中华医院管理杂志最新文献_第7页

Construction and enlightenment of Israel′s medical and health care risk prevention system 以色列医疗卫生风险防范体系的构建与启示

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.020

Haidong Zou, Yongjin Guo, Minfang Hu, Jian Ding, Naiyu Zheng, J. Lu

引用次数: 1

Experience and reflection on the construction of medical alliances in a government and hospital partnership model 政府与医院合作模式下医疗联盟建设的经验与思考

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.005

X. Xu, Yue-ping Li, Qinqin Lin, Tingting Ma, Huadong Lin, Fancai Lai

{"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}

引用次数: 2

An empirical analysis of the appeals of primary medical staff from a district in Shanghai 上海市某区基层医务人员诉求的实证分析

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 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

{"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}

引用次数: 0

A comparative study on the promotion of grid-based medical alliances at home and abroad 国内外网格化医疗联盟推广的比较研究

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.003

P. Zhang, Bowei Zou, Zhiqiang Li

引用次数: 0

Correlation analysis of individual differences in patient satisfaction survey: based on data from 25 hospitals 患者满意度调查个体差异的相关分析:基于25家医院的数据

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.018

Chang Liu, Dan Wang

{"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}

引用次数: 0

Protection of medical data rights from the perspective of private law 私法视角下的医疗数据权利保护

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.006

Xuehui Zhang, Yueping Li, Chenyun Zhang, Yulan Lin

{"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}

引用次数: 0

Application and considerations on the use of artificial intelligence at primary health care institutions 人工智能在基层医疗机构的应用与思考

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.010

Chunji Lu, Minjiang Guo, J. Zheng, Guolei Li, Yazi Li

引用次数: 0

Study on the relationship between career anchor and career orientation of doctors in Sir Run Run Shaw Hospital 邵逸夫医院医生职业锚与职业定位关系的研究

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.013

Kai Wei, Xiaoling Zhang

{"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}

引用次数: 0

Assessment of essential public health services in China based on WHO′s comprehensive evaluation model 基于世界卫生组织综合评价模型的中国基本公共卫生服务评价

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.001

Hao Chen, Yuanyuan Sun, Lin Zhu, Hongmei Wang

{"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}

引用次数: 1

Research on the coupling and coordination of scale, efficiency and quality of public hospitals in Anhui 安徽省公立医院规模、效率与质量的耦合与协调研究

中华医院管理杂志 Pub Date : 2019-11-02 DOI: 10.3760/CMA.J.ISSN.1000-6672.2019.11.019

Di Tian, H. Xu, Bowen Wang, Yuanzhong Zhou, Dian Zhou

{"title":"Research on the coupling and coordination of scale, efficiency and quality of public hospitals in Anhui","authors":"Di Tian, H. Xu, Bowen Wang, Yuanzhong Zhou, Dian Zhou","doi":"10.3760/CMA.J.ISSN.1000-6672.2019.11.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1000-6672.2019.11.019","url":null,"abstract":"Objective \u0000To evaluate the scale, efficiency and quality of secondary and tertiary public hospitals in Anhui province, and analyze the degree of coupling and coordination among the three dimensions. \u0000 \u0000 \u0000Methods \u0000Thirty-two hospitals′ data were extracted from the direct reporting system of Anhui Health Commission. Hospital efficiency was evaluated by DEA model, hospital quality was evaluated by TOPSIS model, and coupling coordination degree was analyzed by coupling function. \u0000 \u0000 \u0000Results \u0000In the single-dimension evaluation, there were significant differences in the distribution of the three dimensions among different levels of hospitals, and the efficiency and quality of secondary hospitals were better than those of tertiary hospitals. In the coupling evaluation, the average degree of coupling coordination in Anhui was 0.637, which was in the \" primary coordination\" level. The overall coupling and coordination degree of the tertiary hospitals were better than that of the secondary hospitals, and the highest score was in central Anhui. \u0000 \u0000 \u0000Conclusions \u0000Single-dimensional evaluation method cannot objectively represent a general picture of the hospitals. On the other hand, coupling coordination degree evaluation can provide a more comprehensive and objective result. The development strategy of hospitals should be made to fit local conditions and to coordinate the development of scale, efficiency and quality. \u0000 \u0000 \u0000Key words: \u0000Hospital, public; DEA; TOPSIS; Coupling and coordinative degree; Scale","PeriodicalId":56974,"journal":{"name":"中华医院管理杂志","volume":"35 1","pages":"961-965"},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69749727","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