Pub Date : 2019-12-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.012
Ting Shu, Fan Xu
The open access of electronic health record(EHR) is an important link to promote the construction and application of EHR. Starting with the definition of open data of EHR, the authors discussed the content and form of open data of electronic health records, summarized the advanced experiences of countries with higher openness of EHR in the United States, the United Kingdom and Denmark. This paper combined the current situation that the opening of EHR in China is limited within data access instead of data utilization. It also pointed out such problems in the opening of EHR in China, as unclear data ownership, weak health awareness of residents and lack of unified construction standards.From the point of view of the state and medical institutions, this paper put forward a series of policy suggestions, such as issuing standards to standardize the opening of EHR, implementing patient real-name certification, realizing the overall opening of regional platforms, and linking the scope of application and supervision with the content of data opening. Key words: Electronic health records; Open data; Data access; Healthcare information technology
{"title":"Research on the current electronic health record data access at home and abroad","authors":"Ting Shu, Fan Xu","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.012","url":null,"abstract":"The open access of electronic health record(EHR) is an important link to promote the construction and application of EHR. Starting with the definition of open data of EHR, the authors discussed the content and form of open data of electronic health records, summarized the advanced experiences of countries with higher openness of EHR in the United States, the United Kingdom and Denmark. This paper combined the current situation that the opening of EHR in China is limited within data access instead of data utilization. It also pointed out such problems in the opening of EHR in China, as unclear data ownership, weak health awareness of residents and lack of unified construction standards.From the point of view of the state and medical institutions, this paper put forward a series of policy suggestions, such as issuing standards to standardize the opening of EHR, implementing patient real-name certification, realizing the overall opening of regional platforms, and linking the scope of application and supervision with the content of data opening. \u0000 \u0000 \u0000Key words: \u0000Electronic health records; Open data; Data access; Healthcare information technology","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1013-1016"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44997323","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.1000-6672.2019.12.004
Rui Min, Jiangyun Chen, Xiao Liu, Pengqian Fang
Objective To learn the job experience and cognition of the staff working in elderly-healthcare institutions by means of the psychological contract theory and the questionnaire so developed, for probing into the factors affecting the work recognition. Methods The psychological contract questionnaire was used to conduct on-site questionnaires on 232 staff of such institutions in Hubei province between July 2018 and February 2019. The study covered their job experience and organizational contract, responsibility cognition. The data collected were analyzed statistically by methods such as variance analysis, descriptive statistics and related analysis. Results It was found that personal responsibility scoring(76.0±11.8) was generally higher than organizational responsibility scoring(60.9±10.0). 46.1%(107/232) of the employees had the intention of resignation. The respondents′ resignation intention was correlated with the performance of the organization, and there was a strong correlation between employees′ career development and their resignation intention(Gamma coefficient G≥0.5). Conclusions Organizational performance needs further enhancement, and institutions should better the income distribution and incentive mechanism, and raise the income level of the staff. At the same time, the managers should optimize the institutional environment, improve the social status of the staff, strengthen career planning, training, and provide them with a more promising career development path. Key words: Homes for the aged; Healthcare plus elderly care staff; Psychological contract; Incentive; Questionnaire
{"title":"Status analysis for the job experience and feelings by elderly-healthcare staff under the perspective of psychological contract","authors":"Rui Min, Jiangyun Chen, Xiao Liu, Pengqian Fang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.004","url":null,"abstract":"Objective \u0000To learn the job experience and cognition of the staff working in elderly-healthcare institutions by means of the psychological contract theory and the questionnaire so developed, for probing into the factors affecting the work recognition. \u0000 \u0000 \u0000Methods \u0000The psychological contract questionnaire was used to conduct on-site questionnaires on 232 staff of such institutions in Hubei province between July 2018 and February 2019. The study covered their job experience and organizational contract, responsibility cognition. The data collected were analyzed statistically by methods such as variance analysis, descriptive statistics and related analysis. \u0000 \u0000 \u0000Results \u0000It was found that personal responsibility scoring(76.0±11.8) was generally higher than organizational responsibility scoring(60.9±10.0). 46.1%(107/232) of the employees had the intention of resignation. The respondents′ resignation intention was correlated with the performance of the organization, and there was a strong correlation between employees′ career development and their resignation intention(Gamma coefficient G≥0.5). \u0000 \u0000 \u0000Conclusions \u0000Organizational performance needs further enhancement, and institutions should better the income distribution and incentive mechanism, and raise the income level of the staff. At the same time, the managers should optimize the institutional environment, improve the social status of the staff, strengthen career planning, training, and provide them with a more promising career development path. \u0000 \u0000 \u0000Key words: \u0000Homes for the aged; Healthcare plus elderly care staff; Psychological contract; Incentive; Questionnaire","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"981-986"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47504836","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.1000-6672.2019.12.019
L. Qin, Bin Chen
Scientific management of high-value medical consumables is key to hospital development and service. By setting up a lean logistics management(SPD)platform in the hospital and decoding the international standard bar code(GS1/HIBC), the hospital has established a general coding library of high-value consumables. With RFID Internet of things technology and equipment introduced and business operation templates of each link combined, we have achieved a closed-loop management of both sides of the high-value consumables process. Key words: High-value consumables; GS1/HIBC; Internet of things; Closed-loop management
{"title":"Whole process closed-loop traceability management for high-value consumables using international standard bar code","authors":"L. Qin, Bin Chen","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.019","url":null,"abstract":"Scientific management of high-value medical consumables is key to hospital development and service. By setting up a lean logistics management(SPD)platform in the hospital and decoding the international standard bar code(GS1/HIBC), the hospital has established a general coding library of high-value consumables. With RFID Internet of things technology and equipment introduced and business operation templates of each link combined, we have achieved a closed-loop management of both sides of the high-value consumables process. \u0000 \u0000 \u0000Key words: \u0000High-value consumables; GS1/HIBC; Internet of things; Closed-loop management","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1042-1046"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44912160","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.1000-6672.2019.12.009
L. Cai, Yalan Peng, Yinghan Song, Dajiang Li
Consultation system is one of the eighteen core systems. Excellent consultation supervision can assist clinical departments to maximize cooperation efficiency. This article, concentrating on timeliness, built an individual-group-organization model based on the organizational behavior theory and actual conditions, and took management actions from three aspects, including changing personal behavior attitude, adjusting organizational performance plan and establishing task-based groups. Timeliness data in October and November 2018 were selected retrospectively one month before and one month after the new actions. The timely rate of consultation increased from 76.69% to 82.62% with a significant difference(P=0.000 2). Key words: Referral and Consultation; Consultation management; Timeliness; Behavior theory; Individual-group-organization model
{"title":"Study on the strategies of improving the timeliness of hospital consultations","authors":"L. Cai, Yalan Peng, Yinghan Song, Dajiang Li","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.009","url":null,"abstract":"Consultation system is one of the eighteen core systems. Excellent consultation supervision can assist clinical departments to maximize cooperation efficiency. This article, concentrating on timeliness, built an individual-group-organization model based on the organizational behavior theory and actual conditions, and took management actions from three aspects, including changing personal behavior attitude, adjusting organizational performance plan and establishing task-based groups. Timeliness data in October and November 2018 were selected retrospectively one month before and one month after the new actions. The timely rate of consultation increased from 76.69% to 82.62% with a significant difference(P=0.000 2). \u0000 \u0000 \u0000Key words: \u0000Referral and Consultation; Consultation management; Timeliness; Behavior theory; Individual-group-organization model","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1004-1006"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46684004","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.1000-6672.2019.12.020
Lili Zhu
Archives management is an important part of hospital management. The author introduced the typical practice of Tiantan Hospital in coordinating the precise management of archives. The experiences include high attention to daily precise management of the archives so as to continuously improve hospital management ability and level; innovative efforts in exploring the special archives management for the archives relocation to the new campus, which ensured the successful acceptance and overall relocation as scheduled. These experiences prove useful for overall archives management and archives receiving management in relocation projects. Key words: Archives; Hospitals; Precise management; Practice
{"title":"Practice of precise management of hospital archives","authors":"Lili Zhu","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.020","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.020","url":null,"abstract":"Archives management is an important part of hospital management. The author introduced the typical practice of Tiantan Hospital in coordinating the precise management of archives. The experiences include high attention to daily precise management of the archives so as to continuously improve hospital management ability and level; innovative efforts in exploring the special archives management for the archives relocation to the new campus, which ensured the successful acceptance and overall relocation as scheduled. These experiences prove useful for overall archives management and archives receiving management in relocation projects. \u0000 \u0000 \u0000Key words: \u0000Archives; Hospitals; Precise management; Practice","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1047-1049"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43780426","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.1000-6672.2019.12.008
D. Jin, Jing Xu, Nan Ma, Yongping Qian
Multi-disciplinary team(MDT) is a new mode of medical diagnosis and treatment service. Multidisciplinary discussion could provide patients with a scientific, standardized and effective individualized diagnosis and treatment plan to avoid over-treatment. This article is based on the application experience of the MDT information management platform designed by the First Affiliated Hospital of Zhejiang University during the past five years. It discussed how to build a MDT management system which could fit the medical environment of large general hospitals in China. The MDT management system simplifies the MDT process, improves the efficiency of MDT work, and enhances the overall medical quality of hospitals. Meanwhile, it also contributes to strengthen the disciplinary collaboration in such aspects as disease diagnosis and treatment, personnel training, and scientific research innovation, ultimately forming a new multi-disciplinary collaboration system in hospitals. Key words: Hopsitals; Multi-disciplinary team; Information management platform; Service mode; Medical quality
{"title":"Construction and practice of multi-disciplinary team information management system in the hospital","authors":"D. Jin, Jing Xu, Nan Ma, Yongping Qian","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.008","url":null,"abstract":"Multi-disciplinary team(MDT) is a new mode of medical diagnosis and treatment service. Multidisciplinary discussion could provide patients with a scientific, standardized and effective individualized diagnosis and treatment plan to avoid over-treatment. This article is based on the application experience of the MDT information management platform designed by the First Affiliated Hospital of Zhejiang University during the past five years. It discussed how to build a MDT management system which could fit the medical environment of large general hospitals in China. The MDT management system simplifies the MDT process, improves the efficiency of MDT work, and enhances the overall medical quality of hospitals. Meanwhile, it also contributes to strengthen the disciplinary collaboration in such aspects as disease diagnosis and treatment, personnel training, and scientific research innovation, ultimately forming a new multi-disciplinary collaboration system in hospitals. \u0000 \u0000 \u0000Key words: \u0000Hopsitals; Multi-disciplinary team; Information management platform; Service mode; Medical quality","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"999-1003"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43318465","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.1000-6672.2019.12.001
Lengchen Hou, Jiafang Yang, Ji Zhang, Qi Wang, Danfeng Wu, Longjun Hu
Based on the requirement of the ongoing healthcare reform on the performance appraisal for public hospitals, Shanghai Tenth People′s Hospital explored the performance appraisal system oriented by clinical ability and cost control from the perspective of medical administration and finance. Performance appraisal programs were made from five aspects: clinical development ability, key efficacy indicators, clinical path, disease-entity structure, cost control, aiming to highlight the functional positioning of tertiary hospitals, change doctors′ behaviors of diagnosis and treatment, lead clinical improvement and maintain healthy economy development. Key words: Hospitals, public; Clinical ability; Cost control; Performance appraisal
{"title":"Exploration of performance appraisal reform oriented by clinical ability and cost control","authors":"Lengchen Hou, Jiafang Yang, Ji Zhang, Qi Wang, Danfeng Wu, Longjun Hu","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.001","url":null,"abstract":"Based on the requirement of the ongoing healthcare reform on the performance appraisal for public hospitals, Shanghai Tenth People′s Hospital explored the performance appraisal system oriented by clinical ability and cost control from the perspective of medical administration and finance. Performance appraisal programs were made from five aspects: clinical development ability, key efficacy indicators, clinical path, disease-entity structure, cost control, aiming to highlight the functional positioning of tertiary hospitals, change doctors′ behaviors of diagnosis and treatment, lead clinical improvement and maintain healthy economy development. \u0000 \u0000 \u0000Key words: \u0000Hospitals, public; Clinical ability; Cost control; Performance appraisal","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"969-972"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42472585","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.1000-6672.2019.12.018
Yao Zhang, Chenxi Xia
Objective To explore the valuable thematic information and sentiment distribution in patients′ medical service complaint texts based on topic modeling and sentiment analysis, and investigate the main driving factors affecting patients′ service experience and satisfaction. Methods Topic mining was carried out on the offline patient complaint text set of a tertiary hospital in South China from 2013 to 2017. The seed word set extracted from 1 000 sampled texts was used to guide semi-supervised Latent Dirichlet Allocation training of texts. Relevant subject categories were extracted and subject characteristics were graded emotionally. Results in the end, 30 subject categories were extracted from the 8 000 complaint texts, and the sentiment score of the subject characteristics was consistent with the sentiment tendency of the actual data set. However, the satisfaction was relatively low in " toilet" , " ward" , " hygiene" and other subjects, and the main complaint subjects included " attitude" , " examination" , " ward" among others. Conclusions Based on the theme distribution, combined with the results of emotional analysis and the specific clinical environment, strengthening management in the medical service sector with a large negative emotional score can guide the hospital management practice and service improvement process, and help to improve the patients′ perception experience and emotional experience. Key words: Medical service experience; Satisfaction; Negative text; Topic modeling
{"title":"Topic modeling and sentiment analysis of service experience in patient complaint information of a hospital","authors":"Yao Zhang, Chenxi Xia","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.018","url":null,"abstract":"Objective \u0000To explore the valuable thematic information and sentiment distribution in patients′ medical service complaint texts based on topic modeling and sentiment analysis, and investigate the main driving factors affecting patients′ service experience and satisfaction. \u0000 \u0000 \u0000Methods \u0000Topic mining was carried out on the offline patient complaint text set of a tertiary hospital in South China from 2013 to 2017. The seed word set extracted from 1 000 sampled texts was used to guide semi-supervised Latent Dirichlet Allocation training of texts. Relevant subject categories were extracted and subject characteristics were graded emotionally. \u0000 \u0000 \u0000Results \u0000in the end, 30 subject categories were extracted from the 8 000 complaint texts, and the sentiment score of the subject characteristics was consistent with the sentiment tendency of the actual data set. However, the satisfaction was relatively low in \" toilet\" , \" ward\" , \" hygiene\" and other subjects, and the main complaint subjects included \" attitude\" , \" examination\" , \" ward\" among others. \u0000 \u0000 \u0000Conclusions \u0000Based on the theme distribution, combined with the results of emotional analysis and the specific clinical environment, strengthening management in the medical service sector with a large negative emotional score can guide the hospital management practice and service improvement process, and help to improve the patients′ perception experience and emotional experience. \u0000 \u0000 \u0000Key words: \u0000Medical service experience; Satisfaction; Negative text; Topic modeling","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1037-1041"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41907365","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}
At present, general practitioners in China lack both specialist knowledge and ability, which calls for close cooperation between general practitioners and specialists to better guarantee medical quality and patient safety. The authors reviewed the connotation, research status, development trend, problems and suggestions of general practitioners-specialists joint consultation service. Based on such, they pointed out that such a general practitioner-specialist joint clinic is quite new in the country, but numerous literature has confirmed that it can not only make up for services fragmentation, but also reduce referral rate.Furthermore, it can improve the quality of people′s lives, improve the general practitioner′s professional knowledge and skills, standardize general practitioner′s rational drug use. All these prove the reform an effective measure and deserves further promotion and greater supervision. Key words: General practitioners; Specialists; Joint consultation; Two-way referral; Progress
{"title":"Research progress on general practitioners-specialists joint consultation service","authors":"Lixia Liu, Xiaoyang Liao, Jia Wu, Lili Deng, Mei Xiong, Leixue Zhuang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.008","url":null,"abstract":"At present, general practitioners in China lack both specialist knowledge and ability, which calls for close cooperation between general practitioners and specialists to better guarantee medical quality and patient safety. The authors reviewed the connotation, research status, development trend, problems and suggestions of general practitioners-specialists joint consultation service. Based on such, they pointed out that such a general practitioner-specialist joint clinic is quite new in the country, but numerous literature has confirmed that it can not only make up for services fragmentation, but also reduce referral rate.Furthermore, it can improve the quality of people′s lives, improve the general practitioner′s professional knowledge and skills, standardize general practitioner′s rational drug use. All these prove the reform an effective measure and deserves further promotion and greater supervision. \u0000 \u0000Key words: \u0000General practitioners; Specialists; Joint consultation; Two-way referral; Progress","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"915-918"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41669433","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 : 2019-11-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.004
Qiongshu Zhao, Di Liang, Jinyu Liu, Bo Zhao, Bo Zheng, Qing Wang, Jun Tai, Xin Ni
Beijing-Tianjin-Hebei region is the " Capital Circle Area" in China, holding a strategic position and importance. The authors analyzed the medical and health service bottlenecks problems incurred by the shortage and unequal distribution of pediatric medical resources to be solved urgently. On such basis, this article introduced the experience of Beijing Children′s Hospital in a top-level design targeting at building a collaborative integrated health service system to meet children′s health requirements. The hospital created four types of proactive medical collaborative innovation, including a managed type, collaborative development type, technical support type and medical alliance type, aiming at providing a diversified Beijing-Tianjin-Hebei Integration proactive medical service model. These efforts are designed to relieve the structural setback of supply and demand of pediatric medical services and better children′s health and families′ welfare. Key words: Health services administration; Beijing-Tianjin-Hebei Integration; Proactive medical service; Coordination; Pediatrics
{"title":"Exploring an proactive model for pediatric integration medical service in Beijing-Tianjin-Hebei region","authors":"Qiongshu Zhao, Di Liang, Jinyu Liu, Bo Zhao, Bo Zheng, Qing Wang, Jun Tai, Xin Ni","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.004","url":null,"abstract":"Beijing-Tianjin-Hebei region is the \" Capital Circle Area\" in China, holding a strategic position and importance. The authors analyzed the medical and health service bottlenecks problems incurred by the shortage and unequal distribution of pediatric medical resources to be solved urgently. On such basis, this article introduced the experience of Beijing Children′s Hospital in a top-level design targeting at building a collaborative integrated health service system to meet children′s health requirements. The hospital created four types of proactive medical collaborative innovation, including a managed type, collaborative development type, technical support type and medical alliance type, aiming at providing a diversified Beijing-Tianjin-Hebei Integration proactive medical service model. These efforts are designed to relieve the structural setback of supply and demand of pediatric medical services and better children′s health and families′ welfare. \u0000 \u0000Key words: \u0000Health services administration; Beijing-Tianjin-Hebei Integration; Proactive medical service; Coordination; Pediatrics","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"898-902"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46276802","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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