Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province
PurposeHierarchical 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...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1008863/full |
| _version_ | 1811161894940049408 |
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| author | Qinde Wu Zijun Zhao Xianyu Xie |
| author_facet | Qinde Wu Zijun Zhao Xianyu Xie |
| author_sort | Qinde Wu |
| collection | DOAJ |
| description | PurposeHierarchical 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.MethodsIn 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.ResultsThe 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.ConclusionGray 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. |
| first_indexed | 2024-04-10T06:21:22Z |
| format | Article |
| id | doaj.art-26a9b0a2ecc94187a3baaf75bfb750ce |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T06:21:22Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-26a9b0a2ecc94187a3baaf75bfb750ce2023-03-02T04:40:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.10088631008863Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian provinceQinde Wu0Zijun Zhao1Xianyu Xie2Department of Medical, Fujian Medical University Union Hospital, Fuzhou, Fujian, ChinaSchool of Humanities and Social Sciences, Fuzhou University, Fuzhou, Fujian, ChinaDepartment of Medical, Fujian Medical University Union Hospital, Fuzhou, Fujian, ChinaPurposeHierarchical 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.MethodsIn 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.ResultsThe 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.ConclusionGray 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.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1008863/fullhierarchical diagnosis and treatmentperformance appraisal systemapplication researchallocation of resourceshealth management |
| spellingShingle | Qinde Wu Zijun Zhao Xianyu Xie Establishment and application of the performance appraisal system for hierarchical diagnosis and treatment in China: A case study in Fujian province Frontiers in Public Health hierarchical diagnosis and treatment performance appraisal system application research allocation of resources health management |
| 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 | hierarchical diagnosis and treatment performance appraisal system application research allocation of resources health management |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1008863/full |
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