scholarly journals Longitudinal Evaluation on the Operation Index Applied to Public Hospitals in Pudong New District of Shanghai, China

2018 ◽  
Vol 55 ◽  
pp. 004695801879059
Author(s):  
Shanshan Liu ◽  
Jiaoling Huang ◽  
Yanting Li ◽  
Jincheng Fan ◽  
Hong Liang ◽  
...  
Keyword(s):  
Financial Risk ◽  
Public Hospital ◽  
Risk Index ◽  
Condition Index ◽  
Public Hospitals ◽  
Operating Index ◽  
The Public ◽  
Management Condition ◽  
Service Operation ◽  
Public Hospital Reform

The public hospital reform has lasted 5 years in China; however, the operation development status and trends of public hospitals have not been systematically evaluated in Pudong New District. We first applied the technology of longitudinal index to assess the development of public hospitals there. The quantitative data were mainly gathered by taking health statistics database from 2009 to 2014. The results showed that overall operating index presented a down-up trend, with the highest point in 2014 and the lowest point in 2012. Overall operating index, development foundation index, and management condition index were found to be statistically different ( P = .010, P = .016, P = .031) in different years, whereas the service operation index and financial risk index were not so ( P = .543, P = .228). Moreover, the results demonstrated that no obvious difference was observed in the overall operating index between the general and specialized hospitals ( P = .327), which was the same in the 4 first-class indexes. However, there were statistical differences in the overall operating index and development foundation index among these 5 years ( P = .018, P = .036), but none in the service operation index, management condition index, and financial risk index ( P = .503, P = .062, P = .177). No interaction effects were discovered between year and hospital categories in the current study ( P = .673, P = .375, P = .885, P = .152, P = .288).

Influence of Web Application Technology on the Public Hospital Reform in China

2013 ◽  
Vol 859 ◽  
pp. 613-618
Author(s):  
Qian Ran He ◽  
Mi Hua Xian
Keyword(s):  
Web Application ◽  
Public Hospital ◽  
Public Hospitals ◽  
Application Technology ◽  
Role Of Government ◽  
The Public ◽  
Hospital Reform ◽  
Internal And External Factors ◽  
Public Hospital Reform

Web application technology is system which is linked with each other by many hypertext systems, through the Internet access and plays an important role in public hospital reform. Public hospital reformist carried out in the complicated political and economic environment and will be affected and restricted by internal and external factors. On the macro, the role of government, guiding theories of reform, value orientation, economic and technical factors and so on engender a significant influence on the reform; on the micro, the interest game between stakeholders of public hospital also affects the implementation of the reform of public hospitals

Supervisory board process: Evidence from French public hospitals

2018 ◽  
Vol 31 (3) ◽  
pp. 163-177 ◽  
Author(s):  
Radhoine Laouer
Keyword(s):  
Decision Making ◽  
Public Hospital ◽  
Supervisory Board ◽  
Public Hospitals ◽  
Board Structure ◽  
The Public ◽  
The Social ◽  
Supervisory Boards ◽  
Relationship Of ◽  
Use Of Knowledge

We mobilize theories of corporate governance and the theory of the social psychology of decision-making small groups to understand the operational process of the public hospital supervisory board. More precisely, we empirically test the mediation relationship of the decision-making process (effort norms, use of knowledge and skills, and conflict cognitive) between its structure (size, the composition, and diversity) and the performance of its roles (strategy, control, and service). A total of 320 questionnaires coming from members of the French public hospital supervisory board were collected. The aggregation of these individual answers generates a sample of 159 public hospital supervisory boards. The results of the tests of the assumptions of the research model confirm the fact that the structure of the supervisory board does not influence the performance of its roles. However, supervisory board effort norms positively affect the performance of its roles positively. Only effort norms and the use of knowledge and the skills partially play the role of mediator between the supervisory board structure and the performance of its roles. Practical and theoretical implications are exposed in the discussion.

scholarly journals Have the Pilot County Hospitals’ Service Capability Been Improved Since the Healthcare Reform? An Analysis of 370 Hospitals in China

2019 ◽  
Author(s):  
Yinhong Dong ◽  
Xingyi YANG ◽  
Pengqian FANG ◽  
Zhengqiong PAN ◽  
Zhenni LUO
Keyword(s):  
Public Hospital ◽  
Healthcare Reform ◽  
Current Situation ◽  
Public Hospitals ◽  
Analysis Method ◽  
Hospital Reform ◽  
Comprehensive Service ◽  
Service Capability ◽  
Public Hospital Reform ◽  
Better Than

Background: County public hospital reform is one of the major tasks proposed in Chinese Healthcare Reform., and the evaluation of hospital reform effectiveness is very important and beneficial since it helps the government to understand the current situation of pilot county public hospitals and smoothly start the reform in all county hospitals. Methods: This study used hospitals data from 2009 to 2012 to evaluate the effectiveness of county public hospital reform through comprehensive service capability. Descriptive analysis method was used, and factor analysis method was used to extract the main factors associated with service capabilities as well as to calculate a composite score. The t-test of two independent-samples methods was used to comparison analyze. Results: The differences of common factor scores (hospital scale and service capacity, treatment quality, service quality, and services efficiency) between pilot and non-pilot hospitals were not statistically significant (P>0.05). The service capability score in 2012 was better than that in 2009 either in pilot or non-pilot group (P<0.05). The pilot hospitals’ service capability score was better than that in non-pilot groups either in 2010 or 2012 (P<0.05). However, the differences from 2009 to 2012 of service capability score between pilot and non-pilot hospitals were not statistically significant. Conclusion: The comprehensive service capability of both pilot and non-pilot group all got improvement. However, county public hospital reform did not significantly play a due good role in improving the service capability in pilot group. The reform was helpful to improve the hospital current situation, but it has not completely achieved policy objectives in the sample hospitals of this study.

scholarly journals Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China

2020 ◽  
Vol 17 (18) ◽  
pp. 6763
Author(s):  
Juan Du ◽  
Shuhong Cui ◽  
Hong Gao
Keyword(s):  
Public Hospital ◽  
Public Hospitals ◽  
Productivity Improvement ◽  
Medical Reform ◽  
Tertiary Hospitals ◽  
Overall Performance ◽  
Implementation Effect ◽  
The Government ◽  
Public Hospital Reform

As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system.

TO EVALUATE THE PERFORMANCE OF A TEACHING HOSPITAL BY COMBINING THE HOSPITAL INDICES USING THE PABON LOSSO MODEL DURING THE SURVEILLANCE BY AUTHORITIES:HAWTHORNE EFFECT

2021 ◽  
pp. 75-77
Author(s):  
C. Narender Kumar
Keyword(s):  
Teaching Hospital ◽  
Public Hospital ◽  
Quality Care ◽  
Hospital Performance ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Hawthorne Effect ◽  
Cross Sectional ◽  
Policy Makers ◽  
The Public

BACKGROUND:The patients' health care choice is diverting from the private health provider to the public hospital due to introduction of various schemes and incentives by the policy makers. The limited resources are posing a challenge to the hospital administrator in escalating demands, diversity and complexity of diseases of patients. The hospital performance enhances steadily by the monitoring authorities' surveillance. It is an effective method for improving quality care in the public hospital. The Hawthorne effect is a term referring to the tendency of people to work harder and increases in effectiveness of organization when they are being observed. OBJECTIVES: 1. To assess the performance of a teaching hospital during surveillance by calculating the hospital indices, using the Pabon Losso Model. 2. To evaluate whether the Hawthorne effect is the cause of the increase in the effectiveness of hospital. MATERIALS AND METHODS: The study was a prospective and record based cross-sectional study and conducted at Government teaching hospital over a period of 18 months. RESULTS: st A total of 18 months period census report was recorded from January 2016 to June 2017and hospital indices were estimated. The 1 phase of surveillance (January- 2016 to May -2016), where immense supervision was present, with performance feed- back, BOR was 88.65, nd ALOS was 3.932, BTR was 7.074 and BTI was 0.54, 2 phase of surveillance which was intensied with communication and committee meetings rd (June-2016 to October- 2016), BOR was 95.59, ALOS was 3.49, BTR was 7.03 and BTI was 0.886, 3 phase weaning period, where a little th supervision (November -2016 to February-2017) BOR was 87.8, ALOS was 4.1, BTR was 6.413 and BTI was 0.5725 and 4 phase self sustain stage or no observations phase, BOR was 92.6, ALOS was 3.47, BTR was 6.547 and BTI was 0.28. CONCLUSION: The surveillance of higher authorities over the hospital had increased the performance. Hospital efciency is reected by increased hospital indices. The cause and effect is the “Hawthorne effect”. Therefore it is concluded that the surveillance increases the performance and efciency of the public hospitals.

scholarly journals The cost analysis of breast cancer: A comparison between private and public hospitals 

2020 ◽  
Author(s):  
Abolhasan Afkar ◽  
Habib Jalilian ◽  
Abolghasem Pourreza ◽  
Habibeh Mir ◽  
Abdolhosein Emami Sigaroudi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Public Hospital ◽  
Private Hospital ◽  
Public Hospitals ◽  
The Public ◽  
Illness Study ◽  
Collection Data ◽  
Private And Public ◽  
Spss Software ◽  
The Cost

Abstract Backgrounds Breast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who referred to private and public hospitals in Iran (2017). Methods This was a prevalence-based cost of illness study. A total of 179 patients were selected from private and public hospitals using the census method. The researcher-constructed checklist was used for data collection. Data were analyzed using SPSS software version 22. Results The estimated total mean (SD) direct cost of patients who referred to the private hospital and the public hospital was $10050 (19480) and $3960 (6780), respectively. Further, the total mean indirect cost of patients who referred to the private hospital was lower than those referring to the public hospital at $1870 (%15 of total costs) and $22350 (%85 of total costs), respectively. These differences were statistically significant (P<0.05). Conclusion Breast cancer imposes a substantial cost on patients, health insurance organizations and the whole society in Iran. Therefore, the adoption of effective measures for the prevention and early diagnosis of breast cancer is urgently needed.

scholarly journals The cost of breast cancer: A comparison between private and public hospitals

2020 ◽  
Author(s):  
Abolhasan Afkar ◽  
Habib Jalilian ◽  
Abolghasem Pourreza ◽  
Habibeh Mir ◽  
Abdolhosein Emami Sigaroudi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Public Hospital ◽  
Private Hospital ◽  
Public Hospitals ◽  
The Public ◽  
Illness Study ◽  
Collection Data ◽  
Private And Public ◽  
Spss Software ◽  
The Cost

Abstract Backgrounds Breast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who referred to private and public hospitals in Iran (2017).Methods This was a prevalence-based cost of illness study. A total of 179 patients were selected from private and public hospitals using the census method. The researcher-constructed checklist was used for data collection. Data were analyzed using SPSS software version 22.Results The estimated total mean ± SD direct cost of patients who referred to the private hospital and the public hospital was $10051.78 ± 19484.61 and $3956.33 ± 6783.02, respectively. Further, the total mean indirect cost of patients who referred to the private hospital was lower than those referring to the public hospital at $1870.89 (%15.69 of total costs) and $22348.5 (%84.95 of total costs), respectively. These differences were statistically significant (P < 0.05).Conclusion Breast cancer imposes a substantial cost on patients, health insurance organizations and the whole society in Iran. Therefore, the adoption of effective measures for the prevention and early diagnosis of breast cancer is urgently needed.

scholarly journals Satisfação profissional, qualidade de vida e absenteísmo em um hospital público: uma revisão

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Andressa Cristine Buranhaem Viana ◽  
Islane Cristina Martins
Keyword(s):  
Quality Of Life ◽  
Job Satisfaction ◽  
Public Hospital ◽  
Public Hospitals ◽  
Eligibility Criteria ◽  
The Public ◽  
Health Area ◽  
Two Factors ◽  
The Relationship

Introdução: O estudo do absenteísmo na área da saúde é fundamental, visto que, a ausência do servidor ao trabalho pode gerar prejuízo ao usuário do sistema público de saúde, ao próprio servidor ausente, ao servidor presente e à instituição. Objetivo: Realizar uma revisão integrativa da literatura a fim de compreender a relação entre a satisfação profissional, a qualidade de vida e o absenteísmo dos trabalhadores de um hospital público. Materiais e Métodos: Foi feita uma busca de referência com os descritores “Satisfação no trabalho”, “Qualidade de vida”, “Absenteísmo” e “Hospitais Públicos” nas bases de dados Periódicos CAPES, Google Acadêmico e PUBMED. Pelos critérios de elegibilidade, 5 estudos se adequaram aos parâmetros estipulados. Resultados: Os 5 estudos analisados encontraram relação entre o absenteísmo e a satisfação profissional, de forma estatística ou observacional. Quanto à qualidade de vida, 40% da amostra encontrou relação entre os dois fatores. Conclusão: Existe relação entre o absenteísmo e a satisfação profissional e essa relação é inversamente proporcional. No que tange a qualidade de vida, a relação entre os dois fatores não é uma unanimidade. Uma das limitações verificadas no estudo é a variedade de conceitos para definir satisfação profissional e qualidade de vida.Palavras-chave: Satisfação no trabalho, Qualidade de vida, Absenteísmo ABSTRACTJob satisfaction, quality of life and absenteeism in a public hospital: a reviewIntroduction: The study of the absenteeism in the health area is fundamental, since the absence of the server in the work can cause impairment to the user of the public health system, to the absent server itself, to the present server and to the institution. Objective: Carrying out an integrative literature review to understand the relationship between job satisfaction, quality of life and absenteeism from workers in a public hospital. Materials and methods: It were made a reference search with the descriptors "job satisfaction", "quality of life", "absenteeism" and "public hospitals" in the “Periódico Capes”, Scholar Google and PubMed databases. According to the eligibility criteria, 5 studies were adapted to the stipulated parameters. Results: It was found a relationship between absenteeism and job satisfaction from the 5 studies analyzed, either statistically or observationally. As for quality of life, 40% of the sample found a relationship between the two factors. Conclusion: There is a relationship between absenteeism and job satisfaction and this relationship is inversely proportional. With regarding to the quality of life, the relationship between the two factors is not an unanimity. One of the limitations found in the study is the variety of concepts to define job satisfaction and quality of life.Keyword: Job Satisfaction, Quality of life, Absenteeism.

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