Shanghai Skenkang Hospital Development Center

Shanghai, China

Shanghai Skenkang Hospital Development Center

Shanghai, China
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Zhao M.,Shanghai JiaoTong University | Zhao M.,Shanghai Skenkang Hospital Development Center | Li Y.-T.,Shanghai JiaoTong University | Lu L.,Shanghai JiaoTong University | And 2 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2011

Objective To build up the evaluation indicator system of health service providing reform in China. Methods The evaluation indicator system of health service providing reform in China was established based on the evaluation frame of Balance Score card and the results of Delphi expert consultation and public questionnaire survey. Results According to the theory of Balanced Scorecard, the evaluation frame of health service providing reform was composed of government perspective, public perspective, hospital management perspective and hospital development perspective, and the evaluation indicators were determined. Expert consultation revealed that satisfaction in the examinations and treatment, prevalence of medical accidents, rate of sickbed turnover, number of sickbed per thousand population and number of medical staff per thousand population were indicators with higher weight. Public questionnaire survey indicated that qualification of medical staff, rate of annual growth of government investment, health network coverage, satisfaction in medical service from patients and prevalence of medical accidents were indicators with higher scores. Conclusion The evaluation indicator system of health service providing reform in China is preliminarily established, which mainly contains aspects of government investment in health service, construction of health facilities and cultivation of medical staff, and management of quality, efficiency and cost of health service.


Lu L.,Shanghai JiaoTong University | Ding L.,Shanghai JiaoTong University | Zhao M.,Shanghai JiaoTong University | Zhao M.,Shanghai Skenkang Hospital Development Center | And 2 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2011

Objective To establish evaluation indicators of pharmaceutical supply system in the new round of health care system reform. Methods Based on the four perspectives of Balanced Scorecard method, which were customer, financial, internal business process and learning and growth perspectives, pilot evaluation indicator system was established. Delphi method was used to further screen indicators. Results Fourteen evaluation indicators of pharmaceutical supply system reform were proposed. Conclusion The Balanced Scorecard method can be effectively used in the establishment of evaluation indicator system in the new round of health care system reform.


Li Y.-T.,Shanghai JiaoTong University | Zhao M.,Shanghai JiaoTong University | Zhao M.,Shanghai Skenkang Hospital Development Center | Ding L.,Shanghai JiaoTong University | And 2 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2011

Objective To build up evaluation indicator system of China's new health reform in medical security system, and establish evaluation standards fit to different time and areas. Methods Evaluation indicators of medical security system were set up from the government dimension, public dimension, internal management dimension and innovation and learning dimension using the model of Balanced Scorecard. Evaluation indicators were screened by Delphi consultation, and advice from experts on the evaluation standards was collected. Results Twelve indicators (coverage rate of medical insurance for urban residents, coverage rate of new rural cooperative medical insurance, coverage rate of medical insurance for retirees of bankrupt enterprises, coverage rate of medical insurance for migrant workers, coverage rate of medical insurance for low-income family, fee reduction level of new medical insurance for farmers, rate of poverty due to illness for farmers, rate of poverty due to illness for urban residents, growth rate of government grants for new rural cooperative medical insurance, growth rate of government grants for urban residents, balance rate of new rural cooperative medical insurance and compensation cycle of new rural cooperative medical insurance) and weight were determined, and advice was proposed. Conclusion The established evaluation indicator system of medical security system takes the four dimensions of government, public, internal management and innovation and learning into consideration, is fit to different time and areas, and bears high value of reference.


Li Y.-T.,Shanghai JiaoTong University | Zhao M.,Shanghai JiaoTong University | Zhao M.,Shanghai Skenkang Hospital Development Center | Ding L.,Shanghai JiaoTong University | And 2 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2011

Objective To explain the set-up of the intermediate performance indicators in the whole evaluation indicator system of the deepening medical and health system reform. Methods Through literature review, the frame adopted by members of Organisation for Economic Cooperation and Development (OECD) in evaluating health system was referred, the related documents of the Central People's Government of China were studied, and the intermediate performance indicators were selected through Delphi method from the aspects of quality, efficiency and accessibility. Results Eight intermediate performance indicators and weight were determined. Conclusion Experts pay equal attention to quality, efficiency and accessibility of new health reform, while patients focus more on quality and costs.


Ding L.,Shanghai JiaoTong University | Li Y.-T.,Shanghai JiaoTong University | Lu L.,Shanghai JiaoTong University | Zhao M.,Shanghai JiaoTong University | And 3 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2011

Objective To establish the effective evaluation indicator system of public health service system. Methods Based on government perspective, public perspective, internal business process perspective and innovation and development perspective of the Balanced Scorecard strategic management, pilot evaluation indicator system of public health service system was established, and Delphi expert consultation method was used to further screen the indicators. Results Based on the results of expert consultation, 13 indicators were determined, including the per capita public expenditures on health, rates of prenatal examination, hospital delivery and postnatal visit, the establishment of public health service package, rate of neonatal disease screening, rates of early detection and control of major infectious diseases (AIDS/TB), rates of diagnosis and control of chronic diseases such as hypertension, diabetes mellitus and mental disorders, rate of family health filing, rate of free health examinations for people aged more than 65 years, coverage of public health service facilities, rate of training for staff in public health institutions and primary health institutions, the implementation of public health talents cultivation, exposure of residents to health education materials per year and increase of salary of staff in high-risk post in disease prevention and control institutions. Conclusion The evaluation indicator system of public health service system has been established.


Ding L.,Shanghai JiaoTong University | Lu L.,Shanghai JiaoTong University | Li Y.-T.,Shanghai JiaoTong University | Zhao M.,Shanghai JiaoTong University | And 2 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2011

Objective to investigate the attention from Shanghai residents on the medical and health system reform, and put forward suggestions on the medical and health system reform. Methods Multistage random sampling method was employed to investigate 1 600 residents with questionnaire survey. Results The issues most concerned by the investigated residents were rationality of drug use, qualification of training for medical staff, personal payment for medical expense and medical insurance coverage of urban residents. Conclusion The management of drug use should be enhanced, the distribution, composition and qualification of medical staff should be optimized, and the national essential drug system should be carried out to lower the personal payment for medical expense.

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