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Measures Selection and Contents Selection of American Physician Information Publication Reporting

Chinese Hospital Management.2017;37(5):78-80.

Physician quality information public reporting can help consumer selection,improve physician performance,and ease the patient-doctor disputes.As well,the selection and evaluating methods for public reporting quality measures have a significant effect in the value and social identity of public reporting.The paper introduced the content of doctor information publication,including patients' safety,diabetes,heart disease,preventing disease and the process of measures selection for public reporting.The paper proposed the multielement and regular publication content,the best publication quality index formulated by multichannel and interest group cooperation,stability and scientificness of test index before publication and the selection measurement of comprehensive index of disease module to provide evidence-based doctor quality information in China.

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Systematic Review of the Effect of Clinical Application of Three-dimensional Printing Technology in Orthopedics

Chenguang MA ; Ying JI ; Di XUE

Chinese Hospital Management.2017;37(5):35-38.

Objective To assess the effect of clinical application of three-dimensional printing technology (3D printing) in Orthopedics.Methods Comparing the effect of clinical application of three-dimensional printing technology with traditional Standardized technology,through using a systematic review and Meta Analysis.Results Meta analysis of 25 studies included in the research showed that application of 3D printing reduced operation time by 26 minutes,decreased intraoperative blood loss by 77 ml,and increased accuracy rate or success rate of screw implanting(increased by 2.10 times compared with tradit onal standardized technology).Conclusion The application of 3D printing in Orthopedics has good short-term effect But its deVelopment in clinical application should be cautious.

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Analysis of Family Clustering of Inpatient Service Utilization in Rural Areas of Hubei Province

Yadong NIU ; Liang ZHANG ; Yan ZHANG

Chinese Hospital Management.2017;37(5):27-30.

Objective To analyze family clustering of inpatient service utilization in rural areas of Hubei Province.Method Inpatient service information of all families in rural areas of sample counties was obtained on the basis of New Cooperative Medical System (NCMS) inpatient database;Lorentz curve was drawn by area graph and scatter diagram of Excel 2010,so was Gini coefficient;descriptive statistic,variance analysis and so on were carried by IBM SPSS Statistic 20.0.Result 3％ family takes up 19％ inpatient service,and rural family's Gini coefficient of inpatient service utilization is 0.366;high inpatient service utilization family(HIUF) uses less outpatient service(29.2±26.9) than middle inpatient service utilization family (31.7±23.5).Inpatient member of HIUF used more inpatient service than other families,except the low inpatient service utilization member(NHH9.2＞NMH4,NHM2.4＞NMM2.2＞NLM1.7);HIUF use least time to reach county hospital(tH44.3＜tM44.9＜tL45.2),have more inpatient members than others (NM＞4.5＞NH4.4＞NL3.9).Conclusion Great family clustering of inpatient service utilization exists in rural area,and irrationality exists in some way;more outpatient service utilization may reduce inpatient service utilization.

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Analysis of Family Clustering of Outpatient Service Utilization in Hubei Province

Yan ZHANG ; Yadong NIU ; Liang ZHANG

Chinese Hospital Management.2017;37(5):24-26,30.

Objective To analyze family clustering of outpatient service utilization in rural areas of China.Method Outpatient service information of all families in rural area of sample county was obtained on the basis of new cooperative medical system (NCMS) outpatient database,and family outpatient service utilization database was cleared out with the help of functions like IF,LOOKUP and so on in Excel 2010.Lorentz curve was drawn by area graph and scatter diagram with Excel 2010,so was Gini coefficient.Descriptive statistic,variance analysis and so on were carried by IBM SPSS Statistic 20.0.Result 20％ family takes up 53％ of outpatient service,and rural family's Gini coefficient of outpatient service utilization is 0.516.Members of high outpatient service utilization family (HOUF) used (17.7) more outpatient service than other families (10.4,4.2).HOUF were mainly distributed in towns with high capability of township hospital and low capability of township hospital.Conclusion Great family clustering of outpatient service utilization exists in rural areas.Family homogenization is distinct,in which irrationality exists.The capability of primary medical institutions influences the outpatient service utilization of residents in rural area.

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Importance and Suggestions for Evaluation of Regional Health Service System in China

Jing ZHAO ; Chao HUANG

Chinese Hospital Management.2017;37(5):18-20.

Evaluation of regional health service system can provide guidance for regional health planning,improve the ability of the national macro-control and supervision,and optimize the medical resource allocation.China has yet to establish a set of scientific and comprehensive evaluation index system.Through the introduction of the importance,influence factors and the current methods in evaluation of regional medical service system in US,suggestions are provided for establishing and improving China's evaluation system of regional health service.

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Analysis of the Clinical Research of Three-Dimensional Printing Technology in Orthopedics

Chenguang MA ; Ying JI ; Di XUE

Chinese Hospital Management.2017;37(5):31-32.

Objective To study onclinical researches of 3D printing technology in Orthopedics.Methods Through literature search,107 literatures were included and systematically reviewed,and the status of clinical researches of 3D printing technology in orthopedics was described.Results The clinical researches of 3D printing technology in Orthopedics were mainly focused on males and adults population conducted from 2007 to 2012.3D printing technology frequently used in Orthopedics were reduction and internal fixation,deformity correction,pedicle screw placement,tumor resection,revision and reconstruction,and knee replacement.Conclusion 3D printing technology in Orthopedics is still at an initial stage of clinical development.

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Comparison and Analysis of the Questionnaire Evaluation of Singapore Hospitals and Shanghai Municipal Commission of Health and Family Planning

Jian DING ; Xin YE

Chinese Hospital Management.2016;36(7):29-31.

Through demonstrating the satisfaction evaluation system of Singapore hospitals,the article analyzed the differences between the satisfaction evaluation system of Singapore and the system made by Shanghai Municipal Commission of Health and Family Planning.It was concluded that the humanized evaluation methods should be highlighted,the conformity of establishment of evaluation system and policy be focused on,staff incentive mechanism be focused on and perfected,and patients' expectation indicator and perceived quality be considered as strategic tools to improve the healthcare system performance.

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Practice and Research on Operational Mode of Regional Medical Group

Peiming CAI ; Shaogen GUO ; Qiaoping PENG

Chinese Hospital Management.2016;36(7):16-18.

The reform of public hospital in prefecture-level cities is an important subject which is worth to discuss.The Regional Medical Group of Mindong Hospital in Ningde City,Fujian Province is taken as an example.On the base of the experience of Zhouning and Shouning medical alliance,the system and mechanism are continuously improved.Through improving corporate governance structure,the construction of the six integration,two-way referral mechanism and information construction,the system of public hospital which is goal-oriented,rational layout,refined frameworks,and functionally impeccable is established.Finally,the brand effect and influence of the regional medical group is attempted to be constructed.

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Practice and Exploration of Service Model of Famous Expert Team in Hospital Out-patient Clinics

Yan LIU ; Luo ZHANG ; Qingyu ZHANG

Chinese Hospital Management.2016;36(7):10-12.

In order to deepen the reform of public hospitals,Beijing Tongren Hospital has carried out the pilot effort of famous experts team service model in out-patient,established a new mode of interior hierarchical medical services in the hospital.Through the adjustment of outpatient service process and the change of service model,issues of difficult medical treatment and ticket scalpers were solved.The reform has achieved the optimal utilization of outpatient resources inside the hospital,has been the beneficial exploration and practice of hospital internal hierarchical diagnosis and treatment,truly reflected the hospital service concept of taking the patient as the center,and has laid a solid foundation for the future widely hierarchical diagnosis and treatment mode.

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Exploration of Chinese Medicare Supply Reform Program: the Perspective of Internet+

Yiyi ZHANG ; Zhengang ZHA

Chinese Hospital Management.2016;36(7):1-3.

There is a long path to go on the course of Chinese medical supply reform program.With the development of medicare system,the use of Internet + to promote Chinese medical supply reform program and to provide usefulsolutions to the present medicare problems in China could be very difficult.

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