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| Study on the current situation and service management reform in public hospitals in China |
| CHEN Nan XIA Guoguang▲ DAI Li |
| Department of Respiratory and Critical Medical, Beijing Jishuitan Hospital, Beijing 100035, China |
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Abstract Objective To analyze the current situation in public hospitals in China and explore the intervention measures by taking Department of Respiratory and Critical Medical, Beijing Jishuitan Hospital as an example. Methods Study data were collected from the medical statistical annual report of the Department of Respiratory and Critical Care Medicine of Beijing Jishuitan Hospital from January 2016 to December 2017, and 500 patients were randomly selected with management intervention as the time point respectively. The present situation of the staff, work efficiency, doctor-patient relationship and patient satisfaction were statistically analyzed. Results There were 69 staff in the Department of Respiratory and Critical Care Medicine, with spindle-shape age distribution, 15 with a master degree or above, accounting for 21.74%. The professional title composition of clinical professional and technical personnel was mainly in the primary and middle level, accounting for 84.06%. After management intervention, the comprehensive quality score of clinical professional and technical personnel was statistically higher than that before management intervention, the difference was highly significant (P ＜ 0.01). After management intervention, the sickbed utilization rate, the turnover number of common beds, the turnover number of monitoring beds and the efficiency index of beds were significantly higher than those before management intervention (P ＜ 0.05). After management intervention, The excellent and good rate of doctor-patient relationship was higher than that before management intervention and the incidence of medical disputes was lower than that before management intervention, the difference was highly significant (P ＜ 0.01). After management intervention, patient satisfaction was higher than that before management intervention, and the difference was highly statistically significant (P ＜ 0.01). Conclusion Strengthening the operation and management of hospital respiratory and critical care medical services is helpful to improve the comprehensive quality and work efficiency of personnel, to reduce medical disputes and improve the satisfaction of patients, which is worth of promotion.
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