Evaluation of “West China-Chenghua Urban Area Medical Service Alliance” based on structure-process-outcome model_West China Medical Journal

Authors：

LIU Shiyi ^1,2 , ZHAO Li ^2,3 , LIU Zi ⁴ , TANG Chunyu ⁵ , LIU Feng ⁴ , ZOU Kun ² ,  CHENG Nansheng ⁶

1. Hospital Infection Management Department, Chengdu Intergrated TCM & Western Medicine Hospital, Chengdu, Sichuan 610041, P. R. China;
2. Department of Health Policy and Management, West China School of Public Health / West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. HEOA Group, West China School of Public Health / West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of General Practice, West China School of Medicine / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
5. Medical Institution Service Center of Chenghua District, Chengdu, Sichuan 610051, P. R. China;
6. Department of Biliary Surgery, West China School of Medicine / West China Hospital, Sichuan University, Chengdu, Sichuan 610041,P. R. China;

Corresponding author：

CHENG Nansheng, Email: nscheng2002@163.com

Keywords：

Hierarchical diagnosis and treatment; Hospital management; Structure-process-outcome model; Satisfaction evaluation

DOI：

10.7507/1002-0179.202008148

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This article conducts a mid-term evaluation of the implementation effect of the “West China-Chenghua Urban Area Medical Service Alliance” from 2016 to 2019 based on structure-process-outcome model. The structure of the alliance included five organizational sections, including the leadership group, West China departments, grassroots organizations, information platforms, and residents and health fan teams, aiming to provide integrated, homogeneous, and accessible medical services centered on residents’ health. The process of the alliance mainly included the joint reforms led by the “combination of government and hospital” and the management mechanism of “politics-people-medicine-network” four links. Alliance performance: in terms of grassroots services, the number of diagnoses and treatments increased, the number of diseases received increased, and the homogenization of test was initially achieved; in terms of grassroots training, several high-quality community doctors were trained, and the number of talents introduced increased; in terms of grassroots scientific research, 3 large-scale scientific research projects were undertaken and 4 articles were published in national-level publications; in terms of grass-roots awards, 5 honorary titles at national, provincial, and municipal levels were gained, and award-winning “zero” breakthrough in national skill competitions and academic conferences was achieved; in terms of alliance satisfaction, the employees in primary medical institutions and West China Hospital of Sichuan University and the residents in Chenghua District were all had high degree of satisfaction. The alliance has achieved innovation in management and services, and the employees and residents are highly satisfied, which is conducive to promoting the realization of the homogeneity of regional medical service capabilities. However, the salary system and capacity improvement of grassroots medical staff should be further explored.

Citation： LIU Shiyi, ZHAO Li, LIU Zi, TANG Chunyu, LIU Feng, ZOU Kun, CHENG Nansheng. Evaluation of “West China-Chenghua Urban Area Medical Service Alliance” based on structure-process-outcome model. West China Medical Journal, 2021, 36(9): 1255-1261. doi: 10.7507/1002-0179.202008148 Copy

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2. 陶文娟, 李为民, 文进, 等. 国内外医疗联合体评价的研究概述. 中国循证医学杂志, 2019, 19(3): 368-372.
3. 国务院办公厅. 国务院办公厅关于印发全国医疗卫生服务体系规划纲要(2015-2020 年)的通知. (2015-03-30)[2020-08-01]. http://www.gov.cn/zhengce/content/2015-03/30/content_9560.htm.
4. 甘玉麟. 基于系统论 SPO 模型的“平安医院”建设的实证研究—以中山市某三甲医院为例. 广州: 南方医科大学, 2018.
5. 陈皓然, 吴秋惠, 王鸯鸯, 等. 基于结构过程结果(SPO)模型的药学服务评价研究概述. 中国药师, 2020, 23(4): 733-735.
6. 魏来, 张亮. 我国整合型卫生服务的概念框架探讨. 中国卫生经济, 2012, 31(7): 12-15.
7. 张研, 唐文熙, 冯达, 等. 整合卫生服务的发展历程及内涵解析. 医学与社会, 2014, 27(7): 45-47.
8. 黄亦恬, 陶红兵, 江恬雨, 等. 医疗联合体实现条件与关键问题探讨. 中国医院管理, 2018, 38(9): 4-7.
9. 范明宇, 刘丹. 医疗服务体系资源纵向整合现状及建议. 医学与社会, 2015, 28(1): 15-18.
10. World Health Organization. WHO global strategy on people-centred and integrated health services: interim report. Geneva: World Health Organization, 2015. https://apps.who.int/iris/handle/10665/155002.
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12. World Health Organization. Framework on intergrated, people-centered health services. (2016-04-15)[2020-08-01]. https://apps.who.int/gb/ebwha.
13. 王淼, 石柯灿, 陈蕾, 等. 四川大学华西医院领办型紧密医疗联合体特征分析. 华西医学, 2019, 34(12): 1422-1425.
14. 程南生, 徐宁, 刘姿, 等. 服务供应协同模式在华西-成华区紧密型医联体中的应用. 预防医学情报杂志, 2018, 34(10): 1346-1348.
15. 陈也立, 杨一恺, 贺勇, 等. 华西-成华区紧密型医联体下检验设备共享模式. 预防医学情报杂志, 2018, 34(10): 1344-1345.
16. 武永康, 刘姿, 应斌武, 等. 城市医疗服务联盟检验同质化创新和实践. 国际检验医学杂志, 2018, 39(24): 3114-3117.
17. 孟亚苹, 宋爽, 王杉, 等. 医联体内社区中医满意情况研究. 中国医药导报, 2018, 15(15): 54-58.
18. 李亚男, 吴海波. 医联体背景下基层医疗机构面临的困境及对策研究. 医学与哲学, 2018, 39(6): 22-25.

West China Medical Journal

Evaluation of “West China-Chenghua Urban Area Medical Service Alliance” based on structure-process-outcome model

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