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Survey of the three specialist medical practices including neurosurgery in Shanghai

Ge LI ; Xiaohong CAO ; Wei WANG ; Yajie ZHU ; Lida LI

Chinese Journal of Hospital Administration.2010;26(5):382-386. doi:10.3760/cma.j.issn.1000-6672.2010.05.023

Objective To probe into the medical practicing of neurosurgery, thoracic surgery, and cardiac and great vessels surgery in Shanghai, discovering measures and suggestions for improvement Methods Such methods as onsite inspection and questionnaires were called into play to study the practice of neurosurgery, thoracic surgery, and cardiac and great vessels surgery in 68 secondary and tertiary hospitals. Results Such three disciplines in the 68 hospitals have in total 3288 beds, 1142 medical practitioners, 19 assistant medical practitioners, and 1983 nurses. In 10 of the 68 hospitals, the medical space for these disciplines is non-standard; In 3 hospitals, personnel use is non-standard in general; 8% of the medical records are incompliant in generals 15% of the prescriptions are incompliant in general. Conclusion Medical practicing of neurosurgery, thoracic surgery, and cardiac and great vessels surgery in Shanghai is found to be legally compliant in general. However, there exist defects in medical space, personnel use, as well as medical records and prescriptions. In this regard, enhanced management and inspection are recommended.

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Masterminding and implementing clinical nursing quality uplift

Yaping LIU ; Jun DONG ; Li MA

Chinese Journal of Hospital Administration.2010;26(5):325-329. doi:10.3760/cma.j.issn.1000-6672.2010.05.002

A sophisticated effort is made to uplift the clinical nursing quality in hospitals, which aims at improving hospital nursing quality by means of enhancing the management functionality of the nursing department, enhancing nursing systems, implementing clinical paths, and quality service campaigns. These efforts are designed to effectively improve hospital nursing quality.

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Case comparison study of the compliance influencing factors for colorectal cancer screening among residents in urban communities

Changgui CHEN ; Tao ZHANG ; Yi WU ; Jian HUANG

Chinese Journal of Hospital Administration.2010;26(4):311-314. doi:10.3760/cma.j.issn.1000-6672.2010.04.028

Objective To identify the compliance and influencing factors of colorectal cancer screening among urban communities. Methods People in urban communities are categorized as the case group, comparison group A and comparison group B, according to whether they receive questionnaire survey, FOBT test, intestine mirror, and different follow-up results in this screening test Results No significant differences (P>0.05) are found among people from different groups. In the survey for screening related knowledge, understanding of such knowledge is significantly higher than the comparison group(P>0.01), and the knowledge of comparison group A is higher than that of comparison group B. Conclusion The higher their knowledge in screening, the higher their compliance for screening.

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Community health committee: A mechanism innovation of public participation in grassroots health service management

Chi ZHOU ; Xudong ZHOU ; Minmin JIANG ; Weihang MA ; Kaihang ZHENG ; Weixing ZHU ; Hesketh THERESE ; Lu LI

Chinese Journal of Hospital Administration.2010;26(4):286-289. doi:10.3760/cma.j.issn.1000-6672.2010.04.017

Community Health Committee (CHC), an innovative public participation mechanism of grassroots health service management, established a bottom-up communication channel between the public and government to communicate health related problems and opinions, and set up a grassroots community health services supervision system. The rural residents were endowed with opportunities to take part in grassroots health care decision making and management by CHC. CHC changed the top-down model of traditional health management, improved the grassroots medical services, and increased governance capability of local government We introduced the CHC practice in Zhejiang project counties, exhibited the primary effects and experience of this pilot program, and explored new mechanism and model for rural community residents to participate in grassroots health service management

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Analysis of medical disputes in the emergency department of the hospital in a decade

Zudong SHI ; Aiping JI ; Qin YU

Chinese Journal of Hospital Administration.2010;26(4):281-284. doi:10.3760/cma.j.issn.1000-6672.2010.04.015

Emergency departments of hospitals are exposed to risks of patient complaints and disputes, and the emergency department of a stomatology hospital is no exception. Medical disputes at the emergency department of Peking University Stomatology Hospital, as registered at the department of medical affairs of the hospital in the past ten years, are analyzed with statistical processing. The results are used in studying characteristics of medical disputes frequently found in stomatology emergency cases, for references and recommendations on prevention and avoidance of such disputes in future.

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An analysis of characteristic occupational stressors for medical staff in general hospitals

Xiangping WANG ; Lei HUA ; Hongdong BAI ; Xiaoyan WANG ; Mingxiao WANG ; Bei HE ; Xiuming XI ; Bin XIN ; Zhe TANG ; Lijie ZHAO ; Hua XING ; Youqin LIU ; Zhuo WANG ; Huixin QIAN ; Jianmin WANG

Chinese Journal of Hospital Administration.2010;26(4):257-262. doi:10.3760/cma.j.issn.1000-6672.2010.04.006

Objective To explore the status, characteristics and factors in relation to occupational stress for medical staffs in tertiary general hospitals. Methods A total of 2460 medical staff were sampled in five tertiary general hospitals in Beijing, with their occupational stress levels evaluated with the Occupational Stress Inventory. Results The top ten stressors as found ranked as heavy duty, high risk exposure, high workload, low wages, setbacks in the health care management system, insufficient staffing, excessively frequent inspections and examinations, strained doctor-patient relationship, price inflation, frequent overtime, and pressure from continuous learning. Occupational stress is seen as moderate and above by 95.2% of the surveyed. Differences in age, gender, marital status, professional title, education, work experience, as well as those of different organizations, departments, professions, and duty were found to be statistically significant in regard of professional stress. Conclusions Stress management should be in place targeting demographic and stress characteristics. Effective measures are recommended to alleviate the pressure on medical staff, in order to maintain their physical and mental health, hence improving their work efficiency and organizational cohesion.

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Discussions of the hospital evaluation pattern in the "Peri-evaluation" theory

Tingfang LIU

Chinese Journal of Hospital Administration.2010;26(4):250-254. doi:10.3760/cma.j.issn.1000-6672.2010.04.004

The "Peri-evaluation" hospital evaluation theory comes into being based on a review of the traditional hospital evaluation patterns in China, and the reference of advanced international experiences of hospital evaluation. This theory is already applied to the evaluation and care quality supervision of hospitals in Hainan, On such basis, a "third-party" hospital evaluation management mechanism and "Peri-evaluation" hospital evaluation pattern have been worked out Such mechanism and pattern will prove inspirational for the pending hospital evaluation in China.

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On Key issues of Public Hospitals Reform

Haichao LEI ; Guang SHI ; Ying WU ; Hongli NIU ; Xiao WEI ; Xiaoyuan ZHOU ; Zhongyuan LI ; Chunyan XIE

Chinese Journal of Hospital Administration.2010;26(4):241-243. doi:10.3760/cma.j.issn.1000-6672.2010.04.001

Public hospital reform pilots have been initiated recently and it is necessary to clarify some key issues. To this end, thispaper touches upon six fundamental issues, discussing the generality and value for the existence of public hospitals, differences between reforms of public hospital and those of state-owned enterprise, the public financing for and regulation on public hospitals, relationship with the private sector, as well as service and function positioning of public hospitals.

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Five revisions of the Japanese Medical Care Act and hospital management

Kai MENG ; Ling ZHANG

Chinese Journal of Hospital Administration.2010;26(5):397-400. doi:10.3760/cma.j.issn.1000-6672.2010.05.029

The Medical Care Act of Japan has undergone five major revisions since it went into effect in 1947. Each revision has been designed to target and tackle main problems found in the medical and health sector in the country. These problems range from the making of regional healthcare plans to the establishment of the hospital with specific functions, from the division of rehabilitation beds to the establishment of nursing insurance scheme, from the birth of medical corporations to the establishment of social medical corporations, and from strengthening of non-profit nature of medical institutions to the construction of medical information system. These efforts were made to provide a safe and convenient health service for the Japanese people. These revisions are closely related to hospital management, and its experiences prove useful for the health reform in China.

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Medical waste management in the hospital

Huiqing CHEN ; Fengge LIU

Chinese Journal of Hospital Administration.2010;26(2):147-148. doi:10.3760/cma.j.issn.1000-6672.2010.02.022

Enhanced management of the entire process of medical wastes, ranging from sorting collection, delivery, transport to temporary storage: compilation of the computerized management system for medical wastes: development of quality control inspection standards for medical wastes: all-staff training for the awareness of legal compliance for medical wastes, prevention of medical wastes from jeopardizing both human being and the environment.

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