Medical service unity: an effective approach for medical care in rural areas in China

Liu, Kecheng; Zhang, Runtong; Yin, Li; Sun, Lily; Xue, Peng; Hou, Lei; Shang, Xiaopu; Yang, Xiaoyu

doi:10.22605/rrh4483

Cited by 6 publications

(5 citation statements)

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“…It is, therefore, suggested that such cases may be dealt with on a case-to-case basis by visiting doctors, who can be on panel from metros. Such sharing of resources has also been recommended by recent research (Liu et al , 2018). Needless to say, these aspects need to be planned carefully for financial viability.…”

Section: Summary and Recommendationsmentioning

confidence: 99%

Sustainable human resource planning for hospitals in tier 2/3 cities: evidence from India

Bhattacharya

Bhattacharya²

2021

IJOA

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Purpose To evolve sustainable practices for human resource planning (HRP) for hospitals being set up in Tier 2/3 cities in India. The purpose of this study is to determine the strategic challenges are faced by hospitals in Tier 2/3 cities. To align HRP/workforce planning to departmental strategic/business planning of the hospital in the defined context. To address the dilemmas of the prospective health-care workforce in Tier 2/3 cities. Design/methodology/approach The integrated methodology adopted uses the grounded approach for building theory from practice. Due to the lack of research in the identified context, the study relies on a review of literature related to health-care practices, HRP and general management inputs to evolve the exact interview questionnaire. The subsequent empirical analysis is based on interviews of niche human resource experts in private hospitals. Findings The traditional and successful model of private hospitals in the metro cities cannot be transplanted to the Tier 2/3 cities. The thumb rule on a ratio between the doctors, paramedic staff, nurses and other support staff requires to be modified as necessary. Uncertainty in the new context requires the outlook to be basic, uncomplicated, flexible and agile. Attracting and recruitment strategies require adopting an innovative and multipronged approach. Sourcing high-end specialists need not follow the retainership model of employment. Practical implications The need to penetrate health-care services to the Tier 2/3 cities within India cannot be disputed. With the increase in disposable income and standard of living in these cities, access to quality and affordable health care is also imperative. The study is a pioneering effort to suggest a practicable and uncomplicated model for hospital setup in the identified context, with a focus on HRP. Originality/value This paper offers novel perspectives to the HRP of health-care personnel for a hospital setup in Tier 2/3 cities in India. For the success of private hospitals and their financial viability, this planning is of utmost importance. There is an attempt to fill the knowledge gap in the context which has been rarely explored or ventured. In addition, the policy initiatives suggested are expected to encourage the growth of private hospitals within the Tier 2/3 cities in India.

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Section: Summary and Recommendationsmentioning

confidence: 99%

Sustainable human resource planning for hospitals in tier 2/3 cities: evidence from India

Bhattacharya

Bhattacharya²

2021

IJOA

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“…For many years, the Chinese government has been using various approaches to rationally allocate medical resources to meet patients' medical needs. 23 Telemedicine is one of the important methods. 24 Through telemedicine, patients can consult online, make appointments for examinations according to their actual conditions, and take medicines online.…”

Section: Discussionmentioning

confidence: 99%

“…This has caused tremendous pressure on the government, medical care, and patients. For many years, the Chinese government has been using various approaches to rationally allocate medical resources to meet patients' medical needs 23 . Telemedicine is one of the important methods 24 .…”

Section: Discussionmentioning

confidence: 99%

Application of 5G technology to conduct tele‐surgical robot‐assisted laparoscopic radical cystectomy

Yang

Wang

Jiao

et al. 2022

Robotics Computer Surgery

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Background The aim of this study was to test the effectiveness, safety and stability of the 5G communication technology in clinical laparoscopic telesurgery. Methods An ultra‐remote radical cystectomy (network communication distance of nearly 3000 km) was performed on patient diagnosed with T2N0M0 stage bladder cancer using a domestically produced “MicroHand” surgical robot. Results The network delay, operative time, blood loss, intraoperative complications, postoperative recovery, and hospitalisation time were recorded. The 5G network was used throughout the operation, with an average total delay of 254 ms. The operation went well and the patient recovered smoothly. Conclusions Ultra‐remote clinical laparoscopic surgery can be performed safely and smoothly. More importantly, our model can provide insights for promoting the future development of telesurgery in China.

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“…Second, the shortage of primary care providers in Chinese communities may also limit the delivery of serve for hypertension management, including BP examinations or counselling (Zhang et al, 2018). Third, in China, a tiered diagnosis and treatment system has not been well-established so some patients may directly receive the service at large general hospitals (Liu et al, 2018; Yip & Hsiao, 2014). In general, due to the relatively limited quality of primary health care, many Chinese hypertensive patients are not willing to seek management service from community or village doctors (Sun et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Urban-rural disparity in the utilization of national community-based hypertension monitoring service—results from the China Health and Retirement Longitudinal Study, 2015

Song

Feng

Wang

et al. 2019

PeerJ

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Background Since 2009, community-based hypertension monitoring service (CBHMS) has been provided free of charge by the Chinese government as part of the national Essential Public Health Services (EPHS) policy. This study aimed to examine the disparity in the utilization of CBHMS between urban and rural community-dwelling middle-aged and older adults with hypertension. Methods Subjects were 3,479 community-residing hypertensive patients, identified from the China Health and Retirement Longitudinal Study (CHARLS), 2015, a nationally representative survey of Chinese residents aged 45 years and older. The utilization of CBHMS was defined as having one’s blood pressure (BP) examined at least once a season by community or village doctors. Rates of CBHMS use of urban and rural residents with hypertension were compared by using chi-square test. Multiple logistic regression analyses were conducted to examine factors associated with the utilization of CBHMS of hypertensive patients. Results CBHMS was significantly more likely to be used by rural than urban middle-aged and older residents with hypertension (38.6% vs. 25.1%, P < 0.001). Results from multiple logistic regression analyses showed that urban patients who were living in central (OR = 0.37) and western (OR = 0.48) regions (vs. eastern region), had an educational attainment of middle school (OR = 0.33) and college and above (OR = 0.48) (vs. illiterate), and were not taking antihypertensive agents (OR = 0.26) were less likely to use CBHMS, while rural patients who had no medical insurance (OR = 0.56), and were not taking antihypertensive agents (OR = 0.31) were less likely to use CBHMS. Conclusions The national CBHMS is more likely to be used by rural middle-aged and older adults with hypertension in China. The urban-rural difference in the utilization of CBHMS may be resulted from the different demographics of urban and rural middle-aged and older residents and uneven distributions of health services resources between urban and rural areas. Urban-rural disparities in characteristics of CBHMS use should be taken into consideration when promoting the utilization of CBHMS in China.

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Medical service unity: an effective approach for medical care in rural areas in China

Cited by 6 publications

References 0 publications

Sustainable human resource planning for hospitals in tier 2/3 cities: evidence from India

Sustainable human resource planning for hospitals in tier 2/3 cities: evidence from India

Application of 5G technology to conduct tele‐surgical robot‐assisted laparoscopic radical cystectomy

Urban-rural disparity in the utilization of national community-based hypertension monitoring service—results from the China Health and Retirement Longitudinal Study, 2015

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