Outcomes analysis of the 3rd round evaluation for China′ s tertiary hospitals in Healthcare Improvement Initiative
10.3760/cma.j.issn.1000-6672.2019.04.003
- VernacularTitle:我国三级医院改善医疗服务第三轮评估结果分析
- Author:
Yinuo WU
1
;
Huixuan ZHOU
;
Yang LIU
;
Jie QIAN
;
Linlin HU
;
Yuanli LIU
Author Information
1. 中国医学科学院 北京协和医学院公共卫生学院
- Keywords:
Health services administration;
China Healthcare Improvement Initiative;
Tertiary public hospitals;
Third round;
Third party evaluation
- From:
Chinese Journal of Hospital Administration
2019;35(4):277-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the implementation of Healthcare Improvement Initiative ( the Initiative)by 136 tertiary hospitals nationwide in 2017, and provide reference for improving relevant policies. Methods Hospital questionnaires 1 and 2 were designed, and data were collected by self-report and expert scoring.Descriptive statistics, Mann-Whitney U test, Kruskal-Wallis H(K), and Spearman rank correlation were used for statistical analysis.Results The median score of the first 11 dimensions of these hospitals was 91.89% , and that of the first 12 dimensions of 30 women and children hospitals was 90.54%.The total score rate of the top 11 hospitals in the eastern region was higher than that of both the central region and western region(P<0.001).The total score rate of the first 12 dimensions of women and children′s hospitals in the eastern region was higher than that in the central and western regions(P=0.032).The total score rate of the first 11 dimensions of the national level hospitals was higher than that of the local hospitals ( P =0.004).The correlation coefficient between the total number of patients and the total score of the first 11 dimensions and the first 12 dimensions was 0.578 and 0.413, respectively.Conclusions Implementation of the Initiative is satisfactory in general. There are however still rooms of improvement for hospitals in the central and western regions, and local level hospitals as well. General hospitals are better than TCm and specialist hospitals.The larger the scale, the better the performance in service improvement.
