1.Implementation Strategy and Thinking of Clinical Diagnostic Operations Management Based on Closed-loop Management Model
Shaowei WU ; Shixiao XIA ; Chao YANG ; Bin LV ; Zhe HE ; Yesheng WANG ; Yuxiong WENG ; Jiahong XIA
Chinese Hospital Management 2025;45(3):60-62
Refinement and standardisation of the management of clinical diagnostic and treatment operations is a key aspect of achieving high-quality development in hospitals.By analysing the management status quo of clinical diagnosis and treatment operations in hospitals,it combed the problems existing in this field.Based on the closed-loop management model,it proposed measures and recommendations to promote the continuous optimisation of the management of clinical diagnostic operations in hospitals.Hospitals should establish hospital-level operation catalog and conduct classified management,authorize operators and dynamically adjust them,carry out operation quality management,pay attention to information management of operation management,and combine operation management with physician performance management.
2.Implementation Strategy and Thinking of Clinical Diagnostic Operations Management Based on Closed-loop Management Model
Shaowei WU ; Shixiao XIA ; Chao YANG ; Bin LV ; Zhe HE ; Yesheng WANG ; Yuxiong WENG ; Jiahong XIA
Chinese Hospital Management 2025;45(3):60-62
Refinement and standardisation of the management of clinical diagnostic and treatment operations is a key aspect of achieving high-quality development in hospitals.By analysing the management status quo of clinical diagnosis and treatment operations in hospitals,it combed the problems existing in this field.Based on the closed-loop management model,it proposed measures and recommendations to promote the continuous optimisation of the management of clinical diagnostic operations in hospitals.Hospitals should establish hospital-level operation catalog and conduct classified management,authorize operators and dynamically adjust them,carry out operation quality management,pay attention to information management of operation management,and combine operation management with physician performance management.
3.Influence of physicians′ educational origin structure on the discipline development of university-affiliated hospitals and the improvement practices
Yuren XU ; Lijuan WANG ; Ziyue CHEN ; Kai HUANG ; Jiahong XIA ; Yu HU ; Yu ZHANG ; Kailin CAI
Chinese Journal of Hospital Administration 2024;40(10):813-816
The problem of single educational origin structure generally existed in affiliated hospitals of universities, which could not only affect the academic vitality and scientific research innovation ability of the hospital, but also may lead to restricted discipline development. Through measures such as reforming the hospital-retention policy, expanding recruitment channels, strengthening talent cultivation and formulating supporting policies, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology has successfully increased the proportion of doctors graduated from other hospitals, promoted the diversification of educational origin structure. The author suggested that affiliated hospitals of universities should establish a diversified human resources allocation system during the recruitment stage, give support policies to employees graduated from other hospitals, pay attention to the balanced development of sub-specialties, and expand the educational origin of existing employees, so as to promote the healthy development of clinical disciplines.
4.Practice of medical team assessment in a hospital under the background of high-quality development of public hospitals
Zhe HE ; Yuxiong WENG ; Jiahong XIA ; Chao YANG ; Lixia WANG ; Sai HU ; Li WEI ; Shaowei WU
Chinese Journal of Hospital Administration 2024;40(12):943-947
The medical teams assessment under the chief physician responsibility system is conducive to promoting the high-quality development and refined management of public hospitals. In October 2022, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology carried out the practice of medical team assessment, including five dimensions of service ability, service efficiency, technical ability, cost control and quality and safety. By setting the assessment indicators and their weights for each medical team in a classified manner, clarifying the implementation methods of the assessment, and rationally applying the assessment results, initial achievements had been made. In 2022, the number of medical teams, case mix index, proportion of effective medical service income, and proportion of discharged patients undergoing surgery in the hospital were 395, 1.63, 28.93%, and 31.60%, respectively. By 2023, these data increased to 447, 1.92, 30.74%, and 32.47%. The average length of stay and the intensity of antibiotic use decreased from 7.3 days and 35.15 to 6.4 days and 35.15. This medical team assessment helped enhance the hospital′s medical service capacity, improved the structure of medical income, and improved medical quality, providing references for other public hospitals to carry out medical team assessment.
5.Research on Difficulties and Strategies for the Use and Management of Medical Insurance Funds from the Perspective of Hospital
Ning DING ; Yidan ZHANG ; Jiahong XIA ; Ming ZHANG ; Dong XU
Chinese Hospital Management 2024;44(8):68-71
It provides a concise overview of the special rectification and daily supervision policies and measures of medical insurance since the establishment of the National Healthcare Security Administration,studies changes in medical insurance supervision fields,supervision methods,and supervision contents,and focuses on analyzing the impact of new changes in medical insurance supervision on the internal management of hospitals.Based on the practice of Union Hospital of Tongji Medical College of Huazhong University of Science and Technology,it introduces the hospital from the key areas,key departments and key mechanisms to actively respond to the above new changes in supervision,standardize the use of medical insurance fund internal management measures and their effectiveness.
6.Analysis of Research Status on Performance Assessment of Tertiary Public Hospitals Based on VOSviewer
Li WEI ; Huihui CHEN ; Jiahong XIA ; Yi-Xiang PENG ; Dong XU ; Ming ZHANG ; Ning DING ; Yidan ZHANG ; Wen CHEN ; Chang'e XIONG
Chinese Hospital Management 2024;44(9):1-4
Objective To analyze the current research status and hotspot issues of performance assessment in tertia-ry public hospitals in China,providing reference for subsequent research and practice.Methods Using"performance assessment of tertiary public hospitals"as the main keyword,a total of 520 articles were retrieved from the CNKI ac-ademic journal database from January 30,2019,to January 30,2024.After further screening of literature based on the inclusion and exclusion criteria,a total of 364 eligible articles were obtained.Visual analysis was conducted using the VOSviewer tool.Results The number of publications increased annually from 2019 to 2021,with a decline ob-served in 2022-2023."Chinese Journal of Health"published the most articles on performance assessment in tertiary public hospitals.Research institutions mainly focused on universities,health administrative departments,and hospi-tals.The hotspot clusters of research included performance assessment,public hospitals,target management,high-quality development,tertiary hospitals,and operational efficiency.Conclusion Performance assessment in tertia-ry public hospitals has received widespread attention,with rich connotations and obvious guiding effects,but further research is needed to deepen and explore related topics.
7.An Exploration of Optimization Strategies for Performance Evaluation of Tertiary Public Hospitals from the Perspective of Systems Thinking
Ming ZHANG ; Yu HU ; Jiahong XIA ; Dong XU
Chinese Hospital Management 2024;44(9):5-8
The performance evaluation of tertiary public hospitals is a major measure to promote the high-quality development of public hospitals and contribute to the construction of Healthy China.In advancing performance evalua-tion,public hospitals face various challenges,including differing policies and economic levels across provinces,a need to optimize the indicator system,and internal issues such as varied discipline structures,uneven emphasis on different factors,untimely internal performance linkage,and lagging informatization.Based on a systematic perspec-tive,it proposes countermeasures and suggestions such as strengthening policy coordination,optimizing the indica-tor system,enhancing top-level design,increasing employee awareness,intensifying compensation guidance,and accelerating informatization construction.
8.Research on Difficulties and Strategies for the Use and Management of Medical Insurance Funds from the Perspective of Hospital
Ning DING ; Yidan ZHANG ; Jiahong XIA ; Ming ZHANG ; Dong XU
Chinese Hospital Management 2024;44(8):68-71
It provides a concise overview of the special rectification and daily supervision policies and measures of medical insurance since the establishment of the National Healthcare Security Administration,studies changes in medical insurance supervision fields,supervision methods,and supervision contents,and focuses on analyzing the impact of new changes in medical insurance supervision on the internal management of hospitals.Based on the practice of Union Hospital of Tongji Medical College of Huazhong University of Science and Technology,it introduces the hospital from the key areas,key departments and key mechanisms to actively respond to the above new changes in supervision,standardize the use of medical insurance fund internal management measures and their effectiveness.
9.Analysis of Research Status on Performance Assessment of Tertiary Public Hospitals Based on VOSviewer
Li WEI ; Huihui CHEN ; Jiahong XIA ; Yi-Xiang PENG ; Dong XU ; Ming ZHANG ; Ning DING ; Yidan ZHANG ; Wen CHEN ; Chang'e XIONG
Chinese Hospital Management 2024;44(9):1-4
Objective To analyze the current research status and hotspot issues of performance assessment in tertia-ry public hospitals in China,providing reference for subsequent research and practice.Methods Using"performance assessment of tertiary public hospitals"as the main keyword,a total of 520 articles were retrieved from the CNKI ac-ademic journal database from January 30,2019,to January 30,2024.After further screening of literature based on the inclusion and exclusion criteria,a total of 364 eligible articles were obtained.Visual analysis was conducted using the VOSviewer tool.Results The number of publications increased annually from 2019 to 2021,with a decline ob-served in 2022-2023."Chinese Journal of Health"published the most articles on performance assessment in tertiary public hospitals.Research institutions mainly focused on universities,health administrative departments,and hospi-tals.The hotspot clusters of research included performance assessment,public hospitals,target management,high-quality development,tertiary hospitals,and operational efficiency.Conclusion Performance assessment in tertia-ry public hospitals has received widespread attention,with rich connotations and obvious guiding effects,but further research is needed to deepen and explore related topics.
10.An Exploration of Optimization Strategies for Performance Evaluation of Tertiary Public Hospitals from the Perspective of Systems Thinking
Ming ZHANG ; Yu HU ; Jiahong XIA ; Dong XU
Chinese Hospital Management 2024;44(9):5-8
The performance evaluation of tertiary public hospitals is a major measure to promote the high-quality development of public hospitals and contribute to the construction of Healthy China.In advancing performance evalua-tion,public hospitals face various challenges,including differing policies and economic levels across provinces,a need to optimize the indicator system,and internal issues such as varied discipline structures,uneven emphasis on different factors,untimely internal performance linkage,and lagging informatization.Based on a systematic perspec-tive,it proposes countermeasures and suggestions such as strengthening policy coordination,optimizing the indica-tor system,enhancing top-level design,increasing employee awareness,intensifying compensation guidance,and accelerating informatization construction.

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