An innovative medical consultation model in mainland China.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2019-08-12 DOI:10.1108/IJHCQA-02-2017-0033

Xiao Ping Xu, D. Ke, D. Deng, S. Houser, Xiao Ning Li, Qing Wang, Ng Chui Shan

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引用次数: 3

Abstract

PURPOSE The purposes of this paper are two-fold: first, to introduce a new concept of primary care consultation system at a mainland Chinese hospital in response to healthcare reform; and second, to explore the factors associated with change resistance and acceptance from both patients' and medical staff's perspectives. DESIGN/METHODOLOGY/APPROACH A survey design study, with two questionnaires developed and distributed to patients and medical staff. Convenience and stratified random sampling methods were applied to patient and medical staff samples. FINDINGS A 5-dimension, 21-item patient questionnaire and a 4-dimension, 16-item staff questionnaire were identified and confirmed, with 1020 patients (91.07 percent) and 202 staff (90.18 percent) as effective survey participants. The results revealed that patient resistance mainly stems from a lack of personal experiences with visiting general practice (GP) and being educated or having lived overseas; while staff resistance came from occupation, education, GP training certificate, and knowledge and experience with specialists. Living in overseas and knowledge of GP concepts, gender and education are associated with resistance of accepting the new practice model for both patients and staff. ORIGINALITY/VALUE There are few Chinese studies on process reengineering in the medical sector; this is the first study to adopt this medical consultation model and change in patients' consultation culture in Mainland China. Applying organizational change and process reengineering theories to medical and healthcare services not only extends and expands hospital management theory but also allows investigation of modern hospital management practice. The experience from this study can serve as a reference to promote this new consultation model in Chinese healthcare reform.

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中国大陆创新的医疗咨询模式。

本文的目的有两个：第一，为应对医疗改革，在中国大陆的一家医院引入初级保健咨询系统的新概念；其次，从患者和医务人员的角度探讨与改变抵抗和接受相关的因素。设计/方法/方法一项调查设计研究，编制两份问卷并分发给患者和医务人员。采用方便和分层随机抽样方法对患者和医务人员样本进行抽样。确定并确认了FINDINGSA 5维21项患者问卷和4维16项员工问卷，1020名患者（91.07%）和202名员工（90.18%）是有效的调查参与者。结果显示，患者的抵抗主要源于缺乏访问全科医生、接受教育或在海外生活的个人经历；而员工的抵制来自职业、教育、全科医生培训证书以及专家的知识和经验。在海外生活以及对全科医生概念、性别和教育的了解与患者和工作人员对接受新实践模式的抵制有关。ORIGINALITY/VALUE中国对医疗行业流程再造的研究很少；这是中国大陆首次采用这种医疗咨询模式并改变患者咨询文化的研究。将组织变革和流程再造理论应用于医疗保健服务，不仅扩展和拓展了医院管理理论，而且可以探索现代医院管理实践。本研究的经验可为我国医疗改革中推广这一新的咨询模式提供参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.