|
|
Evaluation of medical service economics and satisfaction analysis after trans-provincial trusteeship of a public hospital |
YANG Zhe1 ZHANG Shihua1 REN Xiaoyan1 TU Bin2 HE Zhijun3 LI Lingui1 |
1.Public Management Research Center, Ningxia Medical University, Ningxia Hui Autonomous Region, Yinchuan 750004, China;
2.Health Bureau of Baihe County, Shaanxi Province, Baihe 725800, China;
3.Shiyan People's Hospital of Hubei Province, Hubei Province, Shiyan 442000, China |
|
|
Abstract Compare and analyze the changes before and after the trusteeship from the aspects of hospital cost, financial input, business income, insurance compensation, economic management benefits, and employee benefits. And the satisfaction of Baihe County Hospital of Traditional Chinese Medicine in Shaanxi Province was analyzed by Likert scale score, in order to provide policy suggestions for the public hospital. It is observed that the balance of business is income and the expenditure has been improved after trusteeship. The cost of insurance for the insured is higher than the self-funded patients, and the welfare of the staffs has been significantly improved. The lowest satisfaction of managers is the distribution system, the second is the personnel system. The lowest satisfaction of workers is the salary and welfare treatment, the satisfactions of future development and work environment are high. The service attitude of medical staff is significantly improved in patients′ satisfaction.
|
|
|
|
|
[1] 朱嘉龙,胡弘,杜巍巍.医院托管“汉川模式”的实践与思考[J].中华医院管理杂志,2015,31(4):246-249.
[2] 萨础日娜,李蔓婷,朱思慧.公立医院改革背景下三地医院托管实践之比较分析[J].前沿,2016(5):71-77.
[3] 王华明.医改背景下托管医院管理模式研究[D].广州:南方医科大学,2012.
[4] 林加兴.大型公立医院对中小型医院帮带的路径选择—托管模式下医院文化融合的探索与实践[J].现代医院管理,2013,11(2):13-15.
[5] 吴翠颖,周涛,姚中宝,等.公立医院托管改革后住院医疗服务质量评价研究[J].中国农村卫生事业管理,2016, 36(12):1549-1551.
[6] 马晓静,王小万,左延莉.公立医院托管模式研究[J].中国医院管理,2009,29(10):9-11.
[7] 万鸿君,彭芳.省级医疗中心托管县级公立医院的实践与思考[J].中国医院管理,2015,35(3):67-69.
[8] 杨哲,张士华,任晓燕,等.陕西省某公立医院跨省托管后医疗服务技术效率评价[J].中国初级卫生保健,2017, 31(5):1-3.
[9] 俞卫,许岩.公立医院财政补助制度失灵的原因及改进建议[J].中国卫生政策研究,2013,6(9):29-35.
[10] 郑大喜.公立医院财政补助项目支出预算绩效评价指标研究[J].中国卫生经济,2016,34(6):8-12.
[11] 湛志伟.完善我国公立医院财政补助政策的思考[J].中国卫生事业管理,2012(5):327-329.
[12] 孙建军,戴青梅,张凤,等.公立医院托管模式下患者满意度评价及相关因素研究[J].中国医药导报,2013,10(14):118-120.
[13] 刘阳,张纯洁,曹炜,等.基于职工满意度的公立医院托管效果研究[J].中国医卫生政策研究,2017,10(3):24-28.
[14] 张小金,戴青梅,刘琳琳,等.医院托管模式下住院病人满意度现况调查[J].护理研究,2013,27(5):1327-1328.
[15] 任晓燕,孙玉凤,刘鸿宇,等.公立医院托管改革后医疗服务经济学评价分析[J].中国卫生经济,2015,34(12):46-48.
[16] 常高峰,孙玉凤,刘鸿宇,等.公立医院托管效果综合评价研究[J].现代医院管理,2014,14(4):17-19.
[17] 雷海潮,王爱国,钟东波.公立医院托管改革的实践与启示[J].中华医院管理,2003,19(8):459-461.
[18] 项和平,鲁超,高长林,等.医疗联合体模式下省级三级医院托管县级医院实践[J].中国农村卫生事业管理,2017, 37(5):524-525.
[19] 郝敏,熊玲,唐锦辉,等.托管模式下优质医疗资源下沉的实践与效果分析[J].中国医院,2016,20(8):28-30.
[20] 赵金东,闫贵贞.医院托管的实践及体会[J].卫生经济研究,2007(5):46. |
|
|
|