中华医院管理杂志最新文献_第6页

Research on the current electronic health record data access at home and abroad 国内外电子健康档案数据存取现状研究

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.012

Ting Shu, Fan Xu

{"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}

引用次数: 0

Status analysis for the job experience and feelings by elderly-healthcare staff under the perspective of psychological contract 心理契约视角下老年医护人员工作体验与感受现状分析

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.004

Rui Min, Jiangyun Chen, Xiao Liu, Pengqian Fang

{"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}

引用次数: 0

Whole process closed-loop traceability management for high-value consumables using international standard bar code 采用国际标准条形码的高值耗材全程闭环追溯管理

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.019

L. Qin, Bin Chen

引用次数: 0

Study on the strategies of improving the timeliness of hospital consultations 提高医院会诊及时性的策略研究

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.009

L. Cai, Yalan Peng, Yinghan Song, Dajiang Li

引用次数: 0

Practice of precise management of hospital archives 医院档案精细化管理的实践

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.020

Lili Zhu

引用次数: 0

Construction and practice of multi-disciplinary team information management system in the hospital 医院多学科团队信息管理系统的建设与实践

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.008

D. Jin, Jing Xu, Nan Ma, Yongping Qian

{"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}

引用次数: 0

Exploration of performance appraisal reform oriented by clinical ability and cost control 以临床能力和成本控制为导向的绩效考核改革探索

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.001

Lengchen Hou, Jiafang Yang, Ji Zhang, Qi Wang, Danfeng Wu, Longjun Hu

引用次数: 0

Topic modeling and sentiment analysis of service experience in patient complaint information of a hospital 某医院病人投诉信息服务体验的主题建模与情感分析

中华医院管理杂志 Pub Date : 2019-12-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.12.018

Yao Zhang, Chenxi Xia

{"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}

引用次数: 0

Research progress on general practitioners-specialists joint consultation service 全科医生-专科医生联合会诊服务研究进展

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.008

Lixia Liu, Xiaoyang Liao, Jia Wu, Lili Deng, Mei Xiong, Leixue Zhuang

引用次数: 1

Exploring an proactive model for pediatric integration medical service in Beijing-Tianjin-Hebei region 探索京津冀地区儿科一体化医疗服务的主动模式

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 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

{"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}

引用次数: 0