Evaluation of the China Healthcare Improvement Initiative(2018-2020) in tertiary public hospitals in China: results of institutional survey
10.3760/cma.j.cn111325-20210510-00410
- VernacularTitle:我国三级公立医院改善医疗服务评估的机构调查结果：2018—2020年
- Author:
Jinhong ZHAO
1
;
Linlin HU
;
Bing QIN
;
Yu′ou ZHANG
;
Runnan YAN
;
Linghe YANG
;
Meicen LIU
;
Yuanli LIU
Author Information
1. 北京协和医学院卫生健康管理政策学院 100730
- Keywords:
China Healthcare Improvement Initiative;
Tertiary public hospitals;
Effect;
Evaluation;
Questionnaires
- From:
Chinese Journal of Hospital Administration
2021;37(6):450-454
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the implementation of the China Healthcare Improvement Initiative(CHII)from 2018 to 2020 in 143 tertiary public hospitals in China.Methods:In March 2019 and from January to March in 2021, 143 tertiary public hospitals in 31 provinces of China were investigated using the unified " medical institution questionnaire Ⅰ" and " medical institution Questionnaire Ⅱ" . The data were collected by means of hospital self-report and expert on-site scoring. Descriptive and inferential statistical analysis were used to analyze the data, and the data of two cross-sectional surveys were compared and analyzed.Results:The average score rate of implementing CHII in 143 sample hospitals in 2020 was 88.9%, which was higher than that in 2018(84.4%). The appointment diagnosis and treatment system, clinical pathway management system, day service, smart hospital and humanistic service were significantly improved. In 2020, the average score rate of logistics service, high quality nursing service and clinical pathway management system was higher than 95%, while the average score rate of day service, telemedicine system and medical social work system was lower than 85%. The total score rate of general hospitals was significantly higher than that of specialized hospitals( P<0.001). In 2020, the proportion of hospitals with full marks in 29 secondary indicators(74.4%)was more than 80%, reaching the standard level. Conclusions:The implementation level of CHII in tertiary public hospitals in China has been improved continuously and made significant progress, but some dimensions and indicators need to be further improved.
