Objective To establish an assessment model of financial risk exposure for the county-levelpublic hospitals in Inner Mongolia Autonomous Region,which can be used to assess the risk exposure of the hospital in question,and as decision making reference for their financial management and risk prevention and control.Methods Using indicators standardized methods and entropy method to process 1 5 financial indicators (quantitative indicators and qualitative indicators )for the 20 public hospitals,and using the gray clustering method to assess financial risk exposure.Results 70% of the county-level public hospitals are faced with less financial risks,while four of them need to pay close attention,and two have large loopholes pending solution.Conclusions Entropy-Gray clustering methods can complement each other,as found in the study.This study proves its significance,and health authorities should establish their long-term financial risk control mechanisms.

Objective:To explore the perceived differences of medical staff in the hierarchical diagnosis and treatment effectiveness of telemedicine from the perspective of supply and demand, as well as the moderating effects in their respective regions, in order to provide reference for the integrated development of telemedicine services and hierarchical diagnosis and treatment.Methods:From June to September 2023, a survey was conducted on the current status and effectiveness of telemedicine services among medical staff from 245 hospitals in 27 provinces. Using non participants as the reference group, an ordered probit model was used to explore the differences in perception of the hierarchical diagnosis and treatment effectiveness of telemedicine services among medical staff who only served as suppliers, only as demanders, and simultaneously as suppliers/demanders; Using the region as a moderating variable, explore the perceived differences among medical staff in different regions.Results:A total of 997 valid questionnaires were obtained. Medical staff who only served as the demanders ( β=0.197, P<0.05) and simultaneously served as suppliers/demanders ( β=0.189, P<0.01) thought that the implementation of telemedicine could significantly improve the effectiveness of hierarchical diagnosis and treatment, while those who only served as the suppliers thought that the implementation of telemedicine did not significantly improve the effectiveness of hierarchical diagnosis and treatment ( β=-0.028, P>0.05). With the eastern region, medical staff in the central and western regions believed that providing telemedicine services simultaneously as suppliers/demanders could better improve the effectiveness of hierarchical diagnosis and treatment ( β=-0.324, P<0.05). Conclusions:The role and location of medical staff involved in telemedicine services could lead to differences in their perception of hierarchical diagnosis and treatment effectiveness.

Objective:To evaluate the effectiveness of the new operation mechanism of public hospitals in Sanming, so as to provide a theoretical basis for the sustainable development of the new operation mechanism for public hospitals.Methods:The data on medical income and patient costs of public hospitals in Sanming and the whole country from 2011 to 2021 were selected, structural variation analysis was used to analyze and compare the changes in the structure of medical income of public hospitals in Sanming City and the whole country, and descriptive analysis was carried out on the patient burden costs, in order to validate the effect of the new operation mechanism for public hospitals in Sanming.Results:From 2012 to 2021, the cumulative values of structure variation in medical service revenue and drug/consumable revenue of public hospitals in Sanming City were 29.58% and -32.29% respectively, better than the national figures of -0.95% and -0.68%; the annual contribution rate of structural variation in the medical service revenue and drug/consumable revenue of public hospitals in Sanming were 78.10% on average, higher than the national figure of 49.43%. From 2011 to 2021, the average increase in the average outpatient and emergency care costs per patient in public hospitals in Sanming was 4.35%, lower than the national average of 5.97%; the average increase in the average inpatient costs per patient was 3.91%, lower than the national average of 5.40%.Conclusions:The new mechanism for the operation of public hospitals in Sanming is effective and sustainable under certain policy conditions.

The rapid development of urbanization has led to the realistic demand for the reconstruction of rural medical and health service system. This paper systematically reviewed the rise and changes of rural doctor system, selected Sanming as the experimental sample for reconstruction, and extracted and summarized the " sharing rural doctor" mode. This mode is suitable for administrative villages with a small population under urbanization development. After focusing on service accessibility(service radius, transportation convenience), adjacent administrative villages share village doctors. At the same time, township health centers extend their services through regular visits, dispatching, and other forms to ensure the quality of basic medical and health services. It was found that the key factor of reconstruction rural medical and health service system lied in the three-dimensional reconstruction of goal, structure and form, and the core procedure of reconstruction was to establish the service delivery system of prevention, treatment, health and management. According to the experimental results, this mode has achieved performance improvement at both individual and organizational levels. The mode of Sanming has great reference value for the high-quality development and service mode reconstruction of rural medical and health service system under the background of urbanization.

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff's perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital's discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff's perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital's discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff's perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital's discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff's perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital's discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff's perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital's discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff's perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital's discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.