Differences in inpatient performance of public general hospitals following implementation of a points-counting payment based on diagnosis-related group: a robust multiple interrupted time series study in Wenzhou, China

Zhu, Tingting; Chen, Chun; Zhang, Xinxin; Yang, Qingren; Hu, Yipao; Liu, Ruoyun; Zhang, Xiangyang; Dong, Yin

doi:10.1136/bmjopen-2023-073913

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…At present, with the gradual promotion of DRGs in major hospitals in China, hospitals might be more motivated and willing to provide nursing services such as KMC, which could shorten the average hospital stay ( 53 ). With the full roll-out of DRGs, hospitals would receive reasonable compensation for the costs associated with implementing KMC ( 54 , 55 ), which is likely to be an opportunity for the future promotion of KMC.…”

Section: Discussionmentioning

confidence: 99%

Healthcare providers' perceptions and experiences of kangaroo mother care for preterm infants in four neonatal intensive care units in China: a qualitative descriptive study

Cai,

Zhou,

Hong

et al. 2024

Front. Public Health

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BackgroundKangaroo mother care (KMC) is an evidence-based intervention that can effectively reduce morbidity and mortality in preterm infants, but it has yet to be widely implemented in health systems in China. Most qualitative studies on KMC for preterm infants focused on the experiences and influencing factors from the perspective of preterm infant parents, while neglecting the perspective of healthcare providers, who played a critical role in guiding KMC practice. Therefore, this study aimed to explore the perceptions and experiences of healthcare providers regarding their involvement in KMC implementation for preterm infants to promote the contextualized implementation of KMC.MethodsA descriptive qualitative approach was adopted. A purposive sampling was used to select healthcare providers involved in KMC implementation in the neonatal intensive care units (NICUs) as participants from four tertiary hospitals across four cities in Zhejiang Province, China. Face-to-face semi-structured interviews were conducted to collect information. Thematic analysis was employed to analyze the data.ResultsSeventeen healthcare professionals were recruited, including thirteen nurses and four doctors in the NICUs. Four themes and twelve subthemes emerged: different cognitions based on different perspectives (acknowledged effects and benefits, not profitable economically), ambivalent emotions regarding KMC implementation (gaining understanding, gratitude and trust from parents, not used to working under parental presence, and concerning nursing safety issues), barriers to KMC implementation (lack of unified norms and standards, lack of systematic training and communication platform, insufficient human resources, and inadequate parental compliance) and suggestions for KMC implementation (improving equipment and environment, strengthening collaboration between nurses and doctors, and support from hospital managers).ConclusionsDespite acknowledging the clinical benefits of KMC, the lack of economic incentives, concerns about potential risks, and various barriers hindered healthcare providers' intrinsic motivation to implement KMC in NICUs in China. To facilitate the effective implementation of KMC, hospital managers should provide bonuses and training programs for healthcare providers, while giving them recognition and encouragement to enhance their motivation to implement KMC.

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Section: Discussionmentioning

confidence: 99%