Analysis On The Current Situation And Countermeasures Of Non-Emergency Medical Transport Service In A First Class Hospital

BackgroundIn recent years,due to the aging of the population,the new medical reform classification policy guidance,the growing national economy,the improvement of people's living standards and other factors,non-emergency medical transport demand is increasing,but most of our city's medical transport task is conducted by the city emergency medical command center(hereinafter referred to as "emergency command center")and it is responsible for the main commitment to emergency and disaster patients on-site first aid and custody transport,and major activities such as medical security and other medical emergency mission.It's vested in government,and has the government price subsidies,with the nature of public welfare and basic security."Pre-hospital medical emergency management approach" provides that the emergency center(station)and the first aid network hospital shall not be ambulance for non-hospital medical emergency services.At present,China's medical transport system has not yet covered the field of non-emergency transport,the traditional medical transport system can not meet the needs of a wide range of medical transport.As a result of non-hospital medical emergency vehicles caused by the "black ambulance" chaos has become the focus of widespread attention.In recent years,emergency resources have been squeezed by non-emergency needs.Non-emergency transport service function brought about by the lack of social production order and the people's health and safety issues are being more and more concerned.The provision of non-emergency transport services highly relies on the corresponding operating mode and management system,so reform of the existing medical transport system and design of non-emergency transport mode is imperiously demanded.ObjectivesAt present,the operation and regulatory system in Chinese non-emergency transport industry did not come into be an integrated mode,and the operation is quite poor.How to construct the non-emergency transport mechanism from the macro,medium and micro levels,how to balance the interests of the service providers,patients,hospitals and other stakeholders in the construction,how to deal with the first aid and non-emergency transport system,how the specific division of labor market,are the pratical problems that building non-emergency transport system had to think and solve.Domestic and foreign research on medical transport,focusing on pre-hospital emergency areas,lacks attention to non-emergency.transport market,medical services and medical services market from the characteristics of in-depth and comprehensive theoretical demonstration,and micro-perspective analysis.Therefore,the author seeks to find out the non-emergency transshipment pattern of a large-scale top first class hospital(hereinafter referred to as "A hospital"),from the height of the theory and the actual situation of the hospital,China to solve the non-first aid transport service supply and operation and management issues to provide a direct theoretical reference and innovation.In addition,the essay will combine management,economics,sociology,law and other disciplines with the theory of non-emergency transport mode,which aims to play a certain role in promoting.Methods1.Literature analysisTo collect the relevant theoretical research and practical experience in the field of non-emergency transport at home and abroad,to provide ideas for the design of non-emergency transshipment mode,and to accumulate relevant knowledge and theoretical basis for improving the non-emergency transport mode.2.Field research method/field research methodTo conduct depth study of hospitals and medical transshipment institutions,to understand the needs and supply of medical transport services in hospitals,to observe the difficulties and problems encountered in the operation of medical transport institutions and the working status of their medical staff,access to hospitals and medical transport institutions Transport business data,and its analysis,to understand the medical transport services and the status quo.3.Semi-structured interviewGuangzhou emergency medical command center(Hereinafter referred to as"Guangzhou 120")workers,A hospital workers,third party non-emergency transport agency staff and patients or their families to interview.According to the result of the interview,master the non-emergency transport service status from the side,to find the existing problems,and further analyze the reasons and provide the reality basis for the research content.4.Questionnaire surveySelected stakeholders for the survey population,for different groups were designed questionnaire.The survey population is:hospital workers,patients who use third-party non-emergency transshipment services,or their families.Understand the stakeholders' perceptions of the current medical transport system,the understanding,acceptance and recognition of non-emergency transshipments and their recommendations.The questionnaire data is used to sort out and analyze the status of non-emergency transport services to find the existing problems,and to further analyze the reasons for the study to provide a realistic basis for the content.5.Expert consultation methodUsing the expert consultation method to collect the alternative mode of non-first aid transshipment service,combined with the preliminary research results,the paper puts forward the non-emergency transport service mode and the specific institutional arrangement suitable for the hospital truth.The expert advice is to provide a mode and improve countermeasures to non-emergency transport services.Selection of consultants:hospital-related clinical department director,senior management of the hospital,the Guangzhou municipal health administrative departments,third-party non-emergency transport agencies senior management.6.Mathematical StatisticsUsing SPSS 19.0 statistical analysis of the survey data,in-depth scientific to find out the hidden problems of the data,and analyze the reasons for the problem,to enhance the scientific research methods.Content and ProcessAt present,China in the non-emergency transport industry,operation and regulatory system construction and did not form an integrated mode,and the operation is quite poor.How to construct the non-emergency transport mechanism from the macro,medium and micro levels,how to balance the interests of the service providers,patients,hospitals and other stakeholders in the construction,how to deal with the first aid and non-emergency transport system,How the specific division of labor market,are building non-emergency transport system had to think and solve the main practical problems.This study intends to discuss the necessity and feasibility of designing non-emergency transport mode from the aspects of patients,hospitals and government,and discuss the status quo of non-emergency transshipment service in A hospital by combining the technology,market and policy.This paper puts forward the non-first aid mode and the specific institutional arrangement suitable for the actual situation of A hospital from the perspective of pattern design,system construction,reform approach and rule composition,and explores the construction of non-first aid transshipment system.Countermeasures,in order to optimize the allocation of hospital resources to promote the development of non-emergency transport industry,are put forward to better meet the increasing number of people discharged,transfer and other non-emergency transport needs.This paper tries to analyze the current situation of A non-emergency transport service in A hospital by means of theoretical research,field investigation,questionnaires,expert consultation and mode design.It also examines the specific situation in reality and analyzes the existing problems in order to provide a reference and theoretical guidance for the design and improvement of hospital non-emergency transport mode and government-related legislative activities.ConclusionA large number of non-emergency transport tasks from hospital are mainly conducted by the hospital's own ambulances,third-party regular ambulance and social"black ambulance" commitment,non-emergency transport services mainly exist the following questions:(1)"Guangzhou 120"(3)third-party regular non-emergency transport agencies did not get enough attention and cooperation with the hospital,to the "black ambulance"(3)the third party regular non-emergency transport agencies did not get enough attention and cooperation with the hospital,to the "black ambulance"(5)patient and hospital staff are less satisfied with the hospital non-emergency transport services;(4)the "black ambulance" problem has not yet been completely eradicated,there is the risk of disrupting the medical order,and endangering the safety of patients;(6)Patients and hospital workers generally hope that the hospital will improve services and provide safer and more convenient non-emergency transport services."Guangzhou 120",which is included in social welfare and enjoys the government financial subsidies,should not provide non-emergency transport services;the size of a single hospital is limited,and the first class hospital medical resources are relatively valuable and scarce,therefore,it is not suitable for hospital to waste their medical resources in non-emergency transport.;non-emergency transport services should be borne by the social forces,but the government should strengthen the approval and supervision,and the hospital should provide support and cooperation.The hospital should make comprehensive decisions,choose the appropriate mode of operation,deepen cooperation with non-emergency transshipment agencies,and completely separate the non-emergency transshipment operations to the third party.The hospital is responsible for providing the platform and information,and the transporter is responsible for providing transshipment human and material resources to improve the efficiency of hospital medical resources and social capital and the value of use,and fundamentally suppress the "black ambulance's" living space to protect the rights of patients;with increasingly mature mobile Internet technology,gradually build third-party "network bus" platform based on the hospital network platform for patients to provide safer and more convenient non-emergency transport services.The government should absorb more qualified social capital to participate in non-emergency transshipment services,expand the supply of services to meet the market demand;strengthen the approval and supervision,unified standardized transport agency name;regulate the transport agency service prices and fees;Non-emergency transshipment services;training medical ambulance to meet the needs of market users.Characteristics and InnovationNon-emergency transport is a new hotspot in the field of public health management.This study is aimed at the problems faced by medical institutions and their related personnel in the process of providing non-emergency transport services.The primary problem encountered in non-emergency transport management is not a technical issue,but a mode issue.This study uses the methods of empirical analysis and multidisciplinary analysis to study the necessity of constructing non-emergency transshipment mode,as well as the specific path and specific technical operation plan,combined with China's national conditions,to explore the situation consistent with A hospital,independent of first aid transshipment System of non-first aid transport mode operation innovation mechanism.Through the empirical analysis of the status quo and specific institutional arrangements of A hospital medical transport,it provides the data basis for the reform of medical management system.Through the research and investigation of non-emergency transshipment service at home and abroad,it provides first-hand materials for non-emergency transshipment system construction Through theoretical argumentation,we design a set of non-emergency transshipment mode,explore new non-emergency transshipment system and management system,and enrich the theory of non-emergency transshipment management.