Third-party evaluation of the China Healthcare Improvement Initiative from 2015 to 2020: findings and suggestions
10.3760/cma.j.cn111325-20210510-00415
- VernacularTitle:"进一步改善医疗服务行动计划"(2015—2020年)：第三方评估结果
- Author:
Linlin HU
1
;
Jing MA
;
Jing SUN
;
Yuanli LIU
Author Information
1. 北京协和医学院卫生健康管理政策学院 100730
- Keywords:
China Healthcare Improvement Initiative;
Third-party evaluation;
Satisfaction;
Survey;
Longitudinal studies
- From:
Chinese Journal of Hospital Administration
2021;37(6):444-449
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the progress and impact of the China Healthcare Improvement Initiative(CHII) from 2015 to 2020, which aimed at improving patients healthcare experiences.Methods:Five rounds of evaluation surveys were conducted from December 2015 to March 2021 among 136-214 tertiary public hospitals. Structured questionnaires to measure hospital actions and performance, satisfaction of patients and medical staff were designed, and the data were collected by the national and provincial survey teams via onsite inspection, face-to-face/telephone interviews and self-administered cellphone APPs respectively. After data cleaning, the results of five round evaluations were analyzed and compared.Results:The sampled hospitals demonstrated high participation rate in the CHII, and their overall performance turned out to be satisfactory. And the patient healthcare experiences consistently improved over the period of CHII. In contrast to the high satisfaction rate with clinical quality of the sampled hospitals, patients were less satisfied with the non-clinical services such as food and supporting services. The job satisfaction of doctors and nurses experienced mild improvements, while the problems of heavy workload, low salary, and poor health were not effectively solved yet.Conclusions:The implementation of CHII from 2015 to 2020 has played a significant role in promoting patient-centered service models in hospitals, but continuous inputs and coordinated efforts are still required in the future. The improvement of non-clinical services still needs to be addressed to further enhance patient satisfaction. The job satisfaction and well-being of doctors and nurses remain at low level, and effective measures need to be taken to maintain the stability of the medical staff.
