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Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province
PURPOSE: Hierarchical diagnosis and treatment, as an important measure and direction for China's medical reform, are conducive to improving the capacity of medical services and the national level of health. In this study, a hierarchical diagnosis and treatment performance evaluation index syste...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017430/ https://www.ncbi.nlm.nih.gov/pubmed/36935724 http://dx.doi.org/10.3389/fpubh.2023.1008863 |
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author | Wu, Qinde Zhao, Zijun Xie, Xianyu |
author_facet | Wu, Qinde Zhao, Zijun Xie, Xianyu |
author_sort | Wu, Qinde |
collection | PubMed |
description | PURPOSE: Hierarchical diagnosis and treatment, as an important measure and direction for China's medical reform, are conducive to improving the capacity of medical services and the national level of health. In this study, a hierarchical diagnosis and treatment performance evaluation index system is established to identify the effects of different influencing factors on developing hierarchical diagnosis and treatment. METHODS: In this study, samples collected from 23 representative integrated medical institutions in nine Fujian cities from 2018 to 2020 are taken as subjects. A hierarchical diagnosis and treatment performance appraisal system is established based on the mechanism of research on the operation of hierarchical diagnosis and treatment. This is combined with the evaluation index system established by the Health Development Research Center, the National Health Commission of the People's Republic of China for the evaluation of hierarchical diagnosis and treatment and the construction of the medical treatment alliance, including studies carried out by related scholars. The weight of each evaluation index is determined with the CRITIC method, and the hierarchical diagnosis and treatment effects on 23 subjects are quantitatively evaluated by the Gray correlation method based on the weight of each index. RESULTS: The hierarchical diagnosis and treatment performance evaluation index system is established from three aspects, namely allocation of hierarchical diagnosis and treatment resources, establishment of the hierarchical diagnosis and treatment management system, and hierarchical diagnosis and treatment implementation effect; 27 tertiary indexes are formed in total. The Gray correlation of each year in Fujian exceeds 0.5, but <0.53. CONCLUSION: Gray correlation of each year in Fujian has gradually increased. But there is still room for improvement. The government departments must improve the investment in medical resources with measures adjusted according to local conditions, promote a balanced allocation of resources for hierarchical diagnosis and treatment, increase communication and interaction between upper and lower medical institutions, and optimize the allocation of resources for hierarchical diagnosis and treatment. Then determine the types of disease to be treated, expand the coverage of chronic disease management, establish standardized chronic disease health management, and strengthen training of health management staff. |
format | Online Article Text |
id | pubmed-10017430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100174302023-03-17 Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province Wu, Qinde Zhao, Zijun Xie, Xianyu Front Public Health Public Health PURPOSE: Hierarchical diagnosis and treatment, as an important measure and direction for China's medical reform, are conducive to improving the capacity of medical services and the national level of health. In this study, a hierarchical diagnosis and treatment performance evaluation index system is established to identify the effects of different influencing factors on developing hierarchical diagnosis and treatment. METHODS: In this study, samples collected from 23 representative integrated medical institutions in nine Fujian cities from 2018 to 2020 are taken as subjects. A hierarchical diagnosis and treatment performance appraisal system is established based on the mechanism of research on the operation of hierarchical diagnosis and treatment. This is combined with the evaluation index system established by the Health Development Research Center, the National Health Commission of the People's Republic of China for the evaluation of hierarchical diagnosis and treatment and the construction of the medical treatment alliance, including studies carried out by related scholars. The weight of each evaluation index is determined with the CRITIC method, and the hierarchical diagnosis and treatment effects on 23 subjects are quantitatively evaluated by the Gray correlation method based on the weight of each index. RESULTS: The hierarchical diagnosis and treatment performance evaluation index system is established from three aspects, namely allocation of hierarchical diagnosis and treatment resources, establishment of the hierarchical diagnosis and treatment management system, and hierarchical diagnosis and treatment implementation effect; 27 tertiary indexes are formed in total. The Gray correlation of each year in Fujian exceeds 0.5, but <0.53. CONCLUSION: Gray correlation of each year in Fujian has gradually increased. But there is still room for improvement. The government departments must improve the investment in medical resources with measures adjusted according to local conditions, promote a balanced allocation of resources for hierarchical diagnosis and treatment, increase communication and interaction between upper and lower medical institutions, and optimize the allocation of resources for hierarchical diagnosis and treatment. Then determine the types of disease to be treated, expand the coverage of chronic disease management, establish standardized chronic disease health management, and strengthen training of health management staff. Frontiers Media S.A. 2023-03-02 /pmc/articles/PMC10017430/ /pubmed/36935724 http://dx.doi.org/10.3389/fpubh.2023.1008863 Text en Copyright © 2023 Wu, Zhao and Xie. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Wu, Qinde Zhao, Zijun Xie, Xianyu Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province |
title | Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province |
title_full | Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province |
title_fullStr | Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province |
title_full_unstemmed | Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province |
title_short | Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province |
title_sort | establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in china: a case study in fujian province |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017430/ https://www.ncbi.nlm.nih.gov/pubmed/36935724 http://dx.doi.org/10.3389/fpubh.2023.1008863 |
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