Study On Evaluation And Improvement Strategies Of Hospital Commonweal In China

ObjectiveThe research used the methods of theoretical study and empirical study, based on the comprehensively understanding of the model of hospital management and the hospital operating situation at home and abroad, The research defined the connotation of the hospital commonweal, and established a reasonable evaluation index system of the hospital commonweal, It had a effective evaluation of the hospital in sample area in China, and had a comprehensive analysis of the existing problems. Put forward the improvement strategy of the hospital commonweal in China, provide theoretical basis of policy suggestion establish by the health administration. Contents and MethodsDefined the connotation of the hospital commonweal in China by documents consultation and information analysis; Established the evaluation index system and its weight of he hospital commonweal in China by the methods of experts consultation and analytic hierarchy process; Evaluated the hospital commonweal of the samples by the methods of weighted Topsis combined RSR and fuzzy comprehensive evaluation; Based on the research and analysis of the hospital commonweal, aiming at the existing problems, discussed the strategy of improve the hospital commonweal on the level of public policy, and provided the policy suggestions.Results1. The research defined the connotation of the hospital commonweal in China based on a definition of the public interest. The characteristics of public interest include social sharing, the unity of objective, subjective and dynamic and non-profit.The concrete connotation of the hospital commonweal in China includes (1)The accessibility of health service, that means people can afford to it;(2)The suitability of health service, that means provide a appropriate health service to people;(3)The health service provided by hospital should make people healthy, that means keep the quality of the health service, increase the expectant results and decrease the non-expectant results of the patients in the health service;(4)Besides the quality of the health service, it still should keep the efficiency of the health service, makes the patient convenient;(5)The another embodiment of the hospital commonweal is the performance of the responsibility and obligation, take part in all kinds of social commonweal positively.2. To establish the evaluation index system of the hospital commonweal in China, there are two rounds of expert consultations in the research: the familiar degree of the 5 first grade indexes of the experts is between familiar and very familiar; the coefficients of the experts are above 0.8, which means the authoritative degree is higher. The harmonious degree in the second round of the experts is higher than the first round. The p value of the significance test is less than 0.05, that means the coordination of the options by the experts is better, the reliability is higher, and the results is retrievable. According to the connotation and extension of the hospital commonweal, established the evaluation index system of the hospital commonweal from five dimensions, improve the quality of medical treatment, increase service efficiency, reduce the cost of the patients, take part in the social commonweal and improve the satisfaction, there are 5 first grade indexes and 23 second grade indexes including. The weight value of 5 first grade indexes is 0.2908, 0.2248, 0.2262, 0.1596 and 0.0987.3. The hospitals in China have made a great effort for the realization of the commonweal, but there is still have a question of the missing commonweal: At the aspect of the quality of the health service, all of the indexes are higher than the standard value, which means the quality is better; At the aspect of the efficiency of the health service, the burdens of the public hospitals are overweight, there still have questions of difficult in the registration, pay fees, hospitalization and the workload of the private hospitals are inferior to the public hospitals; At the aspect of the cost of the patients, the proportion of the drug expenditure is higher, the increase rate each year of the drug expenditure is above 10%, the economic burden of people is heavy;The hospitals participating in the social public welfare activities in very high enthusiasm; Patient satisfaction and satisfaction with medical personnel need to be further improved.4.The improvement of commonweal in hospitals is not limited to the reform of hospitals, but also need health systems to reform. Conclusion1.Establish a health service supply system that rational division of labor, function optimization and dominant by the government.2.Emphasizes the duty of government, establish the health protection system that covered the residents urban and rural gradually.3.Strengthen the responsibility of government, provides favorable exterior environment and atmosphere.4.Supervision and management strictly, normative the behavior of medical institutions.5.Innovative the management system and the operation mechanism, Establish favorable internal condition.6.Excitated the social responsibility of hospital, enhance the public notion of medical staff.7.Normative the behavior of the media, provide favorable supervision circumstance by public opinion.