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

Video：

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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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1. 李京, 杨帆, 毛宗福. 湖北省县级医疗卫生资源配置公平与效率分析. 统计与决策, 2017(13): 114-117.
2. 曾微, 李跃平, 叶晶晶, 等. 我国医疗联合体模式的对比与研究. 中国全科医学, 2016, 19(25): 3003-3007.
3. 李宇飞, 王虎峰, 李颖, 等. 患者视角下北京市某区基层首诊制影响因素质性研究. 中国医院管理, 2016, 36(2): 4-6.
4. 中华人民共和国中央人民政府. 国务院办公厅关于印发深化医药卫生体制改革2016年重点工作任务的通知(国办发〔2016〕26号). (2016-04-26)[2019-10-22]. http://www.gov.cn/zhengce/content/2016-04/26/content_5068131.htm.
5. 牛亚冬, 张研, 叶婷, 等. 我国基层医疗卫生机构医疗服务能力发展与现状. 中国医院管理, 2018, 38(6): 35-37, 41.
6. 胡金伟, 尹文强, 赵延奎, 等. 农村居民选择基层医院就诊的影响因素分析. 中国卫生事业管理, 2017, 34(10): 775-777.
7. 姚卫光, 崔华欠, 李红, 等. 广州市城镇居民社区卫生服务利用现状及就医意向调查. 中国全科医学, 2016, 19(7): 831-834.
8. 韩柏慧, 王兆南, 张金艳, 等. 北京市朝阳区社区公共卫生服务人力现状分析. 中国卫生资源, 2016, 19(4): 335-339.
9. 任飞. 完善区域纵向医联体建设的思考——基于制度理性选择框架. 中国卫生政策研究, 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. 苏瑾, 杨恽, 易春涛. 社区卫生服务中心双向转诊的实践与思考. 中国医院管理, 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. 魏华林, 张宏, 王永挺, 等. 中部地区乡镇卫生院医务人员薪酬满意度及其影响因素分析. 中国卫生事业管理, 2015, 32(9): 681-684, 704.
14. 林振威. 基于医联体模式的分级诊疗服务体系评价——以武汉市为例. 武汉: 华中科技大学, 2016.
15. 王红波. 县乡医疗服务体系一体化改革模式、挑战与对策. 中国卫生经济, 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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