Study on quality improvement in organisational structure and management model of integrated community child health services
10.3760/cma.j.cn114798-20240530-00504
- VernacularTitle:社区儿童健康综合服务体组织架构与管理模式的质量改进研究
- Author:
Yaoyuan ZHANG
1
;
Yili DAI
;
Tianyu WANG
;
Zhenyuan SHEN
;
Hongmei HUAN
;
Fulai SHEN
;
Yu FENG
;
Jiaoyu LIU
Author Information
1. 上海市闵行区古美社区卫生服务中心，上海 201102
- Keywords:
Community health centers;
Integrated children′s health services;
Organisational structure;
Management model;
Quality improvement
- From:
Chinese Journal of General Practitioners
2024;23(12):1270-1275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the quality improvement in the organization structure and management model of the integrated community child health services.Methods:This was a qualitative study, including two parts: cause analysis and service improvement suggestions. In the analysis part the data mining was conducted to identify valuable patterns and relationships in the comprehensive child health services. Semi-structured interviews were conducted with 12 relevant department heads and health workers of the comprehensive child health service team at Gumei Community Health Service Center in December 2023, and the causes of the key problems were explored. In the service improvement part, focus group discussions were held to propose suggestions, then improvement measures were formulated to address the identified problems.Results:Through data mining and semi-structured interviews, the key problems were identified: information isolation among multiple departments and lack of coordination mechanism in the comprehensive child health service team. A team organizational structure based on the "three definite" principle was established. The organizational structure should include the pediatric family doctor team, general practitioner management team and departments of pediatrics, maternal and child health care, immunization and child rehabilitation; the management model should include a cross-department resource and information sharing mechanism, the pediatric family doctor model, optimization and integration of physical space, and enhancement of publicity activities for the comprehensive child health services.Conclusion:Based on the analysis in Gumei health service center, this study identified key problems in community integrated child health services, and proposes the quality improvement measure in the organizational structure and management model of the service team.
