1.Research and application of distal customer service platforms m hospital wards
Changde SHEN ; Binfu WANG ; Simu TONG
Chinese Journal of Hospital Administration 2009;25(4):220-222
A digital customer service platform in hospital wards is equivalent to a platform to provide convenient, value-added and fine bedside services to in-patients as customers (customers admitted into hospitals and those for physical check inclusive).These services are provided via a set-top box and/or TV set installed with corresponding software.This platform supports such services as bills check, food order, non-medical services, VOD, games and entertainment, as well as commercial services from outside the hospital This article introduces the system structure, functionality, as well as the outcome and value of this platform, pointing out that this platform is an innovation of information technology, and that of hospital management and service mode as well
2.Establishment of an index system to evaluate the demonstration community teaching base for general practice
Qin SHEN ; Aimin GUO ; Juan DU ; Yali ZHAO ; Jun YANG ; Xiaoqin LU ; Xiaoping LIU ; Shuqi CUI ; Shaojie LIU
Chinese Journal of Hospital Administration 2009;25(3):198-202
Objective Developing an index system to evaluate the community teaching bases of general practice, for the purpose of identifying and completing at least one demonstration teaching base for general practice in each city in 2010. Methods Initial building of the index system by means of Delphi method and experts interview, followed by selection of experts for consultation, statistical analysis on the results of letter inquiries, and rounded up by the establishment of the index system for evaluation in the end. Results The recovery rates of a two-round Delphi questionnaire response are 94.12% and 100.00%respectively. Expert's authority degrees of five indexes are all over 0.8, which suggests high expert's authority. The average coordination coefficient of two-round Delphi experts consultation is 0.262and 0.534 respectively, showing good experts coordination. In the end, the study established four first-class indexes, ten second-class indexes, 41 third-class indexes and five additional indexes. Conclusions The index system is established in view of the current development of community teaching bases. It focuses on evaluating teachers, the teaching process and base's function. The evaluation system provides reference for selecting demonstration community teaching bases of general practice.
3.Analysis of the expectancy on community health service by patients in a Shanghai community
Erzhou GU ; Yingyao CHEN ; Chuanlin LI ; Peng HAN ; Dan TIAN
Chinese Journal of Hospital Administration 2009;25(3):179-182
Objective The study was to provide evidence for the development of local community health services through the analysis of patiems' expectations for community health services. Methods The expectations were indirectly evaluated by investigating the patients in the willingness-to-pay. Results The patients had a generally high expectation for health community services and they would be highly disappointed once their expectations fall short. Conclusions Those expectations that could be realized with short-term efforts ought to attract high attention of community health service providers and made important goals to achieve in the near future.
4.Norms of medical service items pricing in China
Chinese Journal of Hospital Administration 2009;25(3):145-147
An introduction to the contemporary studies on the norms of medical service items pricing in China, and the regulatory role to be played by the Norms of Medical Service Items Pricing in China in the health reform. The paper comes up with the following recommendations for improving the existing pricing system of medical services as follows: 1) "Item-based pricing" is the basis for other medical payments; 2) Training of the trainers in the provinces to ensure correct implementation of the Norms; 3) Establishment of a catalogue for special medical consumables to enhance consumables management; 4) Establishment of a nationwide indexing system for medical service items pricing; 5) In-depth study on the medical payment models satisfying China's specifics; 6) Establishment of clinical treatment norms for individual disciplines; 7) Establishment of a coding system compliant with international standards.
5.Study on the theoretical basis of medical informatics based on knowledge management
Zhiguo LIU ; Kui YU ; Jianzhu BO
Chinese Journal of Hospital Administration 2008;24(12):841-843
Traditional theories on information management have made an extreme of studies and practice on medical informatics, which has hampered the development of medical informatics. Knowledge management is a brand new theory based on information and aiming at innovation of knowledge, and is in accordance with the nature of medical informatics. Medical informatics based on knowledge management promotes management of medical information, which not only benefits the integration and development of disciplines of medical informatics, also benefits hospital informatization, implementation of evidence-based medicine, and education in medical informatics. Basic studies on medical informatics, personnel training and management should be guided by knowledge management theory in the field of informatics.
6.Development and Changes of the United States Medical Licensing Examination(USMLE)
Chinese Journal of Hospital Administration 2008;24(10):718-720
Purpose of this study is to re-compute and analyze the hospitalization rates of residents in China and explore the methodology of systematic review in health policy research.Methodology:DThanks to a history of 90 years,USMLE has evolved into a mature system of international recognition in the industry.This paper covers the history and changes of USMLE and details its goals construction and implementation,examination question selection model,procedures and principles,selection of criteria and the development trends.
7.Practice and experiences on medical treatment assurance for major international events
Chinese Journal of Hospital Administration 2009;25(2):130-132
A brief description of the medical treatment assurance service provided by the hospital for major international events from 2001 to 2007. The paper rounded up the practices and experiences of the hospital gained such services in a variety of international events, including the development of a detailed operative plan for medical treatment assurance, selection and preparation for medical workers, development and updating of training programs, determination of the operability of the plan and successful launch of the assurance services. It holds that provision of such services significantly upgrades the general competence of the hospital management, and its capabilities in management, emergency response, rescue and inter-department coordination.
8.Uniqueness of Medical Technology as Defined by Legal Philosophy
Chinese Journal of Hospital Administration 2008;24(10):653-656
Legal philosophy redefines medieal technology as follows:Medical technology is a deficient technology offered to patients for their benefits in emergency,which however may victimize the patients somehow in the end.Its beneficiary and victim tend to be the same,and its deficiency tends tO amplify and accumulate in the course of development.In spite of the significant capabilities and effectiveness development of medical technology,the security of itself is weakening instead.This,however,is a cost humans have to pay to keep off health threats.
9.Effect evaluation on employee assistance program (EAP) for medical workers
Hui ZHANG ; Yang BAI ; Xia REN ; Jing WANG ; Hong SUN
Chinese Journal of Hospital Administration 2009;25(2):125-128
Objective To evaluate the mental health of medical workers, and develop an EAP suitable for heahhcare sector. Methods A 1-year EAP was implemented in a hospital in Beijing, in which SF-36 and JSS scales were used to study the health-related quality of life and job satisfaction of these workers. Results Work pressure is found to be the main source of pressure for medical workers, accounting for 63.7%. Scores of the group receiving EAP service are found to be significantly higher (P<0.01) in all dimensions (excepting work nature and supervisor dimension) of both SF-36 and JSS. Conclusions Medical workers are exposed to high pressure of work, having strong need for EAP service as result. EAP is an effective means to maintain mental health and improve quality of life and job performance, if applied widely.
10.Equity of resources allocation in obstetric healthcare in Zhejiang Province
Weiwei WU ; Liqian QIU ; Jiangping HUANG ; Ling QIU
Chinese Journal of Hospital Administration 2009;25(2):118-121
Objective To measure the equity of resources allocation in obstetric healthcare in Zhejiang Province, and provide evidence for decision making by healthcare departments of the government. Methods Lorenz curve and Gini coefficient were used to measure the equity of obstetric healthcare resources. Results The investigation found such allocation as equitable as measured by the layout of the number of live births, as the Gini coefficient of the distribution of obstetric doctors, nurses and beds was 0.1697,0.1971 and 0.1497 respectively by total birth, failing within the equitable range. However, when measured by geographic distribution, such coefficient were 0.2701, 0.3216 and 0.3341 respectively in cities, which were less equitable yet still within equitable range. Conclusions The government and health bureaus are recommended to scientifically predict the number of immigrants and rationally deploy healthcare resources according to the service radius of healthcare resources;moreover, more gynecologic doctors and nurses should be trained to improve the human resource structure in gynecologic departments. These effort can cater to the growing healthcare demands of the society resulting from a growing population of immigrants.