中华医院管理杂志最新文献_第5页

Analysis on the win-win development of family doctors to promote the combination of healthcare and elderly care 浅析家庭医生促进医疗保健与养老相结合的共赢发展

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.006

Xiaoyan Zhang, Shiyu Yang, Xue Bai, Pengqian Fang

引用次数: 0

Investigation on service needs of the elderlies among different healthcare and elderly care modes in Hubei province 湖北省不同医疗和养老模式老年人服务需求调查

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.005

Jiangyun Chen, Pengqian Fang, Chunmei Zhang

{"title":"Investigation on service needs of the elderlies among different healthcare and elderly care modes in Hubei province","authors":"Jiangyun Chen, Pengqian Fang, Chunmei Zhang","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.005","url":null,"abstract":"Objective \u0000To understand the healthcare and elderly care needs of the elderlies. \u0000 \u0000 \u0000Methods \u0000From July to December 2018, a questionnaire survey was conducted to investigate the healthcare and elderly care status and characteristics of the elderly under different modes of combination of medical care and elderly care, and to analyze their objective needs for both cares. \u0000 \u0000 \u0000Results \u0000There was an outstanding need for daily life care for the elderlies in the healthcare plus elderly care mode. 71.8% of them were senior elderlies, and 61.1% had obvious disabilities. It was found that elderly-adaptive transformation was required for their living environment in the home care mode, as 41.7% of them live in elevator-free buildings, and 48.2% use squat-type toilets. The elderlies need in general cultural services, and widowhood and solitary living were common. The home care mode required disease prevention services, as 43.6% of them had weight problems, and smoking and drinking rates were very high(9.4%, 13.7%). The elderly care in medical mode required medical services, because the proportion of two or more chronic diseases was very high(27.2%). \u0000 \u0000 \u0000Conclusions \u0000The healthcare and elderly care modes vary in terms of needs, thus it is necessary to adapt to specific conditions. \u0000 \u0000 \u0000Key words: \u0000Elderlies; Healthcare plus elderly care mode; Service; Need; Questionnaires","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"987-991"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48580161","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: 2

Practice and experience of preoperative conversation as involved by the office of doctor-patient relationship 医患关系办公室所涉及的术前对话的实践和经验

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.011

Meihua Ren

引用次数: 0

Construction of the model of clinical nursing post classification based on delicacy management 基于精细化管理的临床护理岗位分类模型的构建

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.016

Anlie Cai, Zhengjun Bao, Jianghong Tan, Yan Tian, Lang Wang, H. Yan, Hongbin Huang, Juan Li

{"title":"Construction of the model of clinical nursing post classification based on delicacy management","authors":"Anlie Cai, Zhengjun Bao, Jianghong Tan, Yan Tian, Lang Wang, H. Yan, Hongbin Huang, Juan Li","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.016","url":null,"abstract":"Objective \u0000To construct and implement a calculation model of clinical nursing post classification. \u0000 \u0000 \u0000Methods \u0000Between October to December 2018, head nurses of the hospital were screened as consultants, and Delphi method was used to determine the indicators, while the weights were assigned from the aspects of nursing workload, work quality, patient satisfaction and number of nursing night shifts. Combined with HIS data, the calculation model of clinical nursing post classification was constructed to classify clinical nursing units into different categories and levels. \u0000 \u0000 \u0000Results \u0000After two rounds of expert enquiry, 82 nursing work items were identified and the objective weight assignment was determined ranging from 0.80 to16.14. According to the established calculation model and HIS data, nursing posts in clinical departments were classified into 6 levels and 3 categories, and the accurate management of clinical nursing post classification was achieved. \u0000 \u0000 \u0000Conclusions \u0000The construction of a calculation model is scientific and rigorous, which provides a scientific basis for dynamic nurse performance management and rational allocation of human resources. In addition, it provides a useful reference for accurate nursing management. \u0000 \u0000 \u0000Key words: \u0000Hospital administration; Nursing post; Delicacy management; Models; Delphi method","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1027-1031"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47497936","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

Exploration of post-payment in outpatient process reengineering 门诊流程再造中后付费的探索

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.014

Yuqiang Shen, Jing-ping Ji, Shanna Liu

引用次数: 1

Exploring the innovative " post-payment" for medical service in Hangzhou 杭州医疗服务“后付费”创新探索

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.013

Yongrong Sun, Daopu Xie, Xumin Ying, Wei He, Yuqing Chen

引用次数: 0

Evaluation and construction of key disciplines oriented by diseases 以疾病为导向的重点学科评价与建设

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.017

Xuanfeng Liu, Q. Zhou, Hao Liang, Tingting Niu

引用次数: 1

Status quo, problems and prospects of healthcare plus elderly care mode in China 中国医疗+养老模式的现状、问题与展望

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.003

Pengqian Fang, Jiangyun Chen

引用次数: 0

Analysis of factors influencing hospitalization cost based on back propagation neural network model 基于反向传播神经网络模型的住院费用影响因素分析

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.010

Shen Li, Changle Zhang, Kecheng Zhang, Jumin Song

{"title":"Analysis of factors influencing hospitalization cost based on back propagation neural network model","authors":"Shen Li, Changle Zhang, Kecheng Zhang, Jumin Song","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.010","url":null,"abstract":"Objective \u0000To analyze the influencing factors of hospitalization cost by back propagation(BP)neural network. \u0000 \u0000 \u0000Methods \u0000Inpatients with a total of 50 611 were collected from the hospital information system in a tertiary hospital. BP Neural network modeling was developed by SPSS 22.0 software to study the factors which influence the hospitalization cost. \u0000 \u0000 \u0000Results \u0000The hospitalization expenses prediction accuracies of training sample and test sample were 81.1% and 79.0% respectively. The top three factors were pharmaceutical cost(100.0%), general medical operation cost(88.8%)and disposable medical materials cost(60.7%). \u0000 \u0000 \u0000Conclusions \u0000The results show that BP model is suitable for dependent variable with the hospitalization expenses. The pharmaceutical cost, disposable medical materials cost and general medical operation cost were greater influencing factors than others. We should take actions by improving the treatment level and measures, so as to reduce the economic burden of patients and society \u0000 \u0000 \u0000Key words: \u0000Back propagation neural network; Models; Hospitalization cost; Influencing factors","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"1007-1009"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49273242","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

Equity analysis of relative value quantification based performance appraisal in primary health care 基于相对价值量化的基层医疗绩效评估的公平性分析

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.002

Delu Yin, Xiao Liu, Tao Yin

{"title":"Equity analysis of relative value quantification based performance appraisal in primary health care","authors":"Delu Yin, Xiao Liu, Tao Yin","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.12.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.12.002","url":null,"abstract":"Objective \u0000To analyze the equity of the performance appraisal model of primary health care institutions based on the relative value index. \u0000 \u0000 \u0000Methods \u0000Tian Tan Community Health Service Center in Dong Cheng District of Beijing was taken as an example, while descriptive analysis and correlation analysis were conducted using the data of service equivalent per capita and monthly performance income per capita of 14 departments from April 2018 to June 2019. \u0000 \u0000 \u0000Results \u0000In the first half of 2019, the average monthly work equivalent of the case institution was 1 170.19±501.18, which was 13.91% higher than that of the second quarter in 2018. The average monthly performance income of the case institution was 1 183.71±175.30 Yuan, which was 6.94% higher than that of the second quarter in 2018.From April 2018 to June 2019, the monthly work equivalent per capita of 14 departments was positively correlated with the monthly performance income per capita, and Pearson correlation coefficient was 0.85(P<0.01). \u0000 \u0000 \u0000Conclusions \u0000The performance appraisal model based on the relative value index in case institution satisfactorily reflects the fairness of \" more work and more gain\" , but the effect of \" better work and better gain\" is not obvious. \u0000 \u0000 \u0000Key words: \u0000Community health services; Performance appraisal; Relative value index; Quantification; Equity","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"973-976"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48384723","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