RESUMO
Objective To execute medical equipment cost-benefit analysis to meet the requirements for operation state analysis and evaluation during precision management.Methods The data were collected on CT, MR, DR, DSA, ultrasonic diagnostic equipment, clinical laboratory devices, endoscope set and etc. The evaluation indexes such as annual benefit, cost-profit ratio,rate of return on investment and investment payback period were calculated with a year as the calculating unit.Results When cost-profit ratio was used to evaluate the benefit,clinical laboratory devices and cardiac interventional DSA behaved the most excellent in all the equipment, CT, PET-CT, DR and ultrasonic diagnostic set gained acceptable results, while the radiology interventional DSA, gastrointestinal endoscope set and MR had the results not so satisfactory. Clinical laboratory and DSA devices had high operation costs, and it's suggested that cost control had to be implemented during operation. Conclusion The cost-benefit analysis of medical equipment can provide scientific basis for medical equipment purchasing and operation analysis.
RESUMO
Objective To analyze the operation of the diagnosis-related groups ( DRGs) pilots for inpatients in the new rural cooperative medical system in Yulin city of Shaanxi province. Methods The medical records of 33306 inpatients discharged from the 3 pilot hospitals between January and July in 2017 were analyzed, aided by expert discussions, on-site assessment and medical records examinations. Results By the end of July 2017, the DRGs grouping tool had been running stably. The DRGs enrollment rates of discharged inpatients were all up to 99% in the 3 pilot hospitals. The coefficient of variation ( CV) was higher than 1 only in a few DRGs. The average length of stay and the average hospitalization expenses growth rate were both found declined. However, there also exist problems in the pilots, namely incomplete regulations for DRGs, low clinical path coverage rate, hysteretic supervision and assessment, uneven quality of medical records management and so on. Conclusions The pilots operated smoothly as evidenced in their initial success. Yet the following recommendations were raised for the improvements: To strengthen the organization and leadership to improve the DRGs related supporting system in pilot hospitals; To strengthen the promotion and application of clinical paths for standardization of the medical service process;To improve the DRGs assessment program and establish DRGs operation monitoring and tracking analysis system; To strengthen the training of medical record coding staff to improve continuously the quality of medical records.
RESUMO
The study targeted an elective surgery of a tertiary hospital, focusing on such problems as low efficiency of surgical process, long queue time of patients and serious overtime of medical workers. Lean thinking was called into play to define the value of surgical services, and identify various wastes in the process, for improvement recommendations. In an onsite survey, such tools as value stream mapping, fishbone diagram and operation analysis were used for analysis and improvement of the process at the levels of process analysis and operation analysis. These measures have made significant improvements in surgical process time, operation room hold-up time, nursing worker hold-up time and queue of patients.
RESUMO
Objective To analyze the operation of the diagnosis-related groups ( DRGs) pilots for inpatients in the new rural cooperative medical system in Yulin city of Shaanxi province. Methods The medical records of 33306 inpatients discharged from the 3 pilot hospitals between January and July in 2017 were analyzed, aided by expert discussions, on-site assessment and medical records examinations. Results By the end of July 2017, the DRGs grouping tool had been running stably. The DRGs enrollment rates of discharged inpatients were all up to 99% in the 3 pilot hospitals. The coefficient of variation ( CV) was higher than 1 only in a few DRGs. The average length of stay and the average hospitalization expenses growth rate were both found declined. However, there also exist problems in the pilots, namely incomplete regulations for DRGs, low clinical path coverage rate, hysteretic supervision and assessment, uneven quality of medical records management and so on. Conclusions The pilots operated smoothly as evidenced in their initial success. Yet the following recommendations were raised for the improvements: To strengthen the organization and leadership to improve the DRGs related supporting system in pilot hospitals; To strengthen the promotion and application of clinical paths for standardization of the medical service process;To improve the DRGs assessment program and establish DRGs operation monitoring and tracking analysis system; To strengthen the training of medical record coding staff to improve continuously the quality of medical records.
RESUMO
The study targeted an elective surgery of a tertiary hospital, focusing on such problems as low efficiency of surgical process, long queue time of patients and serious overtime of medical workers. Lean thinking was called into play to define the value of surgical services, and identify various wastes in the process, for improvement recommendations. In an onsite survey, such tools as value stream mapping, fishbone diagram and operation analysis were used for analysis and improvement of the process at the levels of process analysis and operation analysis. These measures have made significant improvements in surgical process time, operation room hold-up time, nursing worker hold-up time and queue of patients.
RESUMO
Taking 175 township public hospitals in Jiangxi as the samples,descriptive statistics and comparative analysis were applied based on their financial yearly report data from 2012 to 2016 to analyze the operation situation of hospitals before and after the public reform,analyze the influences of medical reform policies on township public hospitals and propose relevant policies,so as to promote the soon coming urban public hospital reform in Jiangxi.