Pub Date : 2019-11-02DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.020
Haidong Zou, Yongjin Guo, Minfang Hu, Jian Ding, Naiyu Zheng, J. Lu
Preventing and mitigating major risk exposure is an important task for modern countries to maintain sustained and healthy economic development and overall social stability. In this manuscript, the authors introduced Israel′s current medical and health care risk prevention system, including the regional health emergency response coordination mechanism, hospital′s external emergency rescue capacity building and hospital′s internal security system. Israel′s risk prevention system has been tested by wars and terrorist attacks, as well as many infectious diseases outbreaks. Thus the authors expected that its successful experiences can be introduced as a reference for improving China′s medical and health care risk prevention system. Key words: Medical and health care; Risk prevention; System construction; Emergency rescue; Israel
{"title":"Construction and enlightenment of Israel′s medical and health care risk prevention system","authors":"Haidong Zou, Yongjin Guo, Minfang Hu, Jian Ding, Naiyu Zheng, J. Lu","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.020","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.020","url":null,"abstract":"Preventing and mitigating major risk exposure is an important task for modern countries to maintain sustained and healthy economic development and overall social stability. In this manuscript, the authors introduced Israel′s current medical and health care risk prevention system, including the regional health emergency response coordination mechanism, hospital′s external emergency rescue capacity building and hospital′s internal security system. Israel′s risk prevention system has been tested by wars and terrorist attacks, as well as many infectious diseases outbreaks. Thus the authors expected that its successful experiences can be introduced as a reference for improving China′s medical and health care risk prevention system. \u0000 \u0000Key words: \u0000Medical and health care; Risk prevention; System construction; Emergency rescue; Israel","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"966-968"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43176749","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}
Active exploration for building a model of medical alliances fitting local needs, proves imperative for the functional positioning of medical institutions, promoting inter-institutional cooperation and enhancing the capacity of primary medical services. The authors described experiences and insights of the No.1 Affiliated Hospital and the People′s government of Quangang District in their partnership, and building a brand new model of medical alliance between a hospital and a local government. Also presented are characteristics of such a model, and analysis of operational data in benefiting the people. They held that such a partnership is a worthy attempt in the healthcare reform, by means of building medical alliances between local government and provincial hospitals. Such a practice can provide valuable references for promoting government-hospital synergy, elevating primary healthcare capacity and advancing the hierarchical medical system. Key words: Government; Hospital, public; Medical alliance; Hierarchical medical system; Fujian province
{"title":"Experience and reflection on the construction of medical alliances in a government and hospital partnership model","authors":"X. Xu, Yue-ping Li, Qinqin Lin, Tingting Ma, Huadong Lin, Fancai Lai","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.005","url":null,"abstract":"Active exploration for building a model of medical alliances fitting local needs, proves imperative for the functional positioning of medical institutions, promoting inter-institutional cooperation and enhancing the capacity of primary medical services. The authors described experiences and insights of the No.1 Affiliated Hospital and the People′s government of Quangang District in their partnership, and building a brand new model of medical alliance between a hospital and a local government. Also presented are characteristics of such a model, and analysis of operational data in benefiting the people. They held that such a partnership is a worthy attempt in the healthcare reform, by means of building medical alliances between local government and provincial hospitals. Such a practice can provide valuable references for promoting government-hospital synergy, elevating primary healthcare capacity and advancing the hierarchical medical system. \u0000 \u0000Key words: \u0000Government; Hospital, public; Medical alliance; Hierarchical medical system; Fujian province","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"903-906"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46405334","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.1000-6672.2019.11.014
Jie Lin, Jing Guo, Y. Yang, Xiao-gang Jin, Zhaoxin Wang, Zhong‐Xing Su, Yimin Zhang, Hong Liang, Jiaoling Huang
Objective To understand the status quo and differences of the rights and interests of primary medical staff in a community, and to provide targeted suggestions for improving the rights of such staff. Methods From October to November 2018, a questionnaire survey was conducted on all the medical staff of 8 community health service centers in a district of Shanghai, and 562 valid samples were obtained. Results The primary medical staff had the highest demands for " pay rise" (4.783±0.598), " paid vacation" (4.569±0.873)and " additional reserve fund" (4.553±0.963); the lowest demands were placed on " education-based promotion" (3.797±1.382), " refresher training" (3.801±1.314), and " opinion feedback mechanism" (4.018±1.223). At the same time, the rights and interests of these staff in different occupational categories were significantly different(P<0.05)in " daily reimbursement" , " housing subsidy" , " refresher training" and " opinion feedback mechanism" . Conclusions The salary demands of the primary medical staff are the most obvious, and there are differences in the demands of medical staff in different occupational categories. It is suggested to establish a more reasonable salary system and pay attention to the differentiated appeals of different medical personnel. Key words: Community health center; Primary medical staff; Appeals for rights and interests; Incentive mechanism; Shanghai
{"title":"An empirical analysis of the appeals of primary medical staff from a district in Shanghai","authors":"Jie Lin, Jing Guo, Y. Yang, Xiao-gang Jin, Zhaoxin Wang, Zhong‐Xing Su, Yimin Zhang, Hong Liang, Jiaoling Huang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.014","url":null,"abstract":"Objective \u0000To understand the status quo and differences of the rights and interests of primary medical staff in a community, and to provide targeted suggestions for improving the rights of such staff. \u0000 \u0000 \u0000Methods \u0000From October to November 2018, a questionnaire survey was conducted on all the medical staff of 8 community health service centers in a district of Shanghai, and 562 valid samples were obtained. \u0000 \u0000 \u0000Results \u0000The primary medical staff had the highest demands for \" pay rise\" (4.783±0.598), \" paid vacation\" (4.569±0.873)and \" additional reserve fund\" (4.553±0.963); the lowest demands were placed on \" education-based promotion\" (3.797±1.382), \" refresher training\" (3.801±1.314), and \" opinion feedback mechanism\" (4.018±1.223). At the same time, the rights and interests of these staff in different occupational categories were significantly different(P<0.05)in \" daily reimbursement\" , \" housing subsidy\" , \" refresher training\" and \" opinion feedback mechanism\" . \u0000 \u0000 \u0000Conclusions \u0000The salary demands of the primary medical staff are the most obvious, and there are differences in the demands of medical staff in different occupational categories. It is suggested to establish a more reasonable salary system and pay attention to the differentiated appeals of different medical personnel. \u0000 \u0000 \u0000Key words: \u0000Community health center; Primary medical staff; Appeals for rights and interests; Incentive mechanism; Shanghai","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"940-943"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47670173","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.1000-6672.2019.11.003
P. Zhang, Bowei Zou, Zhiqiang Li
With the progress of the hierarchical medical system, the top-level design for building medical alliances is exhibiting a clearer picture. The Chinese government sets about trying to build a grid-based medical system layout, covering from national, provincial, municipal, county, township, all the way to village level. Based on the analysis of regional grid-based medical systems in the United States, Switzerland, Singapore and Canada, the authors reviewed the development of grid-based health service system in China, and found out key roadblocks for grid-based medical alliances. These problems include the organizational structure, service content, management mechanism, payment system and other aspects, and corresponding countermeasures and suggestions were proposed in the end. Key words: Health services administration; Grid-based; Medical alliance; Regional medical alliance; Hierarchical medical system
{"title":"A comparative study on the promotion of grid-based medical alliances at home and abroad","authors":"P. Zhang, Bowei Zou, Zhiqiang Li","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.003","url":null,"abstract":"With the progress of the hierarchical medical system, the top-level design for building medical alliances is exhibiting a clearer picture. The Chinese government sets about trying to build a grid-based medical system layout, covering from national, provincial, municipal, county, township, all the way to village level. Based on the analysis of regional grid-based medical systems in the United States, Switzerland, Singapore and Canada, the authors reviewed the development of grid-based health service system in China, and found out key roadblocks for grid-based medical alliances. These problems include the organizational structure, service content, management mechanism, payment system and other aspects, and corresponding countermeasures and suggestions were proposed in the end. \u0000 \u0000Key words: \u0000Health services administration; Grid-based; Medical alliance; Regional medical alliance; Hierarchical medical system","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"892-897"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47422670","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.1000-6672.2019.11.018
Chang Liu, Dan Wang
Objective To find out whether there are differences in different types of patients′ perception of satisfaction, so as to measure more precisely. Methods From July to August 2017, 1 000 patients in 25 general hospitals were investigated for their satisfaction. Logistic regression was used to explore whether different individual characteristics (age, gender, education level, payment method, etc.) had different effects on satisfaction, and try to compare the differences and explain the reasons. Results Among the inpatients, the gender variable failed to pass the test, indicating that there was no statistical significance in the satisfaction of patients of different genders; in the age variable, compared with the elderly patients, the middle-aged patients were more likely to be dissatisfied [P 1]; in the payment method, compared with the free medical patients, the out-of-pocket patients, urban residents with medical insurance patients, and new rural cooperative medical patients were more likely to be dissatisfied with the inpatient service. Conclusions In the measurement of patients′ satisfaction, we should take the individual differences into account and treat the results objectively. Key words: Patient satisfaction; Individual difference; Influencing factors; Correlation analysis
{"title":"Correlation analysis of individual differences in patient satisfaction survey: based on data from 25 hospitals","authors":"Chang Liu, Dan Wang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.018","url":null,"abstract":"Objective \u0000To find out whether there are differences in different types of patients′ perception of satisfaction, so as to measure more precisely. \u0000 \u0000 \u0000Methods \u0000From July to August 2017, 1 000 patients in 25 general hospitals were investigated for their satisfaction. Logistic regression was used to explore whether different individual characteristics (age, gender, education level, payment method, etc.) had different effects on satisfaction, and try to compare the differences and explain the reasons. \u0000 \u0000 \u0000Results \u0000Among the inpatients, the gender variable failed to pass the test, indicating that there was no statistical significance in the satisfaction of patients of different genders; in the age variable, compared with the elderly patients, the middle-aged patients were more likely to be dissatisfied [P 1]; in the payment method, compared with the free medical patients, the out-of-pocket patients, urban residents with medical insurance patients, and new rural cooperative medical patients were more likely to be dissatisfied with the inpatient service. \u0000 \u0000 \u0000Conclusions \u0000In the measurement of patients′ satisfaction, we should take the individual differences into account and treat the results objectively. \u0000 \u0000 \u0000Key words: \u0000Patient satisfaction; Individual difference; Influencing factors; Correlation analysis","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"957-960"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45849806","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.1000-6672.2019.11.006
Xuehui Zhang, Yueping Li, Chenyun Zhang, Yulan Lin
With the rapid development of " Internet+ healthcare" , medical data has gained an ever important role. How to determine the reasonable use boundary of medical data and leverage its supporting role, has grown an urgent problem to be solved. The authors analyzed the characteristics of medical data, and held that medical data is not equivalent to information, as it does not have the characteristics of legal objects in nature. In addition, it lacks originality. Therefore it is difficult to protect through the existing rights system. However, due to its property interest and personality, the authors tried to establish a new right for protection. In the construction of such medical data right, the authors claimed that patients should be the subject of the right, and medical institutions can appropriately restrict the freedom of patients′ through reasonable use rules and legal licensing system. In this way, we can not only promote medical data sharing and the development of social health, but also fully protect the legitimate rights and interests of patients. Key words: Medical data; Right protection; Private law; Patient rights; Sharing
{"title":"Protection of medical data rights from the perspective of private law","authors":"Xuehui Zhang, Yueping Li, Chenyun Zhang, Yulan Lin","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.006","url":null,"abstract":"With the rapid development of \" Internet+ healthcare\" , medical data has gained an ever important role. How to determine the reasonable use boundary of medical data and leverage its supporting role, has grown an urgent problem to be solved. The authors analyzed the characteristics of medical data, and held that medical data is not equivalent to information, as it does not have the characteristics of legal objects in nature. In addition, it lacks originality. Therefore it is difficult to protect through the existing rights system. However, due to its property interest and personality, the authors tried to establish a new right for protection. In the construction of such medical data right, the authors claimed that patients should be the subject of the right, and medical institutions can appropriately restrict the freedom of patients′ through reasonable use rules and legal licensing system. In this way, we can not only promote medical data sharing and the development of social health, but also fully protect the legitimate rights and interests of patients. \u0000 \u0000Key words: \u0000Medical data; Right protection; Private law; Patient rights; Sharing","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"907-911"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44081418","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.1000-6672.2019.11.010
Chunji Lu, Minjiang Guo, J. Zheng, Guolei Li, Yazi Li
The present use of artificial intelligence at primary health care institutions covers auxiliary treatment, voice electronic medical records, rational drug use, chronic disease management assistance, and auxiliary diagnosis of medical images. The authors analyzed the main factors restricting the development of primary medical artificial intelligence products, and put forward solutions from the perspectives of optimizing product functions, organizing expert resources from the national level. These efforts can assist in the examination and approval of medical artificial intelligence products, and improve the medical artificial intelligence system, so as to promote the healthy and sustainable development of artificial intelligence in primary medical and health institutions. Key words: Primary health service; Primary medical institutions; Artificial intelligence; Development status; Constraints
{"title":"Application and considerations on the use of artificial intelligence at primary health care institutions","authors":"Chunji Lu, Minjiang Guo, J. Zheng, Guolei Li, Yazi Li","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.010","url":null,"abstract":"The present use of artificial intelligence at primary health care institutions covers auxiliary treatment, voice electronic medical records, rational drug use, chronic disease management assistance, and auxiliary diagnosis of medical images. The authors analyzed the main factors restricting the development of primary medical artificial intelligence products, and put forward solutions from the perspectives of optimizing product functions, organizing expert resources from the national level. These efforts can assist in the examination and approval of medical artificial intelligence products, and improve the medical artificial intelligence system, so as to promote the healthy and sustainable development of artificial intelligence in primary medical and health institutions. \u0000 \u0000Key words: \u0000Primary health service; Primary medical institutions; Artificial intelligence; Development status; Constraints","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"925-928"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42257172","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.1000-6672.2019.11.013
Kai Wei, Xiaoling Zhang
Objective To use the career anchor scale to understand the career development route preference of doctors, so as to provide a reference for their individual career planning and positioning, encourage them to realize their personal value, and provide scientific decision-making basis for hospital human resource management. Methods The career anchor scale was used and a career orientation scale was established. In June 2017, a group sampling survey was conducted among doctors at a university affiliated hospital in Zhejiang province, and 790 valid questionnaires were collected. The questionnaire covered 40 items, with the self-report 6 subscale and the χ2 test used for comparison of rates. Results Eight types of career anchors were commonly distributed among doctors, among which the technical/functional anchor was the main career anchor, scoring 24.45±5.11 points. There was a correlation between doctors′ career anchors and their career orientations, among which the managerial career anchors scored the highest, with a correlation coefficient of 0.228. Conclusions The career anchor theory can be used to guide the career development of employees and establish a multi-career development ladder for doctors. Key words: Health manpower; Doctors; Career anchor; Career orientation; Career planning
{"title":"Study on the relationship between career anchor and career orientation of doctors in Sir Run Run Shaw Hospital","authors":"Kai Wei, Xiaoling Zhang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.013","url":null,"abstract":"Objective \u0000To use the career anchor scale to understand the career development route preference of doctors, so as to provide a reference for their individual career planning and positioning, encourage them to realize their personal value, and provide scientific decision-making basis for hospital human resource management. \u0000 \u0000 \u0000Methods \u0000The career anchor scale was used and a career orientation scale was established. In June 2017, a group sampling survey was conducted among doctors at a university affiliated hospital in Zhejiang province, and 790 valid questionnaires were collected. The questionnaire covered 40 items, with the self-report 6 subscale and the χ2 test used for comparison of rates. \u0000 \u0000 \u0000Results \u0000Eight types of career anchors were commonly distributed among doctors, among which the technical/functional anchor was the main career anchor, scoring 24.45±5.11 points. There was a correlation between doctors′ career anchors and their career orientations, among which the managerial career anchors scored the highest, with a correlation coefficient of 0.228. \u0000 \u0000 \u0000Conclusions \u0000The career anchor theory can be used to guide the career development of employees and establish a multi-career development ladder for doctors. \u0000 \u0000 \u0000Key words: \u0000Health manpower; Doctors; Career anchor; Career orientation; Career planning","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"936-939"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42324013","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.1000-6672.2019.11.001
Hao Chen, Yuanyuan Sun, Lin Zhu, Hongmei Wang
Objective To understand the current equalization in essential public health services in China, and to provide recommendations for health resource allocation and public health policy making. Methods WHO′s comprehensive evaluation model, and the Rank Sum Ratio (RSR) method were used to analyze, rank and categorize essential public health services. Results Thirty-one provinces (cities, autonomous regions) in China were grouped into five categories, namely, relatively balanced area, low input area, resource shortage area, over utilization area and resource waste area. Conclusions The equalization of essential public health services in China is gradually being realized, but there are still setbacks such as mismatch between health needs and resource input, waste and over-utilization of resources. To correct these problems, relevant recommendations on health policy making for different areas were given. Key words: Health services administration; Essential public health services; Comprehensive evaluation; Rank sum ratio method; World Health Organization
{"title":"Assessment of essential public health services in China based on WHO′s comprehensive evaluation model","authors":"Hao Chen, Yuanyuan Sun, Lin Zhu, Hongmei Wang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.001","url":null,"abstract":"Objective \u0000To understand the current equalization in essential public health services in China, and to provide recommendations for health resource allocation and public health policy making. \u0000 \u0000 \u0000Methods \u0000WHO′s comprehensive evaluation model, and the Rank Sum Ratio (RSR) method were used to analyze, rank and categorize essential public health services. \u0000 \u0000 \u0000Results \u0000Thirty-one provinces (cities, autonomous regions) in China were grouped into five categories, namely, relatively balanced area, low input area, resource shortage area, over utilization area and resource waste area. \u0000 \u0000 \u0000Conclusions \u0000The equalization of essential public health services in China is gradually being realized, but there are still setbacks such as mismatch between health needs and resource input, waste and over-utilization of resources. To correct these problems, relevant recommendations on health policy making for different areas were given. \u0000 \u0000 \u0000Key words: \u0000Health services administration; Essential public health services; Comprehensive evaluation; Rank sum ratio method; World Health Organization","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"881-885"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47635891","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.1000-6672.2019.11.017
Xiang Jing, Lu Lu, Y. Xia, Yali Wang, Yaozu Li, An′an Jiao, Lingzhong Xu
Objective To understand the referral status and the willingness for downward referral among rural elderlies with hospital stay experiences in the past year in Shandong province, and to explore its influencing factors on the willingness for downward referral. Methods Three prefecture-level cities in Shandong province were sampled by multi-stage stratified random sampling in August 2017. Questionnaire survey was conducted among 910 rural elderlies(over 60 years old)who had been hospitalized in the past year. The study included the basic information, the hospitalization experience, and perception of essential medicines system, ego-resiliency, the referral status and willingness for downward referral. Rank sum test, Chi-square test and t test were used for univariate analysis, and logistic regression was applied for influencing factors. Results Among 910 rural elderlies who had been hospitalized in the past year, 53(5.8%) were referred to other medical institutions in their recent hospitalization, and 597(65.6%)were willing to be referred downward. The main reason for their reluctance for downward referral was that the medical competency of primary medical institutions was low; and the main reason for willingness for downward referral was being close to home. The results showed that marital status, impression for the national essential medicines system and ego-resiliency were the influencing factors of their willingness to downward referral among rural elderlies who had been hospitalized in the past year(P<0.05). Conclusions The referral rate and willingness for downward referral among the rural elderlies in Shandong province are relatively low. We should further enhance the service capacity of primary medical institutions, strengthen the publicity and implementation of the national essential medicines system, pay attention to help with the elderlies′ negative emotions caused by diseases, and improve their ego-resiliency. Key words: Elderly patients; Hospitalization; Two-way referral; Willingness for downward referral; Shandong province
{"title":"Willingness for downward referral and its influencing factors among rural elderlies with hospital stay in Shandong province","authors":"Xiang Jing, Lu Lu, Y. Xia, Yali Wang, Yaozu Li, An′an Jiao, Lingzhong Xu","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.017","url":null,"abstract":"Objective \u0000To understand the referral status and the willingness for downward referral among rural elderlies with hospital stay experiences in the past year in Shandong province, and to explore its influencing factors on the willingness for downward referral. \u0000 \u0000 \u0000Methods \u0000Three prefecture-level cities in Shandong province were sampled by multi-stage stratified random sampling in August 2017. Questionnaire survey was conducted among 910 rural elderlies(over 60 years old)who had been hospitalized in the past year. The study included the basic information, the hospitalization experience, and perception of essential medicines system, ego-resiliency, the referral status and willingness for downward referral. Rank sum test, Chi-square test and t test were used for univariate analysis, and logistic regression was applied for influencing factors. \u0000 \u0000 \u0000Results \u0000Among 910 rural elderlies who had been hospitalized in the past year, 53(5.8%) were referred to other medical institutions in their recent hospitalization, and 597(65.6%)were willing to be referred downward. The main reason for their reluctance for downward referral was that the medical competency of primary medical institutions was low; and the main reason for willingness for downward referral was being close to home. The results showed that marital status, impression for the national essential medicines system and ego-resiliency were the influencing factors of their willingness to downward referral among rural elderlies who had been hospitalized in the past year(P<0.05). \u0000 \u0000 \u0000Conclusions \u0000The referral rate and willingness for downward referral among the rural elderlies in Shandong province are relatively low. We should further enhance the service capacity of primary medical institutions, strengthen the publicity and implementation of the national essential medicines system, pay attention to help with the elderlies′ negative emotions caused by diseases, and improve their ego-resiliency. \u0000 \u0000 \u0000Key words: \u0000Elderly patients; Hospitalization; Two-way referral; Willingness for downward referral; Shandong province","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"952-956"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47394924","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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