Public Welfare Evaluation Of Social Capital Investment Hospital Research On Improvement Strategy

Research background:Non public hospital is a part of our health system,to alleviate the difficult and expensive problem to a certain extent,plays an increasingly important role in safeguarding the people's health.However,a considerable part of the community hospital in the development process there is a public problem,one-sided the pursuit of institutions or investors' interests,not the public welfare as the core development goals,hospital operation process is also a lack of quantitative and qualitative evaluation of the public welfare.Research purpose:Based on the summary of relevant literature,the connotation of the hospital commonweal and extension of a clear definition,construct the index system of the hospital commonweal evaluation,and the sample hospital commonweal implement degree and level measurement.Through the summary of relevant policies and the reform practice of Medicine Office of social capital,and analyzes the reason,from the government,the hospital's social capital investment for the hospital public welfare loss,social three aspects of implementation of effective suggestions and strategies to improve the public welfare,to provide reference for promoting the path of social capital investment after the implementation of public hospital,to guide the healthy development of non public hospitals.Research content:1.The connotation and extension of definition of Public Welfare Hospital.Based on the related literature summary,defines the connotation and extension of public hospitals,to support the research theory of public goods supply,the theory of hospital operational mechanism,the supply of public goods theory,performance evaluation theory,has formed the theoretical framework of this study.2.Construct the evaluation index system of the hospital commonweal.From the connotation and extension of public hospital,in the hospital public welfare evaluation research literature review on the basis of the analysis,the establishment of evaluation index system of the hospital commonweal through 2 rounds of expert consultation and annual evaluation of sample hospitals for public interest.3.Research and policy analysis model of social capital investment to hospital.Issued since 2000 on the social capital to do medicine policy review,combining the relevant literature on the classification of hospital social capital investment model,and the model between the advantages and disadvantages of analysis.The applicable conditions4.Public welfare capital investment strategy of hospital improvement.Analyse the reason for the lack of public hospital social capital investment,and puts forward improvement strategies,to provide reference for promoting the path of social capital investment in hospital after the realization of public welfare goal,guide the healthy development of non public hospitals.Research method:1.Through the literature method to understand the existing hospital public welfare evaluation and social capital management and other related content,the initial formation of the theoretical basis of this paper and the basic indicators of hospital public welfare measurement;2.The use of Delphi expert consultation,chose 24 were from the school scientific research institutions,hospital administration,medical experts and health administrative departments to consult the experts.Through the questionnaire,after two rounds of expert consultation has finally established the evaluation system of public hospital;3.According to the construction of good public hospital evaluation system,on-site data collection of the sample hospital.According to the access outline of depth interview to the part of the medical staff,the use of qualitative interviews to understand the basic situation of the hospital,collect their views on public hospital;4,.According to the data provided by the sample hospital,using the Topsis evaluation method,the paper compares and evaluates the degree and level of the public welfare of the sample hospital in 201420152016;5.Analyse the practice of social capital to do medicine,using the comparative analysis of the operation mode between steps,advantages and disadvantages,comparing the applicable conditions,and for the lack of social capital to do commonweal medicine and put forward feasible suggestions for improvement.Research conclusion:1.The hospital public welfare specific content mainly includes: the health service fairness and the availability,suitability,quality and efficiency;and the extension of the hospital commonweal include: to provide basic medical services to citizens,clinic activities,held regularly participate in agriculture,local emergencies,emergency rescue,reduction or relief medical expenses to the poor,the proportion of control special services;the implementation of the basic drug system,reduce the ratio of drug to patients,in line with the current health care level of medical service according to the condition,inhibition of outpatient and hospitalization expenses of excessive growth;comply with national health laws and regulations,standardize medical behavior management system,and constantly improve the inspection and treatment.The quality of care,improve patient satisfaction;make full use of the existing medical resources,through institutional innovation,strengthen internal management,shorten the hospitalization days,window,waiting time for inspection report Optimize the process,reduce unit energy consumption2.After two rounds of expert consultation to construct the evaluation index system of the hospital commonweal,finally established 5 indexes and 29 level two indexes,as follows: the public welfare measure of the quality of medical services(prescription qualified rate,the intensity of use of antimicrobial agents,class I incision healing rate of critically ill patients rescue success rate,admission and discharge diagnosis rate,treatment efficiency,quality care coverage,annual per hundred inpatient number of medical disputes,large equipment inspection);the positive rate of the medical service efficiency(the average hospitalization days,the bed turnover times before selective operation,average hospitalization days,the inspection report in accordance with the time limit rate,waiting for the service window time,emergency time,urgent consultation time,clinical pathway disease);the completion rate of cost of medical service(average hospitalization expenses,outpatient costs,drug revenues accounted for the proportion of business income,the usage rate of essential medicines);the social medical service(years of public health service items,the task of public health emergencies emergency rescue in the number of years,city hospital to support rural communities and the number of years,support the border or medical etc.mandatory task number,free medical assistance or preferential relief scale,special hospital beds accounted for beds;the satisfaction ratio)(patient satisfaction,staff satisfaction).Public hospital evaluation system covering the connotation and extension of public welfare,the index data are mostly in the hospital's medical department,Department of information can be collected,with science and practicability.The public welfare of sample hospitals in the year 201420152016 to achieve the degree and level of the longitudinal comparison and evaluation through the calculation,the public hospital in 2015,samples of the highest level.3.The social capital to do medicine is a part of China's health system,providing medical services can also reflect the public interest.But there are some problems in the development of social capital to do medicine positioning is not clear,the policy of unfair treatment,did not handle the interests of all parties,the corporate governance structure of defective capital dividends and type is not clear in the policy,bull management and invalid supervision,the public welfare evaluation system to solve these problems.No,needs the government,the hospital itself,the three party social force,norms,guidance,improve shekuaibanyi Institute of further development,achieve the target of public welfare.Recommendation:1.The government should guide the realization of social welfare of public hospitals,to achieve strict access,improve the exit,classification management,fair treatment,the implementation of concessions,strengthen supervision,preferred to buy,and explore a variety of ways to return;2.The society should actively take the initiative to achieve the hospital public welfare,deal with the interests of all parties,improve the corporate governance structure,and the introduction of public welfare evaluation system,good brand building3.The whole society should be responsible for the realization of public welfare in the hospital,and actively explore the social evaluation mechanism,the news media should also do a good job of public opinion...