ABSTRACT
Objective:Based on the unreasonable structure,fragmentization and insufficient resources of medical and health service system in China,the literature review was conducted on the analysis of integrated medical and health service system.Methods:It sorted out and analyzed the existing related literature in the academic field.Results:The integrated health system was developed by their elements and methods,which lacked the evaluation and analysis on the responsibility among different stake holders and effects after the integration.Conclusion:Further research should be developed into the implementation of dual referral based on integrated health system;the responsibility relationship among different stakeholders in the integration progress,the integration and optimization of medical and health service system under the background of Internet+,etc.
ABSTRACT
Based on literature review determining evaluation dimensionality,and with the relevant policies,the original index system is determined.Through using two rounds of focus group discussion and two rounds of expert consultation method,a set of county hospitals comprehensive reform of index system,which consists of 3 primary,14 secondary indicators and 64 tertiary indexes,is established.The analytic hierarchy process is used to determine the weight of evaluation index.At the same time,the reliability and validity of index system are tested.This proves that the established evaluation index system can give scientific and reasonable assessment results for comprehensive reform of county-level hospitals.
ABSTRACT
Literature review to build optional indexes pool,Delphi method to screen indexes,fuzzy model used to calculate the weight,for building such a system.An index system centering on public wellbeing is thus constructed,comprising three level 1 indicators,six level 2 indicators,40 level-3 indicators.The system can satisfactorily reflect the vision of county-level public hospitals reform,and showcase outcomes of such a reform.
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Objective: Through evaluating the creadit level appraisal of designated medical institutions under new rural cooperative medical system ( NCMS) , effective method of standard management for NCMS designated medical institutions under was proposed. Methods:Use third-party evaluation to evaluate the 27 NCMS designed medical institutions in Jiangsu, divide the results into groups and make a comparative analysis based on the relevant properties of rated agencies. Results: Compared to 2011, the credit level appraisal on NCMS medical institutions in Jiangsu is higher in 2012; the score of public medical institutions, medical institutions with inpatient department and the general hospitals are higher. The relevant indexes of correlation have significant difference, P≤0.05. Conclusion:Some low-credit medical institutions have disordered charge and over-increasing medical cost. The medical service management needs to be completed. It needs to further implement the management system of NCMS, discover more efficient payment of NCMS, enhance the supervision on private medical institutions, improve the introduction and training of talents and promote the standard and method of evaluation, so as to improve the sustainable development of NCMS.
ABSTRACT
Through the reforming of public long-term care insurance, Japan has solved difficulties on the elderly care and provided positive experiences for the establishment of long-term care in China. The background , history and contents of long-term care insurance system are introduced. The establishment effects of the system are analyzed based on comparative method , reasonable suggestions of establishing long-term care insurance system in China are proposed combined with the national condition.
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Objective: To analyze the influences of implementing essential medicine system on primary medical institutions and give suggestions. Methods: Using system dynamics method to construct the compensation mechanism model for primary medical institutions. Compare the growth in revenue and expenditure of primary medical institutions before and after essential medicine system implementation. Results: After the implement of essential medicine system, the growth in total expenditure and total income of primary medical institutions is steadier; when the annual growth rate of government financial subsidies invested more than 13%, the growth in total receipts will keep balance. Conclusion: It’s better to guarantee the government financial subsidies invested in time, raise medical service price properly and establish comprehensive compensation mechanism for implementing compensation mechanism of primary medical institutions.