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Establishing a governance structure and an operational model that is compatible with modern hospital manage-ment systems,deepening the reform of hospital management institutions,and exploring the implementation of Super-department System with unified functions are inevitable requirements for promoting the high-quality development of public hospitals.Hospital of Stomatology of Sun Yat-sen University takes the Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era as a guide and fully implements the"Opinions of the General Office of the State Council on Promoting the High Quality Development of Public Hospitals,"integrates party building work and vocational work,carries out practical exploration of the reform of the Su-per-department System,and leads the hospital to achieve phased results in high-quality development.
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Talents are the core driving force to promote the high-quality development of public hospitals,and the talent team building is an important factor for hospitals to get sustainable development and improve comprehensive competitiveness.In view of the shortage of high-level talents,the imperfect talent reserve system,and the lagging personnel management mechanism of public hospitals and the resulting unreasonable talent team structure and talent gap,public hospitals should take talent team building as the starting point,pay equal attention to the introduction and training of talents,interact with discipline construction and talent construction,vigorously promote the construction of personnel management system and mechanism innovation,form a standardized,scientific,refined and efficient modern hospital management system,so that the effectiveness of talents can be max-imized,and provide intellectual support for the high-quality development of public hospitals.
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The Party committee of Ordos Central Hospital has effectively utilized its leadershipby steering direction,over-seeing the broader context,making strategic decisions,fostering reform,and ensuring execution.In alignment with the hospital's specific context,the innovative"115 Project"for Party building has been implemented.This initiative reaffirms the comprehen-sive leadership of the Party,aiming to build a high-quality regional medical center.The execution of five major projects has been instrumental in driving the high-quality development of the hospital,guided by Party building.Focusing on the clinical demands of major diseases and aiming to substantially enhance the capacity for emergency and critical care management,the hospital Party committee have made concerted efforts to bolster the hospital's personnel,key disciplines,scientific research,medical quality and safety,and information systems.These efforts have culminated notable advancements in the hospital's developments.
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The high-quality development requirements for public hospitals,national examination orientations,and DIP medical insurance payment reforms present significant challenges to the refined management of public hospitals.Therefore,it is essential to enhance the operational management of these institutions.This paper aims to develop an operation evaluation index system for clinical departments using the Delphi method for assessing the efficiency of resource input and output across various clinical departments.It provides a scientific basis for decision-making regarding resource allocation,transformation towards re-fined management,and the enhancement of operational guidance for departments.
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Objective To reduce the amount of public hospital arrears,strengthen debt management,improve the over-all operational efficiency of the hospital,promote fine management of the hospital,and boost high-quality development of the hos-pital.Methods We analyzed relevant data collected from 3 000 inpatients,including 486 with outstanding debts,treated at a tertiary public hospital in Chongqing between 2019 and 2023.Single factor analysis and binary logistic regression analysis were performed to identify the causes of medical arrears,and subsequently propose effective debt management strategies.Results Uni-variate analysis revealed that factors such as medical insurance status,department,gender,age,and cause of arrears significantly influenced the occurrence of medical arrears(P＜0.05).The analysis based on the binary logistic model exhibited a good fit with the observed values,with the value of each classification factor's significance less than 0.05.The incidence of arrears was higher among self-funded patients compared to those with medical insurance.The surgical department had the highest rate of arrears,ne-cessitating specialized training for better debt management.The patients aged between 41 and 60 had the highest arrear rate,indi-cating the need for professionally trained nurses to pay close attention to this age group.The primary reasons for arrears included deliberate evasion,disputes,questionable sources(green passage),unforeseen public events,and economic difficulties.Conclusion To effectively manage medical arrears,hospitals should enhance their debt management systems,delineate depart-mental responsibilities and management processes,and implement stringent controls at key points from admission to discharge.
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Affiliated Hospital of Jiangnan University has always adhered to the public welfare orientation,with the starting point of three fusion three innovation,guided by the high-quality development strategy led by party building,strengthened top-level design,solidly implemented grassroots party building quality and efficiency improvement actions based on branch fortresses,deepened the standardization and standardization construction of party branches,adhered to the deep integration of party building business,explored the key path of the affiliated hospital's characteristics,continuously improved the level of refined management,and met the people's medical needs in all aspects,It has conducted effective exploration and practice.
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Objective To analyze the current status of high-quality development research in public hospitals,sum-marize the connotation and paths,and provide a reference for promoting the high-quality development of public hos-pitals.Methods Using"public hospitals"and"high-quality development"as the title,keywords or themes,1802 articles were retrieved from CNKI and Wanfang databases from January 1,2018,to December 31,2022,for bibliometric analysis.Results The number of articles has increased year by year,published in 235 domestic journals.The authors'institutions are mainly located in the eastern part of China.Among the specific contents,there are the most articles on the"operation management system".In 2021,with the introduction of relevant policies,re-search on the connotation and paths of high-quality development in public hospitals has increased.Conclusion The re-search on high-quality development in public hospitals is growing rapidly,with rich connotations and gradually clear paths,but still faces many difficulties.
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The first working meeting of the 8th Editorial Committee of Chinese Journal of Nephrology was held in Guangzhou, China on November 30, 2023. At the meeting, the list of the 8th Editorial Committee was announced, the work of the journal in the past 5 years was summarized, and the future work of the Editorial Committee was planned and discussed. Jiang Yongmao, former deputy secretary-general of the Chinese Medical Association, Jin Dong, deputy general manager of the Chinese Medical Journals Publishing House Co., Ltd, Lu Quan, editor of the Journal Management Department of Chinese Medical Association, Yu Xueqing, editor-in-chief of the 8th Editorial Committee, Cai Guangyan, Chen Jianghua, Zhao Minghui and Mao Haiping, deputy editor-in-chief of the 8th Editorial Committee, and 69 members of the 8th Editorial Committee, attended the meeting. The meeting came to a successful conclusion, and provided guidance for how to break through the difficulties, publish high-quality content and achieve high-quality development under the new situation.
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The five core indicators(the case mix index, the proportion of level-4 surgery, the proportion of technical service income in medical income, the proportion of personnel expenditure in business expenditure, and the proportion of fixed part in personnel salary) and target values determined by the pilot goal of high-quality development of high-level public hospitals jointly built by National Health Commission and Provincial Government had become the core indicators for evaluating the quality and efficiency of public hospital development. The authors proposed the optimization and improvement measures for the five core indicators one by one from the internal reform and innovation in hospitals, as well as the synergetic development and governance of " insurance-medical-medicine linkage", combined with the current situation of a pilot hospital. The authors also proposed the starting points and driving force for promoting the high-quality development of public hospitals through the synergetic development and governance of " insurance-medical-medicine linkage", including implementing government investment responsibilities, streamlining the price evaluation of medical services, deepening the reform of medical insurance payment, accelerating the expansion of drug and consumable procurement, and promoting the application of advanced technologies and products, in order to provide reference for the in-depth promotion of high-quality development of public hospitals.
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Discipline construction is the main focus of the high-quality development of public hospitals. The authors elaborated on the practice of Zhongshan Hospital(Xiamen), Fudan University, based on the " double-center" homogenization management, implementing the 123456 strategy of " integrated management and homogeneous development" in discipline construction. The hospital has promoted discipline construction from six aspects: building discipline cluster, promoting talent cultivation, building science and technology innovation platform, precise personnel classification, medical and education collaborative education, and information sharing and support. It has achieved new development goals of filling weak discipline gaps, transforming talent transfusion into hematopoietic, and integrating medical, educational, research and management innovation. However, it also encountered difficulties such as homogenization barrier of discipline construction, shortage of excellent talents, and limited brand influence of superior disciplines. The authors put forward suggestions from three dimensions: deepening homogeneous management, building talent echelon, and increasing publicity, in order to provide experience for the high-quality development of other hospitals.
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Due to factors such as an aging population, the Hospital Authority(HA) of Hong Kong is facing a contradiction between limited health resource supply and continuously increasing demand. In order to effectively address challenges, the HA prompted three measures to bridging the demand-supply gap. The HA relied on its management system advantages to continuously increase its capital construction to enhance the service capacity of public health institutions; transformed service delivery mode so as to improve the experience, quality, and efficiency of service delivery; established cooperation with private service providers and communities to shunt population health demand. The practices of HA can provide reference for public hospitals and their sponsors in other regions of China.
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The rational use of medical insurance fund(MIF) plays an important role in promoting the high-quality development of public hospitals, and the supervision of MIF is in a trend of under the rule of law, normalization, professionalization and standardization, and unannounced inspection will become the norm. The authors systematically analyzed three main trends of MIF unannounced inspections, namely, gradually increasing intensity, constantly innovating methods, and increasingly serious consequences. The problems exposed in unannounced inspections were sorted out from five dimensions: form of results, severity, scope of attribution, subjective intention, and regulatory screening ideas. The enlightenment of MIF unannounced inspections to hospital management was explored from four aspects: compliance awareness, organizational system, fine management, and daily supervision. It was proposed that public hospitals should transform their roles and positions, improve the working mechanism of departmental collaboration, and achieve fine management in policy understanding, system formulation, process design, information support, data governance, regulatory implementation, personnel training, and performance matching. At the same time, internal simulated unannounced inspections in hospitals should be regarded as a routine work.
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Objective:To reveal the research hotspots in hospital supply chain management in China and explore how supply chain management can facilitate the high-quality development of public hospitals.Methods:Bibliometric analysis method was employed, retrieving the Chinese literature on hospital supply chain management from 2000 to 2022 from CNKI, WeiPu, and WanFang databases. Descriptive analysis and cluster analysis of high-frequency keywords were conducted.Results:Through cluster analysis of 34 high-frequency keywords in the 1 113 Chinese literature, it was found that current research on hospital supply chain management mainly focused on 7 research hotspots: big data information systems, procurement management, risk management, refined management, inventory management, supplier management, and traceability management.Conclusions:Future research could focus on construction of hospital supply chain performance evaluation systems, digital technology-driven supply chain transformation and upgrading, enhancing hospital supply chain resilience under risks, and sustainable supply chain management.
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Objective:To analyze the connotation and realization path of high-quality development of primary health care under the new development pattern,and expects to give full play to the advantages of primary health in the construction of a high-quality,efficient and integrated medical and health service system.Methods:Based on the Donabedian structure-process-outcome three-dimensional quality theory,the core connotation and realization path of high-quality development of primary health care were analyzed.Results:The connotation of high-quality development of primary health care includes three aspects:integrated and collaborative resource structure,innovative connotative service process,and high-quality and efficient outcome output.Through system innovation and development,innovative supply-side structural reform,we will promote the implementation of the main responsibility of health on both the supply and demand sides,and establish an evaluation mechanism guided by health outcome assessment,so as to help grassroots health care achieve high-quality development.Conclusions:The high-quality development of primary health care requires the coordination and linkage between multiple elements,focusing on the coordination and balance between supply and demand,focusing on health goals,innovating service models,extending service provision,realizing the transformation of primary health care from treatment service to health management,and promoting the formation of a virtuous circle of survival and development of primary health care.
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Red doctor’s culture is a unique cultural pattern within China’s medical and health industry. It injects red kinetic energy， solidifies the foundation of quality， and establishes industry norms for the high-quality development of public hospitals from three dimensions， including politics， technology， and work style. It is the source of power to promote the high-quality development of public hospitals. Public hospitals should be guided by the red doctor’s culture， committed to “strengthening politics， optimizing technology， improving work style， and promoting services”， while consistently maintaining political introspection， self-improvement of abilities， self-discipline of morals， and proactive behavior. Public hospitals should play their core role in meeting the growing health needs of the people， as well as assisting in the construction of a “healthy China” and the realization of the great rejuvenation of the Chinese nation.
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Traditional Chinese medicine(TCM)regulatory science,as an emerging interdisciplinary science,evaluates the safety,effectiveness,quality,and risk-benefit profile of regulated Chinese medicinal products,including Chinese medicinal materials,Chinese medicinal slices,and Chinese patent medicines.It highlights the development of new tools,standards,and methods that align with the unique characteristics of TCM.TCM regulatory science plays a crucial role in establishing a TCM scientific regulatory system that suits the features of TCM,accelerating the transformation of emerging TCM technologies and facilitating innovation in the inheritance and development of TCM.Sichuan,known as the"hometown of TCM therapies and the treasure trove of TCM",has built the first national modernized TCM technology industrial base and one of the first national comprehensive TCM reform demonstration zones.It plays a demonstrative and leading role in the high-quality development of the TCM industry in China.Based on the latest progress in new tools,standards,and methods of TCM regulatory science,this article overviewed its significant role and prospects in enhancing the efficiency of TCM regulation,accelerating the transformation and application of new TCM technologies and products,and promoting the high-quality development of the TCM industry in Sichuan.It is of great significance for ensuring and improving the regulatory capabilities of TCM and driving the healthy development of the TCM industry.
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It is essential that public hospitals,as the main body of China's health care service system,must uphold the overall leadership of the Communist Party of China(CPC)to achieve high-quality development in the new era,which requires the deep integration of Party building and hospital operation.Since the CPC's 18th National Congress,public hospitals have actively strengthenedprimary-level Party building by consolidating the foundation,which has largely contributed to advancing the Healthy China Initiative and optimizing the allocation of medical resources.However,there remain some problems in the integration of Party building and hospital operation,such as insufficient understanding of the integration and simple methods to achieve it,lead-ing to inadequate integration in some hospitals.By analyzing of the causes of above problems,based on Sun Yat-sen Memorial Hospital,Sun Yat-sen University's practices in Party building,the author actively explores the effective path of deep integration of party building and business work in public hospitals from the aspects of promoting party building and theoretical learning,sys-tem design,team building and business characteristics.In order to provide useful references for public hospitals to achieve high-quality development in the new era.
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Strengthening ethical governance is the overall strategy put forward by China to comply with the high-quality development of science and technology in the new era,and there is compatibility between its implementation and the high-quality development of medical science and technology.In order to promote the high-quality development of medical science and technol-ogy to better embed ethical governance,it is necessary to follow the three major development strategies of inclusiveness,openness and differentiation,and implement them from five aspects:policy coordination,institutional reform,cultural exchanges,collabo-rative governance and management innovation.
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As the main unit of health promotion,the spreader of Popular science,The Healthy China development strate-gy requires,Hospital and medical staff focus from the treatment to Integration of medicine and prevention.Aging population and large Chronic disease group,Traditional methods is far from meeting the needs of residents.Hospitals and health workers must in-novative health education mode,With the help of information and short videos,help hospitals and medical staff to promote health,health education high-quality development.
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Objective:Under the background of the high-quality development of public hospitals, the affiliated hospitals of universities need to explore the effective path of interdisciplinary integration based on the current development status of disciplines, adjust the orientation, mechanism and goal of disciplinary development, and achieve the coordinated development of disciplines. This paper aims to provide exploratory ideas for the formulation of relevant systems and strategies of interdisciplinary integration for hospitals.Methods:This paper analyzes the internal influencing factors of interdisciplinary integration and development of hospitals from the perspective of discipline construction participants, and combines the overall requirements of high-quality development of public hospitals with the GREP model to build a strategic analysis framework for interdisciplinary integration of university affiliated hospitals.Results:Hospitals can use this strategic analysis framework to find problems through discipline self-evaluation, interviews, interdisciplinary integration mode and horizontal comparison of typical experiences, and grasp the main problems according to the basic steps of GREP problem solving, propose solutions, and finally draw conclusions.Conclusions:Based on four dimensions, GREP model provides a strategic analysis framework for the implementation path of promoting interdisciplinary integration in hospital design, and has certain practical significance for the formulation of hospital related strategies.