Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019_West China Medical Journal

Authors：

LI Rongmei ^1,2,3 , DU Xinwen ⁴ , FENG Xianqiong ⁴ , WANG Miao ⁵ , LUO Chunxia ⁶ , CHEN Birong ⁷ , LEI Yuqian ⁸ , JIANG Guanghui ⁹ , CHEN Zhuo ¹⁰ ,  LIU Ming ¹¹

1. Operation Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. President & Dean’s Office, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
3. Sichuan University - The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction, Chengdu, Sichuan 610207, P. R. China;
4. West China School of Nursing / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
5. Public Affairs Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
6. Department of Infection, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
7. Department of Nursing, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
8. Department of Operation Management and Information, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
9. Hierarchical Diagnosis and Treatment Office, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
10. Department of Research and Teaching, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
11. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIU Ming, Email: 1078289717@qq.com

Keywords：

Coronavirus disease 2019; Treatment; Lead-type close medical consortium; Application effect

DOI：

10.7507/1002-0179.202004432

Video：

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Objective To explore the innovative application and effect of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019 (COVID-19).Methods During the epidemic of COVID-19, Jintang First People’s Hospital implemented a series of innovative countermeasures under the guidance of West China Hospital of Sichuan University, the leading hospital of a lead-type close medical consortium. To verify the implementation effect of the countermeasures, the patient satisfaction questionnaire and medical personnel satisfaction questionnaire were administered in confirmed or suspected COVID-19 patients and anti-epidemic healthcare workers. The relevant health economic indicators were extracted through the hospital information system for descriptive analysis.Results A total of 16 patients were included, including 10 confirmed patients and 6 suspected patients. The median score of patient satisfaction was 66. All patients were cured and discharged. A total of 56 healthcare workers were included, including 18 doctors and 38 nurses, with a median satisfaction score of 81. The average length of hospital stay of patients was 11.00 d, the average hospitalization cost was 5 117.35 yuan; the average drug cost was 1 099.95 yuan, accounted for 21.49%; the average material cost was 38.63 yuan, accounted for 0.75%.Conclusions The innovative application of the lead-type close medical consortium in the treatment of patients with COVID-19 plays an important role in the prevention and control of epidemic, and has achieved remarkable results in patients treatment, patients satisfaction, and hospital management. It is worthy of being widely popularized.

Citation： LI Rongmei, DU Xinwen, FENG Xianqiong, WANG Miao, LUO Chunxia, CHEN Birong, LEI Yuqian, JIANG Guanghui, CHEN Zhuo, LIU Ming. Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019. West China Medical Journal, 2021, 36(2): 160-165. doi: 10.7507/1002-0179.202004432 Copy

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5.	李舍予, 黄文治, 廖雪莲, 等. 新型冠状病毒感染医院内防控的华西紧急推荐. 中国循证医学杂志, 2020, 20(2): 125-133.
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1. 彭欣元, 周焕. 医联体背景下区域医疗信息化平台建设中存在的问题及对策. 现代医药卫生, 2016, 32(1): 147-148.
2. 王淼, 石柯灿, 陈蕾, 等. 四川大学华西医院领办型紧密医疗联合体特征分析. 华西医学, 2019, 34(12): 1422-1425.
3. 卫生健康委, 中医药局. 卫生健康委、中医药局关于印发医疗联合体管理办法(试行)的通知. (2020-07-09)[2020-12-13]. http://www.gov.cn/gongbao/content/2020/content_5554582.htm.
4. 叶芳, 申屠瑾, 赵志强, 等. COVID-19疫情期间居家隔离人员就诊流程再造的实践与效果评价. 医院管理论坛, 2020, 37(4): 71-73.
5. 李舍予, 黄文治, 廖雪莲, 等. 新型冠状病毒感染医院内防控的华西紧急推荐. 中国循证医学杂志, 2020, 20(2): 125-133.
6. 李琛, 彭喆鑫, 叶子青, 等. 新型冠状病毒肺炎防治中华西远程医学工作机制初探. 华西医学, 2020, 35(4): 373-376.
7. 文进, 曾锐, 徐才刚, 等. 华西医院抗击新型冠状病毒肺炎疫情的十大管理举措. 中国循证医学杂志, 2020, 20(3): 365-368.
8. 国家卫生健康委. 关于在疫情防控中做好互联网诊疗咨询服务工作的通知. (2020-02-07)[2020-12-13]. http://www.nhc.gov.cn/yzygj/s7653p/202002/ec5e345814e744398c2adef17b657fb8.shtml.
9. 国家卫计委. 国家卫生计生委办公厅关于开展医院满意度调查试点工作的通知. (2017-09-04)[2020-03-18]. http://www.nhc.gov.cn/yzygj/s3593g/201709/0bdf4161d0454bea9c5310aa71e0764f.shtml.
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13. Zheng R, Zhou Y, Fu Y, et al. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: a cross-sectional study. Int J Nurs Stud, 2020, 114: 103809.
14. 陈婕, 茅伟安. 新冠肺炎疫情期间基层医护人员心理状况的分析及干预. 心理月刊, 2020, 15(17): 146-147, 149.
15. 梁思燕, 李怡, 许琼. 抗击新冠肺炎期间一线医护人员心理状况调查及应对策略. 智慧健康, 2020, 6(14): 42-44, 53.
16. 国务院办公厅. 关于推进医疗联合体建设和发展的指导意见. (2017-04-26)[2020-03-18]. http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm.
17. 董昌宇. 医联体模式下信息化建设与发展探讨. 信息安全与管理, 2019(20): 187-188.
18. 赵一鸣, 左秀然, 杨国良. 基于医联体的远程会诊系统应用研究. 医学信息学杂志, 2014, 35(10): 31-35.
19. 蔡滨, 周罗晶, 汤佳, 等. 医联体医疗质量同质化管理对策研究. 江苏卫生事业管理, 2019, 30(12): 1515-1516, 1520.
20. 李飒飒, 郭航远. 医联体及其资源共享模式探讨. 医院管理论坛, 2015, 32(5): 13-14.

West China Medical Journal

Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019

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