中华医院管理杂志最新文献_第10页

Exploration of rational drug use administration at Beijing Chaoyang Hospital 北京市朝阳医院合理用药管理的探索

中华医院管理杂志 Pub Date : 2019-09-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.09.017

Yan Yan, Hui Chen, Zhuoling An

引用次数: 1

Study on the self-identified overall performance effect of the resources sharing model at a regional medical imaging center under a hospital group 某医院集团区域医学影像中心资源共享模式的自我认同整体绩效效应研究

中华医院管理杂志 Pub Date : 2019-09-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.09.016

J. He, Fang Du, H. Chiu

{"title":"Study on the self-identified overall performance effect of the resources sharing model at a regional medical imaging center under a hospital group","authors":"J. He, Fang Du, H. Chiu","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.09.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.09.016","url":null,"abstract":"Objective \u0000To learn the evaluation of the regional medical imaging resources sharing center by medical staff of a regional hospital group in Shenzhen city. \u0000 \u0000 \u0000Methods \u0000The group established a regional medical imaging resources sharing center in January 2016. One year later, a cross-sectional study was made on its medical staff using questionnaires. Such statistical methods as descriptive statistics and analytic hierarchy process among others were used to learn the self-identified overall effects for such a shared model. \u0000 \u0000 \u0000Results \u0000The questionnaire was responded by 24 medical imaging clinicians, 23 medical imaging technicians and 152 clinical doctors respectively. The comprehensive evaluation weight coefficient of the medical staff to the shared model was 0.692 2, whereas that to the distributed(conventional)model was 0.307 8. With regard to the shared model, 84.3%(43/51)of the clinical doctors held the imaging transmission as faster. 55.3%(84/152), 54.2%(13/24) and 53.6%(12/23) of the clinical doctors, imaging clinicians and technicians held the imaging quality as better than before. Respectively 95.8%(23/24)and 91.3%(21/23)of the imaging clinicians and technicians held their ability to read images or competence as improved. 54.2%(13/24)and 52.2%(12/23)of the imaging clinicians and technicians respectively held the cost performance of income as decreased. \u0000 \u0000 \u0000Conclusions \u0000Compared with the conventional management model, the medical staff tend to embrace the shared management model, but they complained greater stress, and less satisfaction. \u0000 \u0000 \u0000Key words: \u0000Medical image; Shared model; Self-identical overall effects; Questionnaires","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"778-781"},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43092512","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}

引用次数: 0

Standardization-based research on fiscal compensation measurement for communities in Shanghai 基于标准化的上海市社区财政补偿计量研究

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.014

A. Zhang

{"title":"Standardization-based research on fiscal compensation measurement for communities in Shanghai","authors":"A. Zhang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.08.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.08.014","url":null,"abstract":"Objective \u0000To determine the standardized workload first of all. Then based on such workload, to establish the government′s resource input and allocation mechanism, and build the post setup, a fiscal compensation system, and the salary distribution mechanism of community medical staff. \u0000 \u0000 \u0000Methods \u0000This study selected 65 community health centers in Shanghai′s downtown area, suburban area and outer suburbs as sample units to investigate with questionnaires such indicators as community medical and health expenditure, standardized workload among others.With the measured workload as basis, item costs of health services at Shanghai′s communities were calculated. \u0000 \u0000 \u0000Results \u0000That of downtown, suburban and suburban areas accounted for 71.60%, 72.13% and 73.14% respectively of the total expenditure on health care.The unit cost of standardized workload varies with areas, while that in suburban and suburban areas was significantly higher than that downtown.The actual fiscal compensation was 20% lower than the target compensation as designed in the reform. \u0000 \u0000 \u0000Conclusions \u0000The ideal investment of basic public health services based on standardized workload can effectively realize the equalization of services among areas and promote effective allocation of resources.At the same time, estimates of the total standardized workload from the perspective of the demand side, and determination of an ideal investment ceiling for the investment of areas′ services budgets, can effectively minimize the waste of resources. \u0000 \u0000 \u0000Key words: \u0000Community health; Cost accounting; Standardized workload; Fiscal input; Shanghai","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"674-677"},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48205326","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}

引用次数: 0

Literature analysis on the implementation effect of family physicians contracted service policy in China 我国家庭医生签约服务政策实施效果的文献分析

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.009

Meng Cui, Qianqian Yu, Wenqiang Yin, Dong-mei Huang, Kui Sun, Zhongming Chen, Hongwei Guo, Yanli Li, Chun-yan Zhao

{"title":"Literature analysis on the implementation effect of family physicians contracted service policy in China","authors":"Meng Cui, Qianqian Yu, Wenqiang Yin, Dong-mei Huang, Kui Sun, Zhongming Chen, Hongwei Guo, Yanli Li, Chun-yan Zhao","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.08.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.08.009","url":null,"abstract":"Objective \u0000To study the implementation effects of China′s contracted service policy for family physicians. \u0000 \u0000 \u0000Methods \u0000Systematic evaluation method was used to extract, describe and analyze the literature information of the research on the implementation effect of family physicians contracted service policy. \u0000 \u0000 \u0000Results \u0000A total of 80 papers of four types were rounded up, including 47 on the effect of health management on patients with chronic diseases, 11 on the effect of health management on the elderly, 15 on the effect on the first diagnosis in the community, and 7 on the effect on the control of medical expenses.The research is mostly distributed in the developed areas in the east.The family physicians contracted service promotes the health management effect of patients with chronic diseases and the elderlies, improves the first visit ratio of residents at their community, and effectively controls the medical expenses.Existing research shows that such a service has achieved initial success.However, the research also identified such common problems as the shortage and low competence of family physicians, low quality, resource integration and inadequate policy publicity. \u0000 \u0000 \u0000Conclusions \u0000The contracted service policy in China has begun to play the role of \" health gatekeeper\" and \" cost gatekeeper\" to some extent.It is suggested to strengthen the training of general practitioners, establish and perfect incentive mechanism, and improve the construction of information platform, while the implementation effect of contracted services for family physicians deserve further study in a broader scope, deeper level and design specifications. \u0000 \u0000 \u0000Key words: \u0000Family physicians; Contracted service; Implementation effect; Literature review","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"652-656"},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42352548","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}

引用次数: 0

Cost accounting of telemedicine service items based on improved activity-based costing 基于改进作业成本法的远程医疗服务项目成本核算

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.015

Yun-kai Zhai, Xinran Liu, W. Lu, Sun Dong-xu, Jie Zhao

{"title":"Cost accounting of telemedicine service items based on improved activity-based costing","authors":"Yun-kai Zhai, Xinran Liu, W. Lu, Sun Dong-xu, Jie Zhao","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.08.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.08.015","url":null,"abstract":"Telemedicine can optimize deployment of medical resources and minimize diagnosis discrepancies.Formulation of a rational project pricing and scientific compensation policy will be conducive to its future development.The concept of human resource consumption in RBRVS was used as reference to improve the activity-based costing(ABC)method.The authors sorted out the resource cost repository, identified the activity system, classified the motivation resources into respective activity cost repositories, and calculated the cost of respective cost object distribution.The cost of three telemedicine service items(remote single discipline consultation, remote image consultation and remote pathology consultation were 119.69, 147.03 and 161.61 yuan respectively)was calculated by the improved ABC.It can better indicate project costs than that calculated by the traditional ABC(137.30, 147.17 and 144.08 yuan), and proves more consistent with the existing prices of other province(134.00, 150.00 and 174.00 yuan). \u0000 \u0000 \u0000Key words: \u0000Telemedicine; Activity-based costing; Cost accounting; Medical service","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"678-682"},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42882636","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}

引用次数: 0

Discussion on the doctor-patient relationship under the " Internet+ " scenario based on the concept of value co-production 基于价值共创理念的“互联网+”情景下的医患关系探讨

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.005

Yingchun Peng

引用次数: 0

Text analysis of China′s family physicians contracted service policy based on policy tools 基于政策工具的中国家庭医生签约服务政策文本分析

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.008

Ziqiang Wang, Qianqian Yu, Wenqiang Yin, Dong-mei Huang, Kui Sun, Zhongming Chen

{"title":"Text analysis of China′s family physicians contracted service policy based on policy tools","authors":"Ziqiang Wang, Qianqian Yu, Wenqiang Yin, Dong-mei Huang, Kui Sun, Zhongming Chen","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.08.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.08.008","url":null,"abstract":"Objective \u0000To analyze the policy texts related to the contracted service of family physicians, and probe into the key points and existing problems of the policy in the process of promoting the contracted service of family physicians in China, for the purpose of providing references for the optimization and perfection of the system. \u0000 \u0000 \u0000Methods \u0000A total of 54 relevant policy texts issued by the Central Government from 2011 to 2019 were selected, for establishing a two-dimensional analysis framework based on policy tools and stakeholders.By means of quantitative analysis of policy text and literature research method, we analyzed the relevant policy texts. \u0000 \u0000 \u0000Results \u0000Study of the 54 texts found 52.8%(124/235)mentioned commands and regulatory tool use, 27.2%(64/235)mentioned capacity building tool use, 13.2%(31/235)mentioned information and exhortation tool use, 5.1%(12/235)only mentioned incentive tool use, and 1.7%(4/235)only mentioned system change tool use; while most of them(34.3% and 32.7%)mentioned government and physicians, and only a few(17.6% and 15.4%)mentioned patients and medical entities. \u0000 \u0000 \u0000Conclusions \u0000It is suggested to optimize the policy tools mixture, and increase the use of incentive tools to physicians, and explore new forms of system change tools.It is also proposed to pay more attention to resource allocation of primary medical institutions, and to patient awareness and satisfaction. \u0000 \u0000 \u0000Key words: \u0000Family physicians; Contracted service; Policy tool; Text analysis","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"647-651"},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46956191","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}

引用次数: 0

Discussions on the management of healthcare big data open access 医疗大数据开放获取管理探讨

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.011

Haiyan Mou

引用次数: 0

Positioning analysis of Shanghai′s tertiary public hospitals in the development of health service industry 上海市三级公立医院在卫生服务业发展中的定位分析

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.019

Zhixin Dai

引用次数: 0

Effects of long-term studying abroad on scientific research ability of clinical doctors 长期出国留学对临床医生科研能力的影响

中华医院管理杂志 Pub Date : 2019-08-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.08.017

Chuan Yang, Yilin Gong, R. Zhao, Hui Liu, Huiqing Wang

{"title":"Effects of long-term studying abroad on scientific research ability of clinical doctors","authors":"Chuan Yang, Yilin Gong, R. Zhao, Hui Liu, Huiqing Wang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.08.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.08.017","url":null,"abstract":"Objective \u0000To analyze whether studying abroad has any influence on clinicians′ scientific research ability, and study the rationality of the indicators reflecting the scientific research ability. \u0000 \u0000 \u0000Methods \u0000A total of 36 clinicians who studied abroad more than 3 months between 2008 and 2010 were selected as the abroad group, and the control group of 36 clinicians was selected from the clinician information database of the hospital by the method of Propensity Score Match.A comparison and analysis were made regarding the number of papers(SCI), grants and scientific and technological achievements between the two groups.Meanwhile, covariance analysis was used to compare the difference in the number of scientific research achievements between the two groups.Logistic regression analysis was used to compare the changes in scientific research achievements of clinicians before and after their abroad study. \u0000 \u0000 \u0000Results \u0000The number of articles(SCI)published and grants obtained in the 3 years after going abroad was significantly higher than that of the control group, and the number of grants obtained in the 4-6 years after going abroad was also significantly higher than that in the control group.The number of papers(SCI)published in the three years after going abroad was more than that in the 3 years before going abroad.The number of grants obtained in the 4-6 years after going abroad was more than that in the 3 years before going abroad.These differences were statistically significant. \u0000 \u0000 \u0000Conclusions \u0000Studying abroad has a beneficial effect on the improvement of clinicians′ scientific research ability.It is reasonable and practical to take the number of SCI articles published as the indicator of short-term changes and the number of funds obtained as the indicator of long-term changes in scientific research ability. \u0000 \u0000 \u0000Key words: \u0000Clinician; Studying abroad; Scientific research ability; Personnel training","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"687-689"},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47381761","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}

引用次数: 0