Exploration and practice of integrated governance system in hospital with multi-branches / 中华医院管理杂志

Aiming at the problems of resource allocation, cost control, homogenization management of medical and nursing quality and so on in a hospital with multi-campuses, People′s Hospital of Ningxia Hui Autonomous Region explored an integrated governance system. It incorporated a series of aspects, such as the establishment of Internet hospital platform using payment and settlement as the link, the construction of operation and management mode for integrating information of multiple branches, the completion of " one hospital, multiple branches" organizational structure and integrated operation system, the innovation of personnel and post compensation system in line with features of medical industry, the implementation of new service mode of diagnosis teams and inpatient wards, the execution of budget management and cost accounting control, and the establishment of integrated online and offline epidemic prevention and control system for the joint prevention and control. These practices achieved good effects that quality and efficiency of medical services were greatly improved, cost of medical services was effectively controlled, and the efficiency of hospital operation and management were enhanced. It provided valuable experience for the integrated management of public hospitals with multi-campuses.

Sistemas territoriales de salud frente al sistema general de seguridad social en salud de Colombia / Territorial health systems forehead the general system of social security of Colombia

Introducción: El artículo expone los elementos y fundamentos que podrían avalar la generación de sistemas de seguridad social en salud territorial, en complementación con el sistema general preexistente. Materiales y Métodos: La eclosión generalizada en los sistemas de salud, implica la revisión de los modelos propuestos de carácter central y territorial. El análisis económico institucional, permite analizar las condiciones que tienen los sistemas generales para impactar en los esquemas territoriales. Resultados: Es el momento preciso, para que el sistema general en Colombia responda efectivamente en la materia, y que tanto ello, podría dar cuenta de la capacidad sistémica del mismo en el escenario territorial. Discusión: Es importante, que las gobernaciones y municipios planteen el alcance de dicha iniciativa. El Sistema General de Seguridad Social en Salud en Colombia, gira en torno a modelos y no a la concepción de sistema de salud efectivamente. Conclusiones: La definición de sistema de salud está opacando la atención para definir lo que implica efectivamente la salud, independiente de cualquier sistema al que se pretenda apuntar al final.

Introduction: The article exposes the elements and foundations that could support the generation of social security systems in territorial health, in complementarity with the existing general system. Materials and Methods: Hatching in health systems, involves the review of the proposed central and territorial character models. Institutional economic analysis, allows analyzing the conditions that have general systems to have impact on the territorial schemes. Results: It is the right time, for the general system in Colombia to respond effectively in the matter, and so therefore might give account systemic capacity of the territorial stage. Discussion: It is important, that the governorates and municipalities have the scope of this initiative. The General system of Social Security in Colombia revolves around models and not the conception of health system effectively. Conclusions: The definition of health system is overshadowing attention to define what effectively involves health, independent of any system to which it is intended to point to the end.