1.Analysis on the development of commercial health insurance amid the ongoing health reform
Youhua YAO ; Wenhong ZONG ; Guodong TIAN ; Yuexing LIU
Chinese Journal of Hospital Administration 2011;27(12):929-932
An analysis of policy support for commercial health insurance,its interface with social insurance,and compensation risk control.Recommendations:laws and regulations commercial health insurance,with supportive government taxation policies; clear definition of social medical insurance and commercial health insurance,with commercial health insurers innovating their products and enriching the assurance; information sharing between insurers and medical institutions,bridging the two and encouraging commercial ones to play a role in health management.
2.Analysis of influencing factors of outpatient pre-registration preference for large hospitals in Nanjing city
Zhenping LIN ; Yun DU ; Guang ZHAO ; Dongfu QIAN ; Zhonghua WANG
Chinese Journal of Hospital Administration 2011;27(12):933-937
ObjectiveTo understand the urban preference for outpatient pre-registration in large hospitals,and probe into the influencing factors,for recommendations to improve outpatient preregistration at the hospitals.Methods With Nanjing City as an example,the authors used tailoreddesigned questionnaire and qualitative interviews to investigate the preference of 1200 households of local residents regarding outpatient clinical pre-registration service at the tertiary hospitals.Results Age,education and economic factors are found to be the most important influential ones for urban preference in their outpatient pre-registration at large hospitals.Other factors include traditional approaches to outpatient clinic,inconvenience for outpatient pre-registration,and concerns for appointment breaking.Conclusion in order to increase their preference for outpatient pre-registration at large hospitals,hospitals should work to explore and improve approaches for outpatient pre-registration,and better their service quality,which will involve greater participation of both the hospital staff and residents.
3.Regulation of outpatient medical records written by rural doctors
Chinese Journal of Hospital Administration 2011;27(12):924-926
A probe into the management of outpatient medical records written by rural doctors:Such a record is indispensible for technical appraisal of medical accidents; yet writing of such a record might involve illegal medical practice or go beyond the scope of practice.It is recommended to normalize the behavior of rural doctors in their writing of outpatient medical records,stipulating that the Basic Regulations on Medical Records do not apply to rural doctors at present.It is also recommended that separate regulations for rural doctors be formulated,along with a promotional period before these regulations are in practice.An alternative would be clarifying that Article 28 of the Regulations of Medical Malpractice Settlement do not apply to rural doctors.
4.Website information disclosure by 80 public hospitals in China and the analysis
Jianguo YUAN ; Ping BAI ; Wenjuan SONG
Chinese Journal of Hospital Administration 2011;27(12):916-920
Objective Studying information disclosure at China' s public hospitals and recommending on information disclosure policies.Methods Collecting and analyzing the websites of 80 public hospitals in five main Chinese cities (Beijing,Shanghai,etc.).Results Information disclosure by these hospitals is found to be identical,with a slight difference in information publicity.By percentage,the information disclosure of hospital profile,department navigation,specialists characteristics,hospital news,health education,and doctor-seeking guidance,is 100.0%,98.3%,95.0%,93.3%,90.0%and 88.3%respectively.The disclosure is found to be lack of general planning,objectivity,timeliness and sufficiency.ConclusionEstablishing the information disclosure system based on mandatory information disclosure,stipulating the content,approach and timing for public hospitals information disclosure.
5.Practice and lessons learnt from building the“surgeon qualification admittance system”
Zhiming DING ; Xiangrong XU ; Jian XU ; Xian ZHANG
Chinese Journal of Hospital Administration 2011;27(12):908-911
An introduction to the practice of introducing the“ surgeon qualification admittance system”in the hospital and a description of its management framework,basic principles,rules of classification for surgical operations,application and approval procedure,and supportive management regulations.The authors hold that this system has normalized behavior of medical activities,clarified operation authorities of medical doctors at various levels,and intensified the awareness of risk exposure.Therefore this system can safeguard the quality and safety of surgical operations and its efficiency to a great extent,in addition to better building the team and backup forces.
6.Study on the practicality of building a performance evaluation system in Beijing Chao-Yang Hospital
Aiping HUANG ; Bing LIU ; Ping TIAN ; Peng LI ; Guosheng FENG
Chinese Journal of Hospital Administration 2011;27(12):898-901
The paper introduced the hospital's attempt to build a scientific and practical set of performance evaluation system based on KPI.The system determines the quantitative indicators for the efficiency and performance of each department,and effectively helps accomplish common objectives of the hospital and its departments,playing a key role in the sustaimble development of the hospital.
7.Insight and inquiry for the corporate governance reform of public hospitals in Weifang
Jin HUANG ; Hongcai ZHANG ; Xiaogang GUO ; Jian HAN
Chinese Journal of Hospital Administration 2011;27(12):893-895
An introduction to general guidelines and practices of reforming the corporate governance of public hospitals in Weifang,Shandong province.Such guidelines and practices include the following:set up a government hospital administration,and clarify the rights and responsibilities of public hospital owners; clarify the independent status of legal person of the hospital to revitalize it; improve the check and balance mechanism to ensure its effectiveness and order.Such a reform has streamlined the management framework of public hospitals,and mobilized incentives of both the director and the staff,further enhancing the public benefit characteristics of the hospitals and satisfying the patients.
8.Feasibility of introducing corporate governance in public hospitals
Zheng WANG ; Yan ZHU ; Shenglai ZHOU ; Lei XUE
Chinese Journal of Hospital Administration 2011;27(12):886-890
The paper probed into corporate governance and the feasibility of introducing corporate governance into China' s public hospitals based on the principal-agent theory and successful experiences of overseas hospitals.It also described the incentive and restriction mechanism of such governance.The authors proposed such key factors as evolution in property right/shareholding relationship,organization structure of introducing corporate governance,appropriate supervision,sufficient competition,and perfecting corporate governance mechanism.
9.Implications of corporate governance of public hospitals in China
Chinese Journal of Hospital Administration 2011;27(12):881-885
Based on an analysis of the positioning of public hospitals and the significance of their corporate governance,the authors hold that the present corporate governance of China's public hospitals is at its startup stage.They believe that such governance is the basis to build contemporary hospital management system,yet it is not a solution for all problems confronting these hospitals.Furthermore,progress of the governance requires further optimization of the political ecology.These studies aim at providing theoretical and policy support for the ongoing reform trials of public hospitals.
10."Establishment and evaluation of ""high-quality nursing practice area"" in emergency and outpatient department"
Yibing SI ; Rong ZOU ; Yue ZHAO
Chinese Journal of Hospital Administration 2012;28(1):60-62
Based on JCI standard,conduct nursing practice area activities themed as the Warmness,Safe and Painless in the emergency department and outpatient department,deepen the connotation of nursing service.Use PDCA to achieve improvement simultaneously.In all these ways,we improved nursing quality,decreased sentinel event and increased satisfactory rate of the patients,enhance the nursing staff 's overall image,promote harmonious relations between nurses and patients.