Evaluation and analysis of cross-institutional collaboration models for chronic diseases serv-ices:A survey of medical personnel
10.3969/j.issn.1674-2982.2018.06.008
- VernacularTitle:慢性病服务跨机构协作模式探索及效果评价——基于医务人员的调查
- Author:
Xuan YIN
1
;
Dong-Fu QIAN
;
Xiao-Li GU
;
Run-Qing WANG
Author Information
1. 南京医科大学医政学院 江苏南京 211166
- Keywords:
Chronic disease;
Cross-institutional collaboration;
Intervention experiment
- From:
Chinese Journal of Health Policy
2018;11(6):47-51
- CountryChina
- Language:Chinese
-
Abstract:
Objectives: To compare the changes in effectiveness of cross-institutional collaboration before and after intervention and non-intervention from medical personnel in order to empirically support promoting cross-institu-tional communication, coordination and cooperation modes for chronic diseases services. Methods: The typical sam-pling and multistage random sampling were used to conduct a questionnaire survey among medical personnel at villa-ges, townships and county levels. The Propensity ( Tendency) Scores were used to match the samples of the baseline and the following year of intervention, and the results were statistically analyzed. Results: After one-year of interven-tion, the county-level hospital doctors manifested higher participation while the sense of identity in work decreased;township medical personnel offered patient-centered provision of chronic disease services at higher level, but they re-ceived limited benefits from training attendance; and village medical institutions benefited a lot from the improved health care services and improved the clinic capability from cross-institutional collaboration on chronic diseases serv-ices. Suggestions: At the level of cross-institutional collaboration model policy development, attention should be paid on the work needs of county-level hospital doctors. It is also necessary to improve incentive mechanism and to work out definite and clear procedures and standards of promotion, establish a sound cross-institutional training mechanism and put knowledge into practice thereby encouraging individual development. For ultimate stand-straight, the roles and responsibilities of multi-level institutions in cross-institutional cooperation should be explored from the perspective of continuous chronic disease services.