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Discussion of the governance and administration separation reform of public hospitals in China

Chinese Journal of Hospital Administration.2014;30(11):812-815. doi:10.3760/cma.j.issn.1000-6672.2014.11.004

Focusing on the efforts on governance and administration separation made in Shanghai,Beijing,Wuxi and Zhenjiang,the paper discussed how to evaluate and how to practice such a reform at public hospitals.Authors tried to define and classify the reform and summarize the functions and roles of the hospitals,offering insights for further reforms.

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Management of key diseases at emergency department of general hospitals

Yang LI ; Qing SHAN ; Kejie MA ; Houming QIAN

Chinese Journal of Hospital Administration.2014;30(11):832-834. doi:10.3760/cma.j.issn.1000-6672.2014.11.010

This paper analyzed the main problems confronting support-type emergency management in general hospitals,introduced the experience and effect to strengthen the management of emergency key diseases in the hospital.The efficiency and success can be improved by implementation of institutionalized and routing management,emergency plan management based on the key diseases and strengthening the information construction and management.

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Exploration of air medicine system and its operation

Qing ZHANG ; Jinnian LI

Chinese Journal of Hospital Administration.2014;30(11):846-848. doi:10.3760/cma.j.issn.1000-6672.2014.11.015

This paper introduced the importance of the air medicine system,and features and advantages of its development in the USA,Switzerland and Germany,and China's status quo.In view of the slow development of air medicine,imbalanced development and different operation models of air medicine systems in localities,and different models of emergency medicine services in the country,the paper proposed to build a model of government guidance and business operation as support for air medicine against emergency events,providing air ambulance service; to build an air medicine system featuring both public welfare and business operation,reasonable layout,timely response,and efficient operation,which will enhance the overall capacity of air medicine.

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Establishment and evaluation of employee satisfaction indicator system of NHS and its significance to China

Jian DING

Chinese Journal of Hospital Administration.2014;30(11):874-877. doi:10.3760/cma.j.issn.1000-6672.2014.11.026

The paper introduced the framework of the employee satisfaction indicator system of NHS hospitals,and summarized its difference with the equipment system in China,proposing Chinese hospitals to prioritize the synergy of staff development and hospital development,as well as its consistence between the indicator system building and health policies; emphasis of employ service,employee incentive mechanism,reform and innovation,making employee satisfaction a key strategic tool for performance improvement.

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Exploration on the use of mobile Internet technology for hospital outpatient services optimization

Mei CUI ; Fengru LI ; Qiuqiao WANG ; Peina SHI ; Jie CHEN ; Qian LI ; Jian ZHANG

Chinese Journal of Hospital Administration.2014;30(12):902-904. doi:10.3760/cma.j.issn.1000-6672.2014.12.007

Outpatient service constitutes a key part of hospital services.In an effort to optimize services plagued by the too long waiting time in registration,payment and drug dispensary,and the too short time in seeing doctors,Beijing Friendship Hospital introduced mobile Intemet technology into hospital outpatient services.Such measures as mobile payment,and realtime push of the information of patients waiting were adopted to help with outpatients waiting at home,minimize outpatients' movement,queuing and waiting.Simplified service process and higher service efficiency proved effective in winning higher outpatient satisfaction as a result.

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A preliminary study on the operation of a Taizhou TCM medical group

Fuchun CHEN ; Min WANG ; Rongfei YE

Chinese Journal of Hospital Administration.2015;31(1):21-24. doi:10.3760/cma.j.issn.1000-6672.2015.01.007

The newly-formed TCM medical group is characteristic of innovative management,diversified medical service provision,integration of medical resources,building of urban/rural medical service systems,promoting medical resources availability to primary care,perfecting hierarchical medical service mechanism,leveraging advantages of traditional Chinese medicine and its primary care capabilities,centralizing human,financial,and material resources management.

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Problems about performance of the essential medicine system based on the Smith-Model

Zhongming CHEN ; Wenqiang YIN ; Jifei ZHENG ; Haiyi JIA ; Xuedan CUI ; Shiliang HU ; Jinwei HU

Chinese Journal of Hospital Administration.2015;31(1):25-28. doi:10.3760/cma.j.issn.1000-6672.2015.01.008

To study performance problems found in China's essential medicine system.The SmithModel of system implementation was called into play in a systematic collation and analysis for the ideal policies,system implementation agencies,target groups and policy environment in its performance,along with relationships among the four factors.The system is found with a number of loopholes as the system itself is highly idealized,its system objectives set inappropriately,problems found with the four factors,and tension and conflicts among these factors.Given these problems found in its performance,it is inappropriate to make drastic changes to avoid instability of the system at its early stage.Government departments in question are advised to comprehensively analyze the four factors and their relationships then taking effective measures to deal with them and the tension,conflict among them.This can ensure effectively implementation of the essential medicine system.

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Considerations on the 5-in-1 social co-governance for drug safety

Yunwu ZHAO ; Heng WANG ; Jingya WU ; Cheng BIAN ; Niannian LI

Chinese Journal of Hospital Administration.2015;31(1):39-41. doi:10.3760/cma.j.issn.1000-6672.2015.01.012

In this consideration,the paper described the imperatives of drug safety,constraints of governance by the government,and advantages of social co-governance,proposing the necessity to establish aFive-in-One (referring to the involvement of the government,enterprises,industry associations,media and the public) drug safety social co-governance.In its analysis of the present dilemma o[drug safety governance,the authors proposed such measures as perfecting legal and institutional system,reforming governmental power allocation mechanism,improving the incentive mechanism,innovating governance means and improving social governance ability,for the purpose of enhancing such a co-governance pattern.

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Design and application of the medical insurance information management platform in the context of global budget

Tao HE ; Kun WANG ; Na WU ; Hongfei SHI ; Minghui QIU ; Jing LIU ; Ying HOU

Chinese Journal of Hospital Administration.2015;31(1):52-54. doi:10.3760/cma.j.issn.1000-6672.2015.01.016

The implementation of the global budget system requires the hospitals to be supported by advanced medical insurance information management systems.The design and application of the medical insurance information management platform at the hospital can optimize management processes,improve the management level,save management costs,establish database,and promote the development of medical insurance.

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Study of negotiation mechanism at designated hospitals at provincial level for catastrophic diseases

Huiqiu LUO ; Yao PAN ; Cong LI ; Shude WU ; Shanquan CHEN ; Yunfei LI ; Li XIANG

Chinese Journal of Hospital Administration.2015;31(1):65-69. doi:10.3760/cma.j.issn.1000-6672.2015.01.020

Stakeholder theory and game theory were applied to analyze the stakeholders,role definition,participation,interest,power,position and the shift of positions under different conditions in the negotiation.Use SPSS 17.0 to analyze the database of NCMS in 2009～2010 in three counties of Hubei province,and then employ Linear programming method to do a case study of price negotiation.It is difficult to meet all stakeholders' expectations under the current condition of catastrophic disease insurance pooled at municipal-level.Medical cost differences in tertiary hospitals at provincial level are small for different regions,which constitute a basis for price negotiation at provincial level.Besides,the negotiation at province level can effectively address the conflicts of interest,and promote the negotiations.Negotiation at provincial level for such diseases,and formulating unified pricing standards for multi-wins.

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