Assessing Development of Grade-A Tertiary Cancer Hos-pitals Under High-Quality Development Initiatives:a 13 Hospitals Analysis in China from 2020 to 2023
10.11735/j.issn.1004-0242.2025.07.A007
- VernacularTitle:高质量发展视域下三级甲等肿瘤专科医院的发展情况——基于2020-2023年13家医院的数据分析
- Author:
Ji YUAN
1
;
Wenji QIAN
1
;
Yu CHEN
1
;
Yan JIANG
1
Author Information
1. 复旦大学附属肿瘤医院/复旦大学上海医学院肿瘤学系,上海 200032
- Publication Type:Journal Article
- Keywords:
specialized cancer hospital;
grade-A tertiary hospital;
high quality development;
health policy;
generalized estimating equation
- From:
China Cancer
2025;34(7):546-551
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To evaluate the progress and challenges of grade-A tertiary cancer hospitals in China with the implementation of high-quality development.[Methods]The convenience sam-pling method was employed to select 13 grade-A tertiary cancer hospitals in China as the study sites.Data were collected over 4 consecutive years(2020-2023),including 8 indicators across 4 dimensions:number of outpatient visits,inpatient admissions and surgical procedures;average length of hospital stay;open bed capacity;and staff number,physician-to-nurse ratio,and per-centage of senior clinical staff.The changes in annual data before and after the implementation of policies to promote the high-quality development of public hospitals were analyzed using the gene-ralized estimating equations(GEE)statistical method.[Results]Compared with 2020,in 2023,the numbers of outpatient visits(55.47％),inpatient admissions(50.25％)and surgical procedures(46.17％),open bed capacity(10.02％),staff number(13.03％)were significantly increased in 13 hospitals,with a reduction of length of hospital stay(18.98％)(all P＜0.05).However,no significant change was observed in physician-to-nurse ratios or percentages of senior clinical staff during this period(both P＞0.05).[Conclusion]The analysis reveals that from 2020 to 2023,grade-A tertiary cancer hospitals in China have achieved marked improvements in overall service capacity and ser-vice efficiency,with resource allocation progressively shifting from material inputs to talent-focused investments,yielding higher outputs with minimal incremental inputs—a clear indicator of preliminary success in high-quality development.Future initiatives should prioritize workforce structure optimization,increasing nurse staffing levels,and enhancing cultivation of high-quality clinical professionals.
