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宁夏回族自治区县级公立医院住院患者满意度及其影响因素 被引量:11
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作者 管文博 梁笛 黄葭燕 《中国卫生资源》 北大核心 2021年第3期284-287,共4页
目的了解宁夏回族自治区实施县级公立医院改革后县级公立医院住院患者的满意度及其影响因素,考察县级公立医院改革的初步成效,以期为医院管理者与卫生行政部门提高医疗服务质量提供决策参考。方法通过电话回访的方式,对4家县人民医院的... 目的了解宁夏回族自治区实施县级公立医院改革后县级公立医院住院患者的满意度及其影响因素,考察县级公立医院改革的初步成效,以期为医院管理者与卫生行政部门提高医疗服务质量提供决策参考。方法通过电话回访的方式,对4家县人民医院的出院患者进行满意度调查。结果住院患者对医疗服务的总体满意度评分为4.09分(满分为5.00分),对服务态度、就医环境、技术水平、等候时间和医疗费用的满意度评分分别为4.43、4.29、4.13、3.91和3.82分。对住院患者总体满意度的影响由大到小的因素依次是技术水平、医疗费用、服务态度、就医环境和等待时间。住院患者的总体满意度评分较高,但仍有提升空间。总体满意度的主要影响因素为医疗服务相关因素,技术水平和医疗费用是影响住院患者总体满意度的最重要因素,就医流程有待进一步优化。结论建议:合理控制医疗费用;提高医疗技术水平;优化就诊流程,提升就医便利性。 展开更多
关键词 县级公立医院county-level public hospital 住院患者inpatient 满意度satisfaction 影响因素influencing factor 宁夏回族自治区Ningxia Hui Autonomous Region
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Trauma care construction under the guidance of county-level trauma centers 被引量:6
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作者 Pei-Yang Hu Xin-Yi Chen +1 位作者 Xiong-Huan Chen Yi-Min Chen 《Chinese Journal of Traumatology》 CAS CSCD 2018年第5期256-260,共5页
Severe trauma has the characteristics of complicated condition, multiple organs involved, limitq auxiliary examinations, and difficulty in treatment. Most of the trauma patients were sent to prima hospitals to receive... Severe trauma has the characteristics of complicated condition, multiple organs involved, limitq auxiliary examinations, and difficulty in treatment. Most of the trauma patients were sent to prima hospitals to receive treatments. But the traditional mode of separate discipline management can easi lead to delayed treatment, missed or wrong diagnosis and high disability, which causes a high mc tality in severe trauma patients. Therefore, if the primary hospitals, especially county-level hospit~ (usually the top general hospital within the administrative region of a county), can establish a sc entific and comprehensive trauma care system, the success rate of trauma rescue in this region can ] greatly improved. On March 1st, 2013, Tiantai People's Hospital of Zhejiang Province, China set up trauma care center, which integrated the pre-hospital and in-hospital trauma treatment procedur~ and has achieved good economic and social benefits. Till March 1st, 2017, 1265 severe trauma patier (injury severity score 〉16) have been treated in this trauma center. The rescue success rate reach~ 95~ and the delayed and]or missed diagnosis rate was less than 5%. Totally 86 severe cases of peK fractures with unstable hemodynamics were treated, and the success rate was 92%. The in-hospil emergency rescue response time is less than 3 min, and the time from definite diagnosis to surge is within 35 min. 展开更多
关键词 Severe trauma Integrated emergency management system county-level hospital
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医保混合式支付方式改革对县级公立医院经济运行指标影响的实证分析 被引量:7
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作者 王薇 王沛 +1 位作者 施源 何建华 《中国卫生经济》 北大核心 2018年第11期24-27,共4页
目的:通过对张家港市医保混合式支付方式改革政策实施前后的数据进行对比分析,探讨该政策对医院经济运行的影响,为进一步完善医保支付方式改革政策提出思考和建议。方法:以张家港市7家公立医院的数据为依据,重点比较改革政策实施前后医... 目的:通过对张家港市医保混合式支付方式改革政策实施前后的数据进行对比分析,探讨该政策对医院经济运行的影响,为进一步完善医保支付方式改革政策提出思考和建议。方法:以张家港市7家公立医院的数据为依据,重点比较改革政策实施前后医疗服务量、患者次均费用、医保总费用、费用结构、平均住院日和医保患者个人支出比例等相关指标变化情况,分析费用控制的效果和对医院经济运行的影响。结果:医保费用控制初步效果已体现,相关指标也取得了不同程度的效果,但分级诊疗体现不明显。结论:需进一步探索复合付费方式,按国家新政策完善总额控制办法,提高总额控制指标的科学性、合理性,促进公立医院综合改革。 展开更多
关键词 医保费用 支付方式 县级公立医院 医院经济运营
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