Analysis on enhancing the service capacity of township hospitals through the construction of county medical community led by traditional Chinese medicine hospital
10.3760/cma.j.cn111325-20240401-00229
- VernacularTitle:中医医院牵头的县域医疗卫生共同体建设对乡镇卫生院服务能力提升的分析
- Author:
Baheti MAIREYI
1
;
Yingting LOU
;
Fengyuan TANG
;
Kaijie LIU
;
Hengjin DONG
Author Information
1. 浙江大学公共卫生学院卫生政策学研究中心 浙江大学医学院附属第四医院科教部，杭州 310058
- Keywords:
County medical community;
Traditional Chinese medicine hospital;
Township hospital;
Service capacity;
Traditional Chinese medicine services
- From:
Chinese Journal of Hospital Administration
2024;40(8):578-584
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the impact of the construction of county medical community led by a traditional Chinese medicine (TCM)hospital on the service capacity of township hospitals, in order to provide empirical evidence for deepening the reform of medical communities, improving the service capacity of township hospitals, and promoting the development of TCM services.Methods:Taking the county medical community led by the TCM Hospital in Mengcheng County, Anhui Province as the research object, and using the structure-process-outcome model to analyze the organizational conditions and the key measures for improving the service capacity of township hospitals, and evaluate the changes in service capacity of township hospitals before and after the construction of the medical community. In August 2023, a semi-structured in-depth interview method was used to interview six key informants on the implementation process, mechanism, and impact of the construction of county medical community on the service capacity improvement of township hospitals. The interview data was analyzed using a thematic framework method. At the same time, based on the Service Capacity of Township Health Centers (2022 Edition), a survey questionnaire was designed and 4 township hospitals was randomly selected to investigate their service capacity in 2015 (before the construction of the county medical community) and 2022 (after the construction of the county medical community), and descriptive analysis was conducted on the questionnaire data. Results:Mengcheng County has established a leading group and council for the construction of the county medical community, which was responsible for coordinating and promoting the construction of the medical community. The county-level leading hospital has gained greater autonomy to promote the optimal allocation of medical resources. Through the analysis of interview data, five key themes for enhancing the service capabilities of township hospitals have been identified: resource allocation and unified management, service integration and path optimization, technical assistance and capacity training, institutional construction and quality control, continuous improvement and regular assessment. The average qualification rate of the service capacity of each township hospital has increased from 71.50% in 2015 to 90.50% in 2022, and the average excellence rate has increased from 46.50% to 72.50%. In 2015, the three indicators related to TCM services, including TCM medical services, TCM health management, and TCM management, did not reach level A in all township hospitals. In 2022, they all reached level A.Conclusions:Through structural optimization and process improvement in the construction of county medical communities, the service capabilities of township hospitals can be enhanced, and TCM hospitals as leading units can effectively improve the chronic disease prevention and health management capabilities of township hospitals.
