Correlation analysis of economic development level and health management quality control indicators of Shandong Province / 中华健康管理学杂志

ABSTRACT

Objective@#To explore the effect of the level of city development on quality control indicators of health management centers.@*Methods@#We conducted this study on the health management centers of 42 tertiary public hospitals in Shandong Province. We collected data on their basic situation and quality control indicators, such as number of health examinations, construction area, number of employees, number of electrocardiographs and ultrasonic machines, rate of real name examination, and rate of timely notification of class A and class B abnormal positive results. We also collected data on the socioeconomic indicator of cities, including GDP, resident population, financial expenditure, and physician ownership per thousand population. Spearman rank correlation analysis was used to explore the relationship between the situation of health management centers and cities' development indicators.@*Results@#In 2017, the number of health examinations of the 42 health management centers ranged from 9 200 to 120 149, and the median was 39 326. Medians of number of electrocardiographs, ultrasound machines, X-ray machines, and CT machines were 3(2), 5(4), 2(1), and 1(2), respectively. Medians of rate of real name examination and pre-test questionnaire were 100(2%)% and 30%(63%), respectively. The resource and equipment of the health management centers were related to the GDP, financial expenditure and number of doctors in the city. It was also related to the number of health examinations, number of employees, the construction area, and the number of years since health management center establishment. The quality control indicators of the health management centers were related to factors such as GDP, population size, and financial expenditure. Rate of real name examination positively correlated with GDP (r=0.419, P=0.007), resident population (r=0.361, P=0.022), financial expenditure (r=0.430, P=0.006), and medical and health expenditure (r=0.430, P=0.006). Rate of timely notification of class A abnormal positive results positively correlated with GDP (r=0.602, P<0.001), resident population (r=0.570, P<0.001), medical and health expenditure (r=0.553, P<0.001), and physician ownership per thousand population (r=0.433, P=0.008).@*Conclusion@#The development of quality control indicators of health management centers is related to the regional social and economic development and medical investment. Therefore, increasing funds and personnel investment is conducive to the improvement of the quality of health examination and health management.