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Tao J.-J.,Shanghai JiaoTong University | Gao X.,Beijing Municipal Health Bureau | Yuan S.-W.,Shanghai JiaoTong University | Yang X.-R.,Beijing Municipal Health Bureau | And 7 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2013

Objective: To investigate the working status of medical staff with the public hospital reform in Beijing, and evaluate the effect of reform on behaviors, recognition and attitudes of medical staff. Methods: The research scheme and scale designed by the third party was employed to conduct an anonymous questionnaire survey among 400 medical staff of two tertiary comprehensive hospitals in Beijing (one pilot hospital of public hospital reform and one non-pilot hospital), and analyse the differences in workload, income and satisfaction among different hospitals and medical staff on different posts. A total of 382 valid questionnaires were recovered, data input was conducted with EpiData3.0, and statistical analysis was carried out with SPSS 17.0 software Results: The medical staff worked 9 h per day, and 73.3% considered the current workload was high in the pilot hospital, while the medical staff worked 7.5 h per day, and 65.0% considered the current workload was high in the non-pilot hospital. The average monthly income of the pilot hospital was 9386.0 yuan, which was significantly higher than that of the non-pilot hospital (5956.2 yuan) (P < 0.05). Almost half of the medical staff in two hospitals thought the respect from patients was moderate. The overall working satisfaction was not high, and the medical staff (especially nurses) in the pilot hospital was more satisfied with the performance assessment system. Conclusion: The advance of health system reform increases workload of medical staff, and most of the medical staff are overworked. The income of medical staff increases to some extent over the previous year, but still does not meet the expectation. The dynamic management of nursing post in the pilot hospital gets the approval from nurses, and can be implemented to the other posts. Source


Yuan S.-W.,Shanghai JiaoTong University | Gao X.,Beijing Municipal Health Bureau | Liu W.-W.,Shanghai JiaoTong University | Yang X.-R.,Beijing Municipal Health Bureau | And 6 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2013

Objective: To evaluate the effectiveness of reform on public hospital in Beijing by inpatients. Methods: Two hundred inpatients were selected from one pilot hospital of reform (with global budget and diagnosis related groups payment reform) and non-pilot hospital (without payment reform) respectively, and the satisfaction of inpatients with reform measures was surveyed with questionnaires. Results: There was no significant difference in demographic characteristics between two hospitals (P > 0.05). The total score of satisfaction of pilot hospital (4.64 ± 0.24) was significantly higher than that of non-pilot hospital (4.40 ± 0.28)(P < 0.01). Among 5 first-level indicators, the scores of hospital environment, health service providing and medical auxiliary service in polit hospital were significantly higher than those in non-pilot hospital (P < 0.01). There was no significant difference in the satisfaction rate between pilot hospital (93.18%) and non-pilot hospital (90.98%)(P > 0.05). The satisfaction rate of health service providing was the lowest among 5 indicators in these two hospitals, and were 84.00% and 79.58% respectively (P > 0.05). The satisfaction rate of medical auxiliary service in pilot hospital (97.04%) was significantly higher than that in non-pilot hospital (87.83%) (P < 0.01). Among 20 second-level indicators, except for the indicators of waiting time for admission, admission procedures, explanation of admission reason by doctor, attitude of medical technician and doctor's response to the demand of patients, the scores of satisfaction of the other 15 indicators in pilot hospital were significantly higher than those in non-pilot hospital (P < 0.01). Moreover, inpatients were most satisfied with the service attitude of nurses, and were most dissatisfied with the health care cost. Convenience of bill query, satisfaction of hospital environment and food quality of hospital were second-level indicators that significantly correlated with the total satisfaction score of inpatients. Conclusion: The satisfaction of inpatients in pilot hospital is relatively higher. Further efforts should be made to push forward global budget and diagnosis related groups payment reform in Beijing in order to control the medical expenditure and improve the satisfaction of inpatients. Source

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