Major findings from the 4th Evaluation of the National Healthcare Improvement Initiative
10.3760/cma.j.issn.1000-6672.2019.09.001
- VernacularTitle: 全国进一步改善医疗服务行动第四次评估
- Author:
Jing SUN
1
;
Feng JIANG
1
;
Linlin HU
1
;
Yu JIANG
1
;
Jing MA
2
;
Li LUO
3
;
Ying MAO
4
;
Guo ZHANG
5
;
Jinliang HU
6
;
Bingjie SHEN
1
;
Yinuo WU
1
;
Peiwen ZHANG
1
;
Jialin JI
1
;
Ran GUO
1
;
Meicen LIU
1
;
Shichao WU
1
;
Shiyang LIU
1
;
Zijuan WANG
1
;
Yuanli LIU
1
Author Information
1. School of Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
2. Department of Population Medicine, Harvard Medical School, Boston, MA 02215, U. S.A
3. School of Public Health, Fudan University, Shanghai 200032, China
4. School of Public Policy and Management, Xi′an Jiaotong University, Xi′an 710049, China
5. Guangxi Zhuang Autonomous Region People′s Hospital, Nanning 530001, China
6. Sichuan Provincial Hospital, Chengdu 610072, China
- Publication Type:Journal Article
- Keywords:
Healthcare Improvement Initiative;
Third party evaluation;
Hospital Survey;
Doctor-patient satisfaction
- From:
Chinese Journal of Hospital Administration
2019;35(9):705-711
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out the 4th round of third-party evaluation on the implementation and effect of the 1st year of the 2nd Phase National Healthcare Improvement Initiative(abbreviated as Initiative)since 2015.
Methods:The 4th round of the evaluation survey adopted the same methods, organization and execution, and technical roadmap as the former three rounds of evaluations.
Results:The 4th round of evaluation was carried out from 18 March to 9 April, 2019 at 185 public hospitals in 31 provinces(autonomous regions, municipalities directly under the Central Government)and Xinjiang Production and Construction Corps.Facility survey, health professional survey and patient survey were conducted at each of the sample health facilities. A total of 120 782 valid questionnaires were collected from 144 non-psychiatric health facilities, 16 246 valid questionnaires were obtained from 41 psychiatric health facilities, and 252 cases of outstanding departments/hospitals in healthcare improvement were also collected. The average overall scoring of the 12 dimensions to assess Initiative implementation at 144 non-psychiatric health facilities was 84.4%. The overall outpatient satisfaction scoring was 91.1%, 96.7%for the inpatients. The overall inpatient satisfaction(family members inclusive) at 41 psychiatric health facilities was 93%. Areas remaining to be improved include day-surgery, telemedicine and medical social work. Compared with technical services, non-technical care should be further strengthened. The compensation, workload and work environment of the healthcare providers are still to be improved.
Conclusions:The implementation of the Initiative by health facilities has been greatly improved. The percentage of health facilities and patients who had positive perceptions of improved doctor-patient relationship has been increasing. Patient care experiences at public hospitals have been generally improved, and the implementation of promoting traditional Chinese Medicine practices also made progress. However, work satisfaction of healthcare providers was found to be rather low, compared to the high level of patient satisfaction.
