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1.
Article in Chinese | WPRIM | ID: wpr-798681

ABSTRACT

Pay-for-performance(P4P) is the third stage of payment evolution in the United States. As of 2010, the Centers for Medicare and Medicaid Services launched a series of P4P programs, including hospital value-based purchasing(HVBP) program. This paper introduced the background and eligibility of HVBP in the United States, focusing on the contents and calculation methods of HVBP as references for the reform of payment methods in China.

2.
Article in Chinese | WPRIM | ID: wpr-712478

ABSTRACT

This paper described the market reform′s influence and the healthcare reform on medical behaviors of both doctors and patients.It is held that the healthcare reform should ensure the public welfare nature of public hospitals and focus on medical quality and patient′s health,so as to promote the harmonious development of the doctor-patient relationship from the policy and practice aspect.

3.
Article in Chinese | WPRIM | ID: wpr-712470

ABSTRACT

Objective To evaluate the performance of medical services of 18 tertiary hospitals in Sichuan province in 2016 based on DRGs, to identify objective methods to evaluate service quality and performance of medical institutions.Methods Based on the homepage data of inpatient medical records from 18 tertiary hospitals in Sichuan in 2016, using diagnosis-related groups as a risk-adjustment tool, the study evaluated the medical service quality and performance from three dimensions:medical ability,service efficiency and medical Quality.Results In the evaluation of medical service capacity, hospital I had the highest number of discharged cases and total weight(83 405 cases and 126 522.22),and hospital G had the lowest discharge cases and total weight(2 350 cases,2 797.12).The highest number of DRGs group was from hospital B(661 groups),and the lowest from hospital G(43 groups).The highest value of CMI was from hospital F(2.091),and the lowest from hospital D(0.953).Hospitals B,I and P had wide disease type range,while hospitals F, B and I had higher overall technical level than the other hospitals.Of the service efficiency evaluation,hospital E had the lowest time consumption index(0.740),and hospital P had the lowest expenditure index(1.073).Of the service quality evaluation,hospitals F and G had the lowest risk of mortality and the lower risk of mortality(0.00%,0.00%).Hospital I had the highest total score (100.0 points), and hospital G had the lowest total score(51.1 points).Conclusions DRGs based evaluation on medical service quality and performance of medical institutions can ensure reliability and scientific adequacy of evaluation.It may contribute to the continuous improvement of medical quality, and provide data support and decision reference for medical service supervision.

4.
Chinese Hospital Management ; (12): 37-39, 2018.
Article in Chinese | WPRIM | ID: wpr-706600

ABSTRACT

Objective Under the trend of "lnternet + Medical service",key indicators of medical service quality are developed for innovation of monitoring medical service quality.Methods Converting the perception experience of each service item in the process of seeking medical treatment into quantitative measurement,and creating SERVQUAL service quality evaluation system.Results Based on the "patient experience",framework of medical service quality is constructed.The first level indicators include tangibility,reliability,responsiveness,assurance and care,economy,and effectiveness,etc.,while there are 25 secondary indicators.Conclusion Platforms can be constructed using mobile internet intelligent terminals based on patients' experiences.Medical service quality can be evaluated objectively in a timely manner through them.

5.
China Medical Equipment ; (12): 133-135, 2018.
Article in Chinese | WPRIM | ID: wpr-706529

ABSTRACT

Objective: To strengthen the quality control of musculoskeletal ultrasound (MSKUS) equipment so as to enhance medical service level. Methods: The application status of MSKUS was analyzed, and the management system of MSKUS equipment was established. And hospital strengthened the quality control of equipment and the talent cultivation, and function department combined with function examination department to carry out application research of MSKUS technique for patients with traumatic superficial soft tissue injury. And the accuracy of examination about injury between MSKUS and MRI was compared. Results: Through established quality control system of MSKUS equipment and adopted relative measures, the failure rates of ultrasonic equipment decreased by 98% than before that, and the accuracy rates of examination was nearly 100%, and the errors rates of operation significantly decreased. On the other hand, the difference of examination accuracy between MSKUS and MRI was not significant, while the treatment cost of MSKUS was lower than that of MRI and it enhanced the medical service quality. Conclusion:Through strengthened the management of MSKUS equipment and established the quality control system, hospital can promote the constant improvement of the management of ultrasound equipment, and extend the application range of MSKUS equipment, and effectively enhance the medical services quality.

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