Establishment of a Comprehensive Evaluation System on Medical Quality Based on Cross-examination of Departments within a Hospital

Wu, Suo-Wei; Chen, Tong; Pan, Qi; Wei, Liangyu; Xuan, Yong; Li, Chao; Wang, Qin; Song, Jing-Chen

doi:10.4103/0366-6999.219163

Cited by 7 publications

(12 citation statements)

References 15 publications

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“…Nevertheless, we would argue that our review and subsequent development of a new ranking system breaks new ground in understanding hospital performance in China. Where current hospital rankings in China often rely on reputation scores and investment (input) measures [ 8 , 11 , 12 ], our review of publicly available measures and their development into a ranking system appears to be the first in opening up the debate for more rigorous and transparent performance information. This is particularly the case for quality and safety performance.…”

Section: Discussionmentioning

confidence: 99%

“…Within these contexts, patients are offered different forms of provision ranging from grade I community hospitals, grade II secondary or county hospitals serving several communities, and grade III tertiary hospitals serving districts or cities. This classification [ 8 ] remains a powerful driving force for decision-making, with tertiary hospitals often deemed the preferred option for better clinical quality. Pan et al [ 7 ] explain how such trends are driven by a culture where patient volume often represents the primary measure of hospital performance used by government administrators.…”

Section: Introductionmentioning

confidence: 99%

“…These indicators provide a valuable contribution to debates and decision-making about hospital performance in China. Nevertheless, given the current situation in China, and the asymmetries of information that exist, important limitations of the current ranking systems have been highlighted, including a reliance on reputation scores [ 11 ], a limited menu of performance measures, and a lack of consideration and engagement with measures of quality and safety [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Rating Hospital Performance in China: Review of Publicly Available Measures and Development of a Ranking System

et al. 2021

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Background In China, significant emphasis and investment in health care reform since 2009 has brought with it increasing scrutiny of its public hospitals. Calls for greater accountability in the quality of hospital care have led to increasing attention toward performance measurement and the development of hospital ratings. Despite such interest, there has yet to be a comprehensive analysis of what performance information is publicly available to understand the performance of hospitals in China. Objective This study aims to review the publicly available performance information about hospitals in China to assess options for ranking hospital performance. Methods A review was undertaken to identify performance measures based on publicly available data. Following several rounds of expert consultation regarding the utility of these measures, we clustered the available options into three key areas: research and development, academic reputation, and quality and safety. Following the identification and clustering of the available performance measures, we set out to translate these into a practical performance ranking system to assess variation in hospital performance. Results A new hospital ranking system termed the China Hospital Development Index (CHDI) is thus presented. Furthermore, we used CHDI for ranking well-known tertiary hospitals in China. Conclusions Despite notable limitations, our assessment of available measures and the development of a new ranking system break new ground in understanding hospital performance in China. In doing so, CHDI has the potential to contribute to wider discussions and debates about assessing hospital performance across global health care systems.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rating Hospital Performance in China: Review of Publicly Available Measures and Development of a Ranking System

et al. 2021

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“…), and nursing quality (indicators include workload, post-graduation education, etc.) [ 22 , 23 ]; (2) teaching quality: comprehensive scores of the annual assessment of specialties’ teaching quality based on teaching achievement, undergraduate education, graduate education, and resident training [ 24 ]; (3) discipline construction: the comprehensive reputation ranking of specialties in the annual assessments [ 25 ]; (4) specialty operation: the comprehensive scores of the annual assessment of specialty operations and adverse events [ 26 ]; (5) proportion of senior professional titles: the ratio of the number of staff with senior professional titles to all staff [ 27 ]; (6) proportion of doctors of medicine (MDs) or doctors of philosophy (PhDs): the ratio of the number of MDs or PhDs to all staff [ 28 , 29 ]; (7) director leadership: a public opinion survey of the clinical director [ 30 , 31 ]; and (8) age ratio: the ratio of under 40 years to over 40 years, according to the application age requirements of the National Natural Science Foundation of China (NSFC) [ 32 ].…”

Section: Methodsmentioning

confidence: 99%

Factors associated with the research efficiency of clinical specialties in a research-oriented hospital in China

Yin

et al. 2021

PLoS ONE

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Research-oriented hospitals are responsible for medical services tasks, medical education, and scientific research, playing an important role in medical research and application. The research efficiency of a clinical specialty is influenced by factors such as the characteristics of the specialty, the organizational atmosphere, and the clinical director’s leadership. The present study aimed to describe the research efficiency of clinical specialties, explore the factors influencing it, and clarify the argument of co-evolution theory regarding the collaborative development of medical services, education, and research. Logistic regression and multiple linear regression were adopted to estimate the correlation between influencing factors and scientific research efficiency. Hospital H, which is representative of research hospitals in China, was taken as an example. Taking three efficiency values—comprehensive technical efficiency (CTE), pure technical efficiency (PTE), and scale efficiency (SE)—as dependent variables, the independent variables affecting research productivity were statistically analyzed. This study also examined the scientific research efficiency of 41 specialties between 2013 and 2017, and found that the independent variables affected CTE, PTE, and SE to various degrees. Collaborative innovation in medical education and research must be based on clinical research; how to balance medical and teaching quality, and research efficiency requires further discussion. While young people play a major role on the research team because of their creativity and initiatives, which improve CTE and PTE, high-level researchers with better research and leadership abilities lead to the rational allocation and effective utilization of resources, thus improving SE. In 2013–2017, discipline construction focused on scale expansion, resulting in the decline of SE in China. Therefore, this study suggests further improvements for the efficiency of clinical specialties in research hospitals.

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“…With regard to hospital environments, the characteristics of the evaluation objects are complex, diverse, and extensive, involving social, economic, and environmental factors, among others (S. Zhang et al, 2020;Zhou et al, 2020), for which a comprehensive evaluation method is often needed. In recent years, experts and scholars have applied comprehensive evaluation methods in public health domains including injury surveillance (Li et al, 2010), prehospital death determination (Lwin et al, 2006), hospital quality (Matual et al, 2009, and management of medical quality (S. W. Wu et al, 2017). Some scholars have also studied public health in rural areas, such as the evaluation of county hospital patients (Rae et al, 1961) and efficiencies (Valdmanis, 1996).…”

Section: Literature Reviewmentioning

confidence: 99%

A Comprehensive Evaluation of Township Hospitals in the Severely Cold Areas of China

Zhu

et al. 2021

HERD

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Objective: The aims of this study are to establish an evaluation system and find the existing problems in the architectural design of township hospitals in the severely cold regions of China. Background: Due to the geographical location and economic factors, development still has some key problems, such as inadequate construction, old facilities, and backward technology, which are more prominent in the severely cold regions. Methods: First, evaluation factors have been selected and determined by literature review and on-site investigation. Evaluation rules have been determined using fuzzy membership function. Then, the analytic hierarchy process is used to determine the weights of the evaluation factors at all levels. Finally, take a township hospital as an example to calculate the comprehensive evaluation results. Results: A comprehensive evaluation index system with 28 elements and 76 factors for the township hospitals in severely cold regions including the basic health service capacity, the emergency capacity, and the climate fitness. Conclusions: The establishment of the comprehensive evaluation system of township hospitals in severely cold areas in this study aims to find out the problems through the evaluation of the existing township hospitals in the severely cold areas and provide guidance for the transformation of existing township hospitals in the severely cold areas. By comparing the scheme evaluation for building hospitals, we shall look for the optimal solution to provide reference for future development in the construction of township hospitals.

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Establishment of a Comprehensive Evaluation System on Medical Quality Based on Cross-examination of Departments within a Hospital

Cited by 7 publications

References 15 publications

Rating Hospital Performance in China: Review of Publicly Available Measures and Development of a Ranking System

Rating Hospital Performance in China: Review of Publicly Available Measures and Development of a Ranking System

Factors associated with the research efficiency of clinical specialties in a research-oriented hospital in China

A Comprehensive Evaluation of Township Hospitals in the Severely Cold Areas of China

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