Analysis of the economic benefit and business levels of community hospitals in the medical consortium in a tertiary grade A hospital_West China Medical Journal

Authors：

LING Wei ¹ , MEI Songzhu ² ,  GUO Peng ³

1. Sichuan Provincial Health Service Guidance Center, Chengdu, Sichuan 610041, P. R. China;
2. Maternal and Child Health Family Planning Service Center of Kunming City, Kunming, Yunnan 650000, P. R. China;
3. Sichuan Provincial Cancer Hospital Specialist Alliance Management Office, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

GUO Peng, Email: 112@qq.com

Keywords：

Medical consortium; Tertiary grade A hospital; Community hospitals; Economic benefits; Business level

DOI：

10.7507/1002-0179.201910215

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Objectives To explore the impact of the medical consortium of a tertiary grade A hospital on the economic benefits and business levels of the community hospitals, to summarize the problems of the current medical joint mode, and to provide suggestions for promoting the medical association model.Methods We collected the data of economic benefit and business level of a tertiary grade A hospital and its affiliated community hospitals before and after the implementation of the medical consortium model [2016 (pre-implementation) and 2017 (post-implementation)], and analyzed the differences between the two groups. Patients were selected by stratified sampling method before and after the implementation, investigations and follow-up were conducted. The satisfaction and compliance were analyzed.Results Compared with the data in 2016, in 2017, the total income of community hospitals increased by 25.13% (2.671 2 million yuan vs. 2.134 7 million yuan), the number of outpatients increased by 15.55% (7 496 vs. 6 487 cases), the number of hospitalizations increased by 59.49% (1 673 vs. 1 049 cases), and the number of students increased the most, reaching 366.67% (14 vs. 3). Finally, a total of 472 patients were included, including 213 in pre-implementation group and 259 in post-implementation group. There was no significant difference in the general data between the two groups (P>0.05). The patients’ satisfaction and compliance in post-implementation group were better than those in pre-implementation group (P<0.05). In June and December 2017, the hospital’s medical staff business test level increased significantly compared with those in the same period in 2016 (t=?7.467、?9.998, P<0.001), and the results in December 2017 were significantly higher than those in June 2017 (t=?4.719, P<0.001). But there was no significant difference in the performance of business level assessment between the results in June 2016 and in December 2016 (t=?1.158, P=0.250).Conclusion An effective “Three Construction and One Management” model can promote the advancement of medical standards in community hospitals while promoting the effective improvement of economic benefits and improving the patients’ satisfaction.

Citation： LING Wei, MEI Songzhu, GUO Peng. Analysis of the economic benefit and business levels of community hospitals in the medical consortium in a tertiary grade A hospital. West China Medical Journal, 2020, 35(7): 855-859. doi: 10.7507/1002-0179.201910215 Copy

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15.	王紅波. 縣鄉醫療服務體系一體化改革模式、挑戰與對策. 中國衛生經濟, 2017, 36(12): 78-81.

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2. 曾微, 李躍平, 葉晶晶, 等. 我國醫療聯合體模式的對比與研究. 中國全科醫學, 2016, 19(25): 3003-3007.
3. 李宇飛, 王虎峰, 李穎, 等. 患者視角下北京市某區基層首診制影響因素質性研究. 中國醫院管理, 2016, 36(2): 4-6.
4. 中華人民共和國中央人民政府. 國務院辦公廳關于印發深化醫藥衛生體制改革2016年重點工作任務的通知(國辦發〔2016〕26號). (2016-04-26)[2019-10-22]. http://www.gov.cn/zhengce/content/2016-04/26/content_5068131.htm.
5. 牛亞冬, 張研, 葉婷, 等. 我國基層醫療衛生機構醫療服務能力發展與現狀. 中國醫院管理, 2018, 38(6): 35-37, 41.
6. 胡金偉, 尹文強, 趙延奎, 等. 農村居民選擇基層醫院就診的影響因素分析. 中國衛生事業管理, 2017, 34(10): 775-777.
7. 姚衛光, 崔華欠, 李紅, 等. 廣州市城鎮居民社區衛生服務利用現狀及就醫意向調查. 中國全科醫學, 2016, 19(7): 831-834.
8. 韓柏慧, 王兆南, 張金艷, 等. 北京市朝陽區社區公共衛生服務人力現狀分析. 中國衛生資源, 2016, 19(4): 335-339.
9. 任飛. 完善區域縱向醫聯體建設的思考——基于制度理性選擇框架. 中國衛生政策研究, 2016, 9(10): 1-5.
10. Long R, Tuberculosis control in Alberta. A federal, provincial and regional public health partnership. Can J Public Health, 2002, 93(4): 264-266.
11. 蘇瑾, 楊惲, 易春濤. 社區衛生服務中心雙向轉診的實踐與思考. 中國醫院管理, 2016, 36(5): 74-75.
12. Jonas S, Goldsteen RL, Goldsteen K. An introduction to the US health care system. 6th ed. New York: Springer Publishing Company, 2007: 10.
13. 魏華林, 張宏, 王永挺, 等. 中部地區鄉鎮衛生院醫務人員薪酬滿意度及其影響因素分析. 中國衛生事業管理, 2015, 32(9): 681-684, 704.
14. 林振威. 基于醫聯體模式的分級診療服務體系評價——以武漢市為例. 武漢: 華中科技大學, 2016.
15. 王紅波. 縣鄉醫療服務體系一體化改革模式、挑戰與對策. 中國衛生經濟, 2017, 36(12): 78-81.

West China Medical Journal

Analysis of the economic benefit and business levels of community hospitals in the medical consortium in a tertiary grade A hospital

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