Patients gather in large hospitals: the current situation of Chinese hospitals and the direction of medical reform

Yu, Xiao; Qiu, Qin-ming; Huang, Yin-xue; Zhu, Shao-yi

doi:10.1136/postgradmedj-2021-140147

Cited by 18 publications

(20 citation statements)

References 3 publications

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“…Ma et al ( 18 ) found that serious WPV mainly occurred in cities (90.2%), usually in tertiary hospitals (67.9%) ( 18 ). One possible explanation is that tertiary hospitals in China usually have better equipment and doctors, and patients with serious diseases usually seek help ( 19 ). This means that the annual death toll in tertiary hospitals may be higher, thus increasing the risk of serious WPV.…”

Section: Discussionmentioning

confidence: 99%

“…We found that nearly 60% of HPs users expressed their fear and regret about engaging in the medical career. Compared with European countries, the number of health care workers per 1,000 population in China is low, which leads to great pressure and workload for front-line clinicians ( 19 ). In addition, patients and their families are often dissatisfied with the crowded medical environment, long waiting time, and insufficient communication with clinicians ( 19 , 29 ).…”

Section: Discussionmentioning

confidence: 99%

“…Compared with European countries, the number of health care workers per 1,000 population in China is low, which leads to great pressure and workload for front-line clinicians ( 19 ). In addition, patients and their families are often dissatisfied with the crowded medical environment, long waiting time, and insufficient communication with clinicians ( 19 , 29 ). Such a trend reduces the quality of HPs' work, and may increase their burnout and turnover intention ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

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Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Du²,

Chen³

et al. 2022

Front. Public Health

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BackgroundViolence against health professionals is a global public health problem. In 2019, a doctor was killed in Civil Aviation General Hospital (CAGH), which triggered national discussion about hospital violence. Sina Weibo, the Chinese version of Twitter, played an important role in this public discussion. The CAGH incident provides us with an opportunity to explore how social media was used in the discussion on violence against doctors.MethodsUsing the built-in search engine of Sina Weibo, a data set containing 542 Chinese micro-blogs was established. Three keywords: Civil Aviation General Hospital, doctor, and knife were used to search for related posts between December 24th, 2019 and January 19th, 2020. We made a content analysis of the posts to investigate: Weibo users' demographics, views about the incident of CAGH, and measures to prevent hospital violence.ResultsOverall, 89.3% of the posts were sent by individual Weibo users, and 10.7% by organizations. Among the individual users, doctors accounted for 27.4%, but only 1.0% came from the legal profession. In addition, 86.7% of the micro-blogs expressed sympathy for the attacked doctor, and 23.1% of the micro-blogs thought that the imperfect medical system was the main cause of the accident. Nearly half of the posts described their disappointment with the government and the society, and 58.6% of medical staff users expressed regret for engaging in medical work. Only 14.2% of micro-blogs put forward some constructive strategies to prevent hospital violence.ConclusionWeibo users played an important role in spreading and discussing the CAGH incident. However, constructive measures to protect doctors were rarely mentioned, and legal opinions were not reflected in time. Hospital violence has caused public dissatisfaction with the government and weakened the professional confidence of medical staff. Occupational health and public health stakeholders must take effective measures to solve workplace violence against doctors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Du²,

Chen³

et al. 2022

Front. Public Health

Self Cite

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“…7 Compared with specialists, they are generally older and have lower education level. 9 , 11 In the standardized training stage of residents, it is difficult for GPs to cultivate strong practical work ability due to the lack of systematic general practice thinking training system. 12 In the stage of continuing education, GPs lack skills training such as knowledge of respiratory infectious diseases, and it is difficult for them to cooperate with the Center for Disease Control and Prevention in practical work, resulting in the separation of medical treatment and prevention.…”

Section: The Professional Dilemma Faced By Gp Trainingmentioning

confidence: 99%

Challenges facing Chinese primary care in the context of COVID-19

et al. 2022

Family Practice

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“…Therefore, managers and doctors of large general hospitals have a strong motivation and willingness to provide more medical resources and services to attract more patients. The latest research results [35] are showing policy makers that their efforts have not worked, and that patients are still pouring into large general hospitals. However, is this true?…”

Section: Introductionmentioning

confidence: 99%

Has China’s Healthcare Reform Reduced the Number of Patients in Large General Hospitals?

Wang

2022

IJERPH

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Many studies have shown that the new round of healthcare reform launched by the Chinese government in 2009 has not effectively solved the problem in which patients more readily choose large general hospitals. We aimed to find out if this situation exists in every department of a large general hospital. This study collected the outpatient data of 24 departments for a large general hospital in Beijing. By calculating the average growth rate of outpatients in each department from 2014 to 2019, and the utilization rate of outpatient appointments in different departments in 2020, we found that the average growth rate of outpatients in 4 departments (16.6%) was negative, and the utilization rate of outpatient appointments in 13 departments (54.16%) was less than 80%. This shows that the number of patients in some departments is declining, and that there is an inefficient use of doctor resources. Obviously, this is inconsistent with people’s current beliefs. Therefore, it is not entirely true that China’s healthcare reform has not reduced the number of patients in large general hospitals. At the same time, the inefficient use of outpatient doctor resources is a phenomenon worthy of attention; if it persists, it will result in significant waste in the healthcare system. We suggest that policy makers and hospital managers in China, and countries similar to China, can attract attention and take measures.

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Patients gather in large hospitals: the current situation of Chinese hospitals and the direction of medical reform

Cited by 18 publications

References 3 publications

Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident

Challenges facing Chinese primary care in the context of COVID-19

Has China’s Healthcare Reform Reduced the Number of Patients in Large General Hospitals?

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