Practical exploration of one-stop admission service in a general hospital / 中华医院管理杂志

The authors introduced the construction of one-stop admission service in a large general hospital.Measures were carried out by implementing the measures of one window handling of admission business, building one-stop pre-hospital preparation center, optimizing the operational pattern of pre-hospital examination, strictly controlling the hospitalization time of surgical patients, optimizing the information system according to admission criteria, providing personalized services for clinic and implementing quality monitoring.It effectively improved the pre-hospital examination rate, shortened the waiting time and the average length of stay of the patients undergoing elective surgery, and increased the satisfaction of pre-hospital patients.

Study on hospitalization benefit equity of the basic medical insurance programs in China / 中国卫生政策研究

Objective: To analyze the equity of benefit for inpatient services under the three basic medical insurance programs in China.Methods: Using the baseline survey data collected by China Family Panel Studies (CFPS) in 2010, and the two-part model was applied to explore whether the insured groups with different income levels had different aspects on inpatient rate and the compensation of hospitalization expenses in health insurance coverage.Results: There was no significant difference in the inpatient service utilization rate for different income groups, but the highest and second highest income groups reimburse more expenses than the lowest income group, that is 36.5% and 26.3%, respectively.Specifically, the income level and the compensation amount are not significantly correlated in the Urban Employer Medical Insurance (UEMI) program;the compensation amounts to be paid by urban residents are basically increasing with the increase of the income level;and there is a moderate discrepancy between the highest and the lowest income groups in the New Rural Cooperative Medical System (NCMS).Conclusion: The benefit equity is obviously fair in terms of inpatient service utilization rate, but the benefit degree increases for higher income groups, which shows that there are unfair inequalities related to the income at the level of reimbursement.In terms of program comparison, the benefit degree equity is higher for the UEMI program, followed by the URMI program and the NCMS program is the worst.Besides, the impatient rate and reimbursement amounts are significantly lower for NCMS program participants.The government should merge URMI and NCMS programs, actively promote the integration of basic medical insurance system by strengthening the construction of the medical assistance system and improving the system of catastrophic disease medical expenditure insurance in order to achieve better benefit equity.

Use of hospitalization services by residents of Dongying and its influencing factors / 中华医院管理杂志

Objective To assess the use of hospitalization services by urban and rural residents of Dongying City and its influencing factors. Methods A survey on health services in the whole city was conducted in 2002 and on the basis of a descriptive analysis of the data, an analysis of the influencing factors of hospitalization probability was made by means of logistic regression. Results The hospitalization ratio of urban and rural residents of Dongying averaged 57‰ whereas the ratio of nonhospitalization averaged 42‰, both being higher than the average national levels. The hospitalization ratio of urban residents was 76‰ whereas that of rural residents was 46‰, the former being significantly higher than the latter. Factors influencing hospitalization probability chiefly included sex, age, income, and medical insurance system. Conclusion It is suggested that the process of regional health planning be accelerated and systems of medical security and medical aid be adopted.