ABSTRACT
Objective: To study the influence of the public hospital performance evaluation policies on the hos-pital internal management and its corresponding pathway. Methods: Comparing the cases of Beijing and Shanghai, the differences and similarities between the hospital internal and external performance evaluation policy change were considered, and the corresponding changes in the reform of municipal hospitals’ internal performance management were analyzed to conclude the influence of external performance evaluation of hospitals on the hospital internal per-formance management. Therefore, considering a municipal hospital, through the analysis of its case on the implemen-tation of hospital external performance evaluation policies and the reform of internal performance management, the in-fluence pathway was summarized. Results: The phenomenon that hospital external performance evaluation policy and its changes led to the corresponding change in the reform of the hospital internal performance management of munici-pal hospitals in the corresponding content to a certain extent. It is proposed that, as the core point, government-affili-ated departments, public hospitals, and management and clinical departments should be the three-tiered. Conclu-sions: The hospital external performance evaluation policy will lead to the corresponding change in the hospital inter-nal performance management. Therefore, the supporting measures that were formulated based on the influence path-way analysis will help to promote the realization of the policy objectives.
ABSTRACT
Objective:By analyzing the trend of health status of young migrants over time,this paper made an empirical study on the effect of health migration to provide basic information and theoretical basics for the formulation of health protection policies of migrants. Methods:Investigation Data on Health Consciousness of Young Migrants in 2015 was used to make an analysis on health status of 3 001 young migrants and 1 531 local residents, using BMI (Body Mass Index) as the physical health indicator. Results: The results showed that the proportion of overweight and obesity was 12.5% of young migrants whose migration time was less than 1 year, which was lower than the 18.9% of local residents(P<0.05). With time,the proportion of overweight and obesity of young migrants was ob-served gradually approaching to the proportion of local residents as the proportion of overweight and obesity reached to 27.8% of young migrants whose migration time was over 5 years,which was higher than that of local residents. The multivariable analysis showed that the proportion of overweight and obesity of young migrants with marriage or remar-riage status,the economic income of 5 000 yuan and above,insurance,frequent drinking and longer migration time was higher and the above factors also contributed to health deterioration. Conclusion: Intensify science populariza-tion,improve the healthy lifestyle,relevant departments should take the necessary measures to improve the use of the health service by migrants,reduce off-site medical treatment mobility,and ensure the health of migrants.