1.Research on Equity and Demand Prediction of Health Human Resources Allocation in Chinese Hospitals of Traditional Chinese Medicine in"14th Five-year"Plan Period
Aximu NADIDA ; Yue YIN ; Xiaofan WU ; Lina YAN ; Erdan HUANG ; Zhong WANG
Chinese Hospital Management 2024;44(4):78-82
		                        		
		                        			
		                        			Objective To evaluate the equity of health human resources allocation in traditional Chinese(TCM)hospitals from 2012 to 2021,and forecast the number of various health technicians,so as to provide theoretical basis for the reasonable allocation of health human resources of TCM health service.Methods The data of health personnel in TCM hospitals were collected,and Theil index and clustering degree were used to analyze the equity of health human resource allocation.The grey GM(1,1)model was used to predict the demand of health personnel in TCM hospitals.Results From 2012 to 2021,the health human resources of TCM hospitals in China showed an overall growth trend.According to the analysis of Theil index in each region,the contribution rate of Theil index showed that the difference between regions was the main factor causing the difference in personnel allocation.The concentration degree of TCM hospitals in terms of geographical allocation was eastern region,central region and western region,respectively.Conclusion The expansion of high-quality medical resources and the rational allocation of TCM resources should be promoted.Clear target responsibility,promote fine management,improve the fairness of medical personnel allocation;Based on traditional advantages,broaden training ideas,and effectively build a multi-dimensional training system for TCM talents.
		                        		
		                        		
		                        		
		                        	
2.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
3.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
4.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
5.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
6.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
7.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
8.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
9.Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Yanhong GUO ; Liangying ZHU ; Jian WANG ; Erdan HUANG ; Yanchun ZHANG ; Sheng NONG
Chinese Health Economics 2024;43(7):42-46,58
		                        		
		                        			
		                        			Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.
		                        		
		                        		
		                        		
		                        	
10.Construction and application of the homogenous evaluation index system for public hospital branches
Wuzhao CHEN ; Erdan HUANG ; Yu WEN ; Li PAN ; Ziqi WEN
Chinese Journal of Hospital Administration 2023;39(1):1-5
		                        		
		                        			
		                        			Objective:To construct the homogenous evaluation index system for public hospital branches under the background of high-quality development, providing reference for improving the homogenization level of public hospital branches.Methods:By analyzing literature, relevant policies and the management practices of the public hospital branches, a preliminary screening index system for homogenization evaluation of public hospital branches was constructed. Two rounds of Delphi method were used to screen homogenization evaluation indicators for public hospital branches and determine the weights of the indicators. Taking the branches of a tertiary hospital as an example, the indicator system was empirically applied.Results:The homogenization evaluation index system for public hospital branches included 4 first level indicators, 8 second level indicators and 21 third level indicators. The weights of the first level indicators of medical homogeneity, management homogeneity, emergency conversion and satisfaction were 51.33%, 23.16%, 9.00% and 16.51%, respectively. Through empirical application, the homogenization coefficient of the public hospital branche was 0.833 5.Conclusions:The homogenization evaluation index system for public hospital branches was in line with the goals of the construction and development of multiple campuses of one hospital for public hospital. Indicators with low homogenization coefficients were the shortcomings of homogenization in hospital branches. This indicator system provided measurement standards and improvement directions for the homogenization of medical and management in hospital branches.
		                        		
		                        		
		                        		
		                        	
            
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