RESUMEN
The National Health Commission's initiative of"Enhancing Medical Services and Patient Experience"neces-sitates a comprehensive enhancement of the precision,scientific rigor,and standardization of medical quality and safety manage-ment.It also calls for an optimized allocation of medical resources and service balance,and the promotion of new service models for admission management.This paper discusses the multiple aspects of hospital admission management.Through digital transfor-mation,we aimed to establish a centralized operation model encompassing multiple tasks,responsibilities,and uniform services across all sectors of a hospital,maintaining simplicity without compromising quality.Innovative service methods were employed to facilitate both online and offline admission procedures.Leveraging digital tools,we implemented the"beds for patients"model to directly address patient medical experience challenges.This enabled the application of information intelligence in the operation and management of large,multi-campus tertiary hospitals.The paper provided insights into the methods,specific tasks,and fu-ture value of implementing admission management and operation in large-scale comprehensive hospitals based on smart hospital models.These insights can serve as valuable references for admission management and operation in hospitals.
RESUMEN
The Multi-disciplinary diagnosis and treatment(MDT)outpatient service is widely used in the diagnosis and treatment of patients with tumors,difficult critical and complex diseases and multiple diseases.The purpose of this paper is to study the one-stop treatment mode of MDT outpatient service in tertiary hospitals and the closed-loop management after diagnosis,which plays an important role in integrating medical resources,optimizing medical treatment process,improving patient medical experience,and ensuring medical quality and safety.In view of the weak links and difficulties in quality control in MDT outpa-tient management,such as insufficient attention from functional departments,low enthusiasm of clinicians,low initiative of pa-tients,imperfect information construction of MDT outpatient service,poor quality improvement effect,etc.,Effective manage-ment methods such as core members'guidance,supporting incentive and assessment mechanism,regular reporting of quality,im-proving information construction,extending service scope,and increasing publicity efforts have been adopted for continuous im-provement,and remarkable results have been achieved in increasing the number of cases and diseases,expanding brand influ-ence,and improving the quality of consultation.
RESUMEN
Medical social work, as a bridge between social welfare policies and healthcare services, is an important force in meeting the diverse and multi-level needs of the people in medical and health care. Due to the particularity of the pediatric population, pediatric medical social work is becoming one of the key areas in the development of medical social work. Beijing Children′s Hospital, Capital Medical University has established a service mode of " collaborative medical and social worker team". The medical social workers acted as supporters to assist healthcare professionals to meet the psychological and social service needs of patients and their families as much as possible, and empowered medical staff′s career development as supporters. At the same time, the medical social workers assisted in the construction of a " child friendly" medical environment, and built a social support network for patients and families. The appropriateness and future prospects of pediatric medical social work were explored, in order to provide reference for its development.
RESUMEN
Under the background of the high-quality development of public hospitals and performance appraisal of public hospitals,the satisfaction management of the medical experience has become a hot and difficult issue.Anhui Children's Hospital has constructed the"two-three-three"management mode of patient medical experience,That is,external and internal satisfaction,three-level management,three-level index monitoring and assessment sys-tem.This management mode has achieved certain results,in improving the hospital's internal performance assess-ment,professional title promotion,annual evaluation and other management systems,to achieve scientific,re-fined and standardized management of medical experience,continuous improvement and enhancement of patients'satisfaction with medical experience,to provide experience and reference for medical experience management of medical institutions.
RESUMEN
[Objective]To summarize Professor YANG Danhong's clinical experience in the treatment of pain.[Methods]Through learning from teacher,reviewing ancient books and modern literature research,based on the pathogenesis of pain,the theoretical basis of Professor YANG's meridian acupuncture method and its application prospect for the treatment of pain were discussed.Two clinical medical cases were cited to support.[Results]The mechanism of pain is"obstruction leads to pain"and"malnutrition leads to pain",mainly because the Qi mechanism does not run smoothly.Professor YANG believes that the treatment should be aimed at smoothing the Qi mechanism.Based on the theory of"Gen-Jie"and"Genliu Zhuru"in Huangdi Neijing,the meridian acupuncture method named"the meridian acupuncture method"are proposed for pain.It is also treated according to Professor YANG's own clinical experience and combining with the piercing method.The acupuncture method,which emphasizes the theory of the treatment based on the channel's differentiation of pain,takes the head and tail points of the meridians passed by the disease position.After quickly twisting and getting Qi,and the well points are blooded.The two medical cases attached were caused by obstruction of Qi mechanism.The treatment took the first and last points of the meridians through the meridian acupuncture method,so that Qi and blood could be carried out and the pain was cured.[Conclusion]Professor YANG pays attention to the theory of the treatment based on the channel's differentiation of pain,and emphasizes the combination of the first and last points and the well points.Cooperated with the pricking collaterals therapy to strengthen the circulation of Qi and regulating Qi and blood,the effect was quite good,which was worthy of clinical promotion.
RESUMEN
Objective:To understand the medical experience of patients with early lung cancer in pre-hospitalization, find out the problems and shortcomings in the service process, and provide the basis for improving the quality of medical service under the pre-hospitalization mode.Methods:Through phenomenological research method, 21 pre-hospitalized patients with early lung cancer from September to October 2020 in the First Hospital Affiliated to Guangzhou Medical University were selected by purpose sampling method for semi-structured interviews, and the research data were analyzed by Colaizzi seven-step method.Results:There were four themes in the medical experience of early lung cancer pre-hospitalized patients: the turnover rate of beds was fast, the length of stay and cost of stay were reduced, the inclusion criteria of pre-hospitalization lacked the humanization, admission and examination procedures needed to be optimized and insufficient doctor-patient communication during pre-hospitalization.Conclusions:The implementation of pre-hospitalization mode can make patients′ medical treatment more convenient and efficient, and reduce hospitalization expenses. However, there are still some shortcomings in the management of pre-hospitalization of early lung cancer patients. The pre-hospitalization process should be further standardized, and the communication and management of pre-hospitalization patients during waiting period for out-of-hospital examination should be strengthened.
RESUMEN
Due to its own internal laws of development, Chinese medicine (CM) seems more inclined to empirical medicine in a relatively long historical period. It is considered to be lacking objective and unified clinical practice guidelines (CPGs), and the difficulties in diagnosis and therapeutic effect evaluation comes with it, have restricted its further inheritance, development and international communication. Over the years, our research group has been committed to improving the standardization theory and methodology of CM, also perfecting relative techniques for further application, which are all based on the stratified evidence scoring method. We have already applied this method to 45 issued guidelines, including 5 national guidelines, 3 industrial guidelines, and 37 formulation/revision social organization guidelines. The stratified evidence scoring method has been recognized and used widely. It helps scholars and applicators to study, formulate, publish and popularize the acupuncture therapy clinical practice guidelines better, thus further promotes the development of acupuncture therapy.
RESUMEN
Objective: To research a intelligent mobile APP information platform is used to carry out remote diagnosis and treatment services for the patients with diabetes so as to improve the medical experience and treatment compliance of the patients with diabetes. Methods: The patient's physiological information data that were obtained from home wearable medical devices were collected through the Bluetooth technique by using wireless mobile network. And the APP system was used to carry out remote online multi-channel communication between doctor and patient, and was applied to establish relevant health records. Results: The control rate of blood sugar, blood pressure, blood lipid and other indicators of patients with diabetics have been increased from 33% to 70%, and the filing rate of health records of patients also has been increased from 29% to 85%. Conclusion: The application of multi-channel multimedia interconnect platform and the integration of health data of patients with diabetes can ensure patients to complete treatment in least process, and it can provided convenient communication in real time for doctor and patients. And it also can greatly enhance the efficiency for the management of diabetes, improve satisfaction of patient, reduce the risk of hypoglycemia and the complications of diabetes.
RESUMEN
Through the construction of "reconcilable satisfaction model",Liuzhou People's Hospital makes the patients more satisfied on medical environment,medical equipment,medical auxiliary service,service attitude,medical technology,medical effect and service price,etc;and at the same time,the hospital makes medical staffs feel more satisfied on work itself,background,medical team,payoff and management.In this way,patients' medical experience is improved.
RESUMEN
BACKGROUND: The purpose of this study is to elucidate the context of medical experience and the perception of unmet healthcare of elderly people with chronic diseases based on in-depth interview data. METHODS: We carried out in-depth interviews with 10 elderly people with chronic diseases using semi-structured questionnaires based on literature review. The in-depth interview data were analyzed using thematic analysis; one qualitative research methodology, three core meaning categories, and four attributes associated with unmet healthcare were ultimately derived. RESULTS: The context of the medical experience were based on the following three categories: (1) discomfort due to diseases and high medical needs, (2) the poor community medical environment and difficulties in accessing to metropolitan medical institutions, and (3) inconvenience caused by long waiting time and side effects of medicine. In addition, the elderly with chronic disease realized the unmet healthcare as (1) the availability related to the desired medical institutions at the right time, (2) the affordability related to their economic capacity, (3) the effectiveness of the medical services they experienced, and (4) the appropriateness related to receiving medical services in a pleasant environment. CONCLUSION: The perception of unmet healthcare among the elderly with chronic disease is the result of interaction of multi-level and multi-dimensional factors related with their medical experience.
Asunto(s)
Anciano , Humanos , Enfermedad Crónica , Atención a la Salud , Investigación CualitativaRESUMEN
The hospital carries out Two-Center on service to improve service model of the patients' medical experience,which is administration centers on clinical care and medical care staff centers on patient.Firstly,an active service mechanism of administration centered on clinical care is established.Secondly,various measures are taken to establish the high-quality service mechanism of medical care service.Thirdly,treatment process is optimized with information technology.Fourthly,a sustained and in-depth promotion long-term mechanism is established.
RESUMEN
Objective To explore the effect of psychological counseling skills on medical treatment and satisfaction degree of patients in hospital.Methods Toally 60 discharged patients during December 2015 were assigned as the control group and another discharged one during January 2016 as the intervention group.Training on psychological counseling skills was done for the nurses by the psychological counselor in the intervention group while the control group was not.The two groups were compared on the basis of investigation with the patient's consultation experience scale as well as the medical satisfaction questionnaire.Result The satisfaction levels of consultation experience and medical consultation satisfaction in the intervention group were both higher than those of the control group (all P＜0.01).Conclusion Psychological counseling skills used in the nurse patient communication can enhance the patient's medical experience and their satisfaction with medical treatment.