Collaboration and Cooperation of Public Health Service Management in China

2020 ◽  
pp. 1-7
Author(s):  
Wuqi Qiu ◽  
Cordia Chu ◽  
Kun Wang ◽  
Yueli Meng ◽  
Yujie Yang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Service Management ◽  
Public Health Service ◽  
Health Management ◽  
Public Information ◽  
Public Health Services ◽  
Health Service Management ◽  
Public Health Management

ABSTRACT Objectives: Collaboration and cooperation are critical for public health management. Nevertheless, collaboration and cooperation between government departments, as well as other entities, are still in a weak condition in China. This article analyzes the status of collaboration and cooperation in the management of public health services in China and explores the problems and gives strategic suggestions for strengthening collaboration and cooperation in the development of public health service systems in China, in order to provide a reference for improvement of public health management in the future. Methods: This study uses a qualitative case study approach, including documents review, in-depth interview, and focus group. Results: The main problems of collaboration and cooperation in public health service management in China include problems of effective collaboration and cooperation between institutions and relevant departments, public information platform, and implementation of public health and health promotion. On this basis, several relevant policy recommendations are put forward. Conclusions: Collaboration and cooperation are critical for the overall coordination and sustainable development of public health in China, and there is still work to be done in order to achieve appropriate cooperation and collaboration between different entities in the provision of public health services.

scholarly journals Association between Medical Resource Allocation and Satisfaction with Services of Public Health Management: Evidence from China

2020 ◽  
Author(s):  
Shangren Qin ◽  
Xiaohe Wang
Keyword(s):  
Public Health ◽  
Resource Allocation ◽  
Health Service ◽  
Health Services ◽  
Medical Service ◽  
Health Management ◽  
Medical Resource ◽  
Public Health Services ◽  
Satisfaction With Services ◽  
Public Health Management

Abstract Background: People’s satisfaction has been one important indicator to measure the health care quality in health systems. Medial resource allocation issues have also become an important concern affecting the equity and satisfaction of health service. This study aimed to study the factors affecting people's satisfaction with the services of public health management in China. Specifically, we examine the association between medical resource allocation and satisfaction with the services of public health management.Methods: To explore the associations between medical resource allocation and satisfaction with services of public health management in China, we derived data from the 2013 wave of the Chinese General Social Survey (CGSS). Models were estimated using multivariable logistic regression analysis.Results: Among factors of evaluation of medical resource allocation, adequacy of medical service resources, market-oriented and insufficiently public of public health services, and convenience of access to public health services were all significantly associated with satisfaction with services of public health management except the balance of medical service resources' distribution. Also, for different service projects and areas, the link between satisfaction with health service and residents’ characteristics also depends on specific service content.Conclusions: There is a link between medical resource allocation and satisfaction with the services of public health management. Medical resource allocation does affect satisfaction with services of public health management. It is necessary to improve the adequacy, publicity of medical services, and convenience of access to public health services in China.

scholarly journals The Technical Efficiency of Essential Public Health Services Provision in China: Based on a Panel Data Analysis

2021 ◽  
Author(s):  
Fankun Cao ◽  
Yan Xi ◽  
Tongyu Bai ◽  
Shushan Dong ◽  
Qiang Sun
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Technical Efficiency ◽  
Public Health Service ◽  
Shandong Province ◽  
Scale Efficiency ◽  
Public Health Services ◽  
Service Program ◽  
Essential Public Health Services

Abstract BackgroundProviding essential public health services equally to all Chinese is one of the objectives of health system reform since 2009. Essential public health service program is to provide a package of public health services for all Chinese freely by the primary health institutions. Since the implementation of the national essential public health service program, the level of funding and the intensity of input have been continuously increasing. However, in the context of China’s economic development entering a new normal phase, the growth rate of funding for essential public health services has far exceeded the growth rate of GDP and central fiscal revenue, and the sustainability of the development of national essential public health service programs has been seriously challenged. Improving the efficiency of resource use may be an effective way to ensure the continuation of the national essential public health service program. But little evidence was available about technical efficiency in essential public health services provision. Therefore, the aim of this study was to assess the technical efficiency of essential public health services in Shandong province.Methods This study was a retrospective study based on the historical panel data of Shandong Province, East China. The data came from the Shandong Provincial Essential public health Service Program Database of the Medical Management Center of Shandong Provincial Health Commission, which covered all 137 counties and districts in 16 cities of Shandong Province from 2014 to 2019. The principal component analysis method was used to classify multiple output indicators of essential public health service programs, so as to achieve the purpose of generic index extraction. The efficiency coefficient transformation analysis method was used to transform the data of each principal component score after the principal component analysis of the input index of essential public health service programs. The CCR model and BBC model in the Data Envelopment Analysis （DEA） method were used to calculate the comprehensive technical efficiency, pure technical efficiency and scale efficiency of essential public health services.ResultsThe average comprehensive technical efficiency of essential public health services in Shandong Province showed a slight downward trend from 0.8896 in 2014 to 0.8753 in 2019. The average pure technical efficiency of essential public health services was kept at 0.99. The average scale efficiency of essential public health services showed a slight downward trend from 0.8871 in 2014 to 0.8744 in 2019. The proportion of counties and districts with the comprehensive technical efficiency of essential public health services in Shandong Province was increased from 15.3% in 2014 to 21.9% in 2019. But the proportion of counties with the pure technical efficiency decreased from 38.0% in 2014 to 35.9% in 2019. The proportion of counties with scale efficiency of essential public health services showed an upward trend, rising from 14.8% in 2014 to 22.6% in 2019, increasing by 7.8%.The ratio of effective comprehensive technical efficiency of essential public health services in Shandong Province to all counties and districts has shown a upward trend. Among them, the proportion of counties with effective pure technical efficiency was higher than the proportion of counties with efficient scale efficiency each year. At the same time, the increase in the proportion of counties with effective scale efficiency was higher than the increase in the proportion of counties with effective pure technical efficiency. The increasing proportion of effective counties in the comprehensive technical efficiency of essential public health services in Shandong Province was mainly due to the increasing proportion of effective counties in the scale efficiency and the good performance of effective counties in the pure technical efficiency. This showed that, although the investment scale of Shandong Province in the counties was gradually sufficient, there was still a phenomenon of insufficient resource investment in most counties. That would ultimately affect the sustainability of the implementation of essential public health services.Conclusion The research have demonstrated that the technical efficiency of essential public health services in Shandong Province has shown a slight downward trend, and the main reason for its downward trend was the decline in scale efficiency. The scale efficiency in essential public health services affected the technical efficiency and would ultimately threaten the sustainable development of essential public health services. It is recommended that future research directions should focus on the influencing factors and improvement measures of the scale efficiency of essential public health services.

Management or leadership?

2002 ◽  
Vol 7 (4) ◽  
pp. 248-251 ◽  
Author(s):  
Keith Grint
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Management ◽  
Collective Responsibility ◽  
Second World War ◽  
World War ◽  
Health Service Management ◽  
Buying In ◽  
Second World ◽  
Management And Leadership

This article considers the roots of the division between management and leadership, and suggests that the division encourages individuals and organizations to displace responsibility for problems in health services onto others. Given the significant limits to the power of leaders, the difficulty of establishing a science of leadership, and the increasing complexity facing health service management, the problems might appear insurmountable. However, drawing on lessons from the different approaches of the combatants in the infinitely greater complexity of the Second World War, it is suggested that trying to 'manage' the chaos by controlling it, or relying on 'leaders' to solve our problems, or buying in yet more consultants, are deeply problematic strategies; only mass leadership and collective responsibility are likely to solve the problems.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

Optimization ways of public health management in current economic conditions

1998 ◽  
Vol 79 (6) ◽  
pp. 453-455
Author(s):  
A. N. Galiullin ◽  
R. Z. Nurkhamitov
Keyword(s):  
Public Health ◽  
Health Service ◽  
Service Management ◽  
Health Management ◽  
Economic Conditions ◽  
Opinion Poll ◽  
Public Opinion Poll ◽  
Expert Estimation ◽  
Quality Of Medical Care

The data of public opinion poll, expert estimation of activities of treatment and prophylactic institutions under transition to the budget and insurance medicine are given. It is shown that treatment and prophylactic institutions are not ready to work in current economic conditions. It is concluded that there are unused reserves for improving the quality of medical care in health service management in current economic conditions.

scholarly journals The role of boards in clinical governance: activities and attitudes among members of public health service boards in Victoria

2013 ◽  
Vol 37 (5) ◽  
pp. 682 ◽  
Author(s):  
Marie M. Bismark ◽  
Simon J. Walter ◽  
David M. Studdert
Keyword(s):  
Public Health ◽  
Quality Of Care ◽  
Health Service ◽  
Health Services ◽  
Public Health Service ◽  
Clinical Governance ◽  
Board Members ◽  
Quality And Safety ◽  
Quality Performance

Objectives To determine the nature and extent of governance activities by health service boards in relation to quality and safety of care and to gauge the expertise and perspectives of board members in this area. Methods This study used an online and postal survey of the Board Chair, Quality Committee Chair and two randomly selected members from the boards of all 85 health services in Victoria. Seventy percent (233/332) of members surveyed responded and 96% (82/85) of boards had at least one member respond. Results Most boards had quality performance as a standing item on meeting agendas (79%) and reviewed data on medication errors and hospital-acquired infections at least quarterly (77%). Fewer boards benchmarked their service’s quality performance against external comparators (50%) or offered board members formal training on quality (53%). Eighty-two percent of board members identified quality as a top priority for board oversight, yet members generally considered their boards to be a relatively minor force in shaping the quality of care. There was a positive correlation between the size of health services (total budget, inpatient separations) and their board’s level of engagement in quality-related activities. Ninety percent of board members indicated that additional training in quality and safety would be ‘moderately useful’ or ‘very useful’. Almost every respondent believed the overall quality of care their service delivered was as good as, or better than, the typical Victorian health service. Conclusions Collectively, health service boards are engaged in an impressive range of clinical governance activities. However, the extent of engagement is uneven across boards, certain knowledge deficits are evident and there was wide agreement among board members that further training in quality-related issues would be useful. What is known about the topic? There is an emerging international consensus that effective board leadership is a vital element of high-quality healthcare. In Australia, new National Health Standards require all public health service boards to have a ‘system of governance that actively manages patient safety and quality risks’. What does this paper add? Our survey of all public health service Boards in Victoria found that, overall, boards are engaged in an impressive range of clinical governance activities. However, tensions are evident. First, whereas some boards are strongly engaged in clinical governance, others report relatively little activity. Second, despite 8 in 10 members rating quality as a top board priority, few members regarded boards as influential players in determining it. Third, although members regarded their boards as having strong expertise in quality, there were signs of knowledge limitations, including: near consensus that (additional) training would be useful; unfamiliarity with key national quality documents; and overly optimistic beliefs about quality performance. What are the implications for practitioners? There is scope to improve board expertise in clinical governance through tailored training programs. Better board reporting would help to address the concern of some board members that they are drowning in data yet thirsty for meaningful information. Finally, standardised frameworks for benchmarking internal quality data against external measures would help boards to assess the performance of their own health service and identify opportunities for improvement.

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