patients′ trust in community TCM physicians under the TCM service capability promotion program","authors":"Yingying Du, Chi Zhou, Meng-ye Peng, Shuang Wu, Y. Tong, Liu Huang, Jianping Ren","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.015","url":null,"abstract":"Objective To evaluate the degree of trust of patients in community traditional Chinese medicine(TCM)physicians, based on the TCM service capability promotion program, and to analyze the impacts by TCM prevention and health care service. Methods 1 391 patients at 22 primary health service centers in 3 cities from Zhejiang province were investigated using the Chinese version of Wake Forest Physician Trust Scale(WFPTS)in September, 2017. Quantitative and qualitative variables were described by mean±SD, and ratio respectively. Differences were compared by t test, ANOVA and Kruskal-Wallis test. Results Chinese version of WFPTS had good reliability and validity in measuring community TCM physicians. The average scoring of patients′ trust in community TCM physicians was 38.00±6.42, while their benevolence and competence were 19.14±3.41, 18.82±3.50 respectively.For patients with different demographic characteristics, their quantity and the way to acquire and utilize TCM prevention and health care service had different degrees of trust in community TCM physicians. Patients′ gender, age, awareness and utilization of TCM prevention and health care service, etc. affect the degree of trust in community TCM physicians. Conclusions Patients have higher degree of trust in community TCM physicians, and improving the rate of awareness and utilization of TCM prevention has positive impacts on the degree of trust in these physicians. It is proposed that health knowledge education be strengthened and skills of community TCM physicians′ capacity be enhanced through various ways. Key words: Community health service; Health manpower; TCM physician; Doctor-patient trust; Prevention and health care service","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43476645","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.011
T. Peng, Nan Wang, Xiao An, Tian Wei, B. Xuan, W. Feng
Objective To compare the similarities and differences of four telemedicine diagnostic projects, for providing evidence-based policy-making advice for the development of telemedicine diagnostic projects in China. Methods Four projects led by the government, close medical alliances, loose medical alliances and companies were selected from November 2018 to June 2019. Through semi-structured interviews with different leaders, the authors analyzed the characteristics, problems and difficulties of different projects from three dimensions of organizational system, working conditions and operational effects. Results A total of 18 people were interviewed. Projects were different from each other in leaders, connection mechanism and effectiveness, participants and timeliness as well. The projects led by the government and close medical alliances had limited local participants with strong connection, clear but limited sources of diagnostic doctors and relatively large workload. While the projects led by loose medical alliances and companies had a wide range of participants, relatively weak connection efficiency and long response time. Conclusions Different types of telemedicine diagnostic projects have supplemented the manpower shortage of diagnosis physicians at primary medical institutions, introduced new service participants, as well as improved the medical service system. Key words: Telemedicine; Telemedicine diagnostic projects; Case study; Medical alliances
{"title":"Case study of different types of telemedicine diagnostic projects","authors":"T. Peng, Nan Wang, Xiao An, Tian Wei, B. Xuan, W. Feng","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.011","url":null,"abstract":"Objective \u0000To compare the similarities and differences of four telemedicine diagnostic projects, for providing evidence-based policy-making advice for the development of telemedicine diagnostic projects in China. \u0000 \u0000 \u0000Methods \u0000Four projects led by the government, close medical alliances, loose medical alliances and companies were selected from November 2018 to June 2019. Through semi-structured interviews with different leaders, the authors analyzed the characteristics, problems and difficulties of different projects from three dimensions of organizational system, working conditions and operational effects. \u0000 \u0000 \u0000Results \u0000A total of 18 people were interviewed. Projects were different from each other in leaders, connection mechanism and effectiveness, participants and timeliness as well. The projects led by the government and close medical alliances had limited local participants with strong connection, clear but limited sources of diagnostic doctors and relatively large workload. While the projects led by loose medical alliances and companies had a wide range of participants, relatively weak connection efficiency and long response time. \u0000 \u0000 \u0000Conclusions \u0000Different types of telemedicine diagnostic projects have supplemented the manpower shortage of diagnosis physicians at primary medical institutions, introduced new service participants, as well as improved the medical service system. \u0000 \u0000 \u0000Key words: \u0000Telemedicine; Telemedicine diagnostic projects; Case study; Medical alliances","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"45-49"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43341547","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.010
Zhimin He, R. Luo, A. Huang
Objective To acquire the main result quality indicators status of tertiary maternal and child health(MCH) hospitals in China, supporting the decision making. Methods The National Maternal and Child Health Institutions Resources and Operations Survey Direct Reporting System was used to collect the management operation, inpatient death, re-return, hospital-acquired infection, surgical complications and patient safety of these hospitals in China in 2017. Statistical descriptions were made using average, rate and composition comparison data. Results The proportion of health technicians of tertiary MCH hospitals in China was 83.66%, the average hospitalization days were 5.96 days, with bed occupancy rate of 90.01%. The success rate of neonatal resuscitation was high. Meanwhile, the mortality rate of hospitalized maternal critical illness, the total hospitalization mortality rate of neonatal patients, the incidence of complications in surgical patients, the incidence of neonatal injury and the incidence of birth injury in vaginal delivery were higher in the institutions that had not participated in the MCH hospital accreditation. Conclusions The management of tertiary MCH hospitals in China was in good condition, and the relevant policies and projects have achieved remarkable results. Compared with general hospitals, hospital infection and re-return indicators were good. The quality and safety of tertiary MCH hospitals which have not participated in the MCH hospital assessment were poor. It is recommended to carry out MCH hospital accreditation to improve quality and safety. Key words: Healthcare surveys; Maternal and child health hospital; Total quality management; Result quality indicators
{"title":"Analysis of main result quality indicators of tertiary maternal and child health hospitals","authors":"Zhimin He, R. Luo, A. Huang","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.010","url":null,"abstract":"Objective \u0000To acquire the main result quality indicators status of tertiary maternal and child health(MCH) hospitals in China, supporting the decision making. \u0000 \u0000 \u0000Methods \u0000The National Maternal and Child Health Institutions Resources and Operations Survey Direct Reporting System was used to collect the management operation, inpatient death, re-return, hospital-acquired infection, surgical complications and patient safety of these hospitals in China in 2017. Statistical descriptions were made using average, rate and composition comparison data. \u0000 \u0000 \u0000Results \u0000The proportion of health technicians of tertiary MCH hospitals in China was 83.66%, the average hospitalization days were 5.96 days, with bed occupancy rate of 90.01%. The success rate of neonatal resuscitation was high. Meanwhile, the mortality rate of hospitalized maternal critical illness, the total hospitalization mortality rate of neonatal patients, the incidence of complications in surgical patients, the incidence of neonatal injury and the incidence of birth injury in vaginal delivery were higher in the institutions that had not participated in the MCH hospital accreditation. \u0000 \u0000 \u0000Conclusions \u0000The management of tertiary MCH hospitals in China was in good condition, and the relevant policies and projects have achieved remarkable results. Compared with general hospitals, hospital infection and re-return indicators were good. The quality and safety of tertiary MCH hospitals which have not participated in the MCH hospital assessment were poor. It is recommended to carry out MCH hospital accreditation to improve quality and safety. \u0000 \u0000 \u0000Key words: \u0000Healthcare surveys; Maternal and child health hospital; Total quality management; Result quality indicators","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"41-44"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43632796","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.005
Yun-kai Zhai, Xiang Li, F. Cui, Sun Dong-xu, Jie Zhao
Objective To investigate the influencing factors of the implementation of precision medical services based on clinician cognition, and provide a scientific reference for the implementation and advancement of precision medical services. Methods Using electronic questionnaires, clinicians from 48 hospitals in 12 provinces(autonomous regions and municipalities directly under the Central Government) were surveyed from July to September 2019, with 341 valid questionnaires collected. Descriptive statistics and factor analysis were performed on the survey data. Results Three dimensions that affect precision medical services were identified from the recovered questionnaires, namely external support factors, hospital drive capabilities, patient information provision and protection. The contribution rate of variance after orthogonal rotation was 35.157%, 22.234% and 16.343% respectively. Conclusions The external supporting factors should be developed, the hospital driving ability should be strengthened, and the patient information reception and privacy information security should be ensured to provide an important basis and guarantee for the implementation of precision medical service. Key words: Precision medicine; Clinician; Influencing factors; Questionnaires; Factor analysis
{"title":"Research on influencing factors of precision medical service implementation based on clinician cognition","authors":"Yun-kai Zhai, Xiang Li, F. Cui, Sun Dong-xu, Jie Zhao","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.005","url":null,"abstract":"Objective \u0000To investigate the influencing factors of the implementation of precision medical services based on clinician cognition, and provide a scientific reference for the implementation and advancement of precision medical services. \u0000 \u0000 \u0000Methods \u0000Using electronic questionnaires, clinicians from 48 hospitals in 12 provinces(autonomous regions and municipalities directly under the Central Government) were surveyed from July to September 2019, with 341 valid questionnaires collected. Descriptive statistics and factor analysis were performed on the survey data. \u0000 \u0000 \u0000Results \u0000Three dimensions that affect precision medical services were identified from the recovered questionnaires, namely external support factors, hospital drive capabilities, patient information provision and protection. The contribution rate of variance after orthogonal rotation was 35.157%, 22.234% and 16.343% respectively. \u0000 \u0000 \u0000Conclusions \u0000The external supporting factors should be developed, the hospital driving ability should be strengthened, and the patient information reception and privacy information security should be ensured to provide an important basis and guarantee for the implementation of precision medical service. \u0000 \u0000 \u0000Key words: \u0000Precision medicine; Clinician; Influencing factors; Questionnaires; Factor analysis","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47058154","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}
Pub Date : 2020-01-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2020.01.018
P. Fan, Qing Yu, Cai Chang, Suning Chen, Ya-qing Chen, Lianfang Du, Si Fan, Huanzhu He, Lichan Li, Wenping Wang
Objective To investigate the current basic situation of the staff of ultrasound departments in Shanghai′s medical institutions, for providing references in making management policy of these professionals. Methods Questionnaire surveys on human resource and service ability were made to all the ultrasound departments of medical institutions in Shanghai in December 2013 and November 2018 respectively. Data of the two surveys were compared and analyzed, and were descriptively analyzed by mean and percentage. Results The number of ultrasound professionals per 10 000 people in Shanghai was 1.04 in 2018. Tertiary hospitals had advantages in the number of the professionals, and the proportion of professional qualification, age, education background and professional title of the professionals. Compared to those data in 2013, the number of ultrasound professionals had increased 31.8% in 2018. The proportion of medical practitioners with medical imaging specialty was 95.6%(2 063/2 158), and had increased by 4.7 percent. The medical services workload of ultrasound was 19.82 million person-time, and had increased 45.8%. Conclusions Development of ultrasound departments was rapid, but the development of professionals was unbalanced with the development of medical services. It is suggested to strengthen training of ultrasound professionals and improve the system of hierarchical medical system. Key words: Health manpower; Ultrasonography; Professional and technical personnel; Shanghai
{"title":"Present situation of the staff of ultrasound departments in Shanghai medical institutions","authors":"P. Fan, Qing Yu, Cai Chang, Suning Chen, Ya-qing Chen, Lianfang Du, Si Fan, Huanzhu He, Lichan Li, Wenping Wang","doi":"10.3760/CMA.J.ISSN.1000-6672.2020.01.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2020.01.018","url":null,"abstract":"Objective \u0000To investigate the current basic situation of the staff of ultrasound departments in Shanghai′s medical institutions, for providing references in making management policy of these professionals. \u0000 \u0000 \u0000Methods \u0000Questionnaire surveys on human resource and service ability were made to all the ultrasound departments of medical institutions in Shanghai in December 2013 and November 2018 respectively. Data of the two surveys were compared and analyzed, and were descriptively analyzed by mean and percentage. \u0000 \u0000 \u0000Results \u0000The number of ultrasound professionals per 10 000 people in Shanghai was 1.04 in 2018. Tertiary hospitals had advantages in the number of the professionals, and the proportion of professional qualification, age, education background and professional title of the professionals. Compared to those data in 2013, the number of ultrasound professionals had increased 31.8% in 2018. The proportion of medical practitioners with medical imaging specialty was 95.6%(2 063/2 158), and had increased by 4.7 percent. The medical services workload of ultrasound was 19.82 million person-time, and had increased 45.8%. \u0000 \u0000 \u0000Conclusions \u0000Development of ultrasound departments was rapid, but the development of professionals was unbalanced with the development of medical services. It is suggested to strengthen training of ultrasound professionals and improve the system of hierarchical medical system. \u0000 \u0000 \u0000Key words: \u0000Health manpower; Ultrasonography; Professional and technical personnel; Shanghai","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"36 1","pages":"77-80"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47930636","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}
Pub Date : 2019-12-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.015
Jianli Hu, Z. Sheng, Tao Zhang, Qian Xu, Senguo Zheng, Li Du
The " Internet+ Nursing Service" has been explored in localities as a new type of medical service. The paper introduced the innovation and excellence in the operation of Ningbo in the past four years, namely a unified operation platform to save resources, marked-based pricing to care for interests of three parties, nursing qualifications to safeguard quality of service, contracting with hospital entities to clarify responsibilities and rights, government leadership to determine assessment goals, and Ningbo Nursing Association in guidance to ensure homogeneous service. Thanks to the above measures, no disputes and complaints were recorded among 3 088 person-times ever since. Experiences in Ningbo may serve as a reference for such model to be implemented smoothly and orderly in other places. Key words: Nursing care; Internet+; Home care; Practice; Ningbo
{"title":"Practical exploration of \" Internet+ nursing service\" for home care mode in Ningbo","authors":"Jianli Hu, Z. Sheng, Tao Zhang, Qian Xu, Senguo Zheng, Li Du","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.015","url":null,"abstract":"The \" Internet+ Nursing Service\" has been explored in localities as a new type of medical service. The paper introduced the innovation and excellence in the operation of Ningbo in the past four years, namely a unified operation platform to save resources, marked-based pricing to care for interests of three parties, nursing qualifications to safeguard quality of service, contracting with hospital entities to clarify responsibilities and rights, government leadership to determine assessment goals, and Ningbo Nursing Association in guidance to ensure homogeneous service. Thanks to the above measures, no disputes and complaints were recorded among 3 088 person-times ever since. Experiences in Ningbo may serve as a reference for such model to be implemented smoothly and orderly in other places. \u0000 \u0000 \u0000Key words: \u0000Nursing care; Internet+; Home care; Practice; Ningbo","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1023-1026"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49084836","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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