Performance evaluation of medical services in nine urban public hospitals based on patient reported experience: a cross-sectional survey

Hu, Dan; Wang, Xuanxuan; Jiang, Rongqin; Chen, Jiaying

doi:10.1016/s0140-6736(18)32701-6

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“…China’s public hospitals share the best health resources and have the best efficiency and quality of care in China. 6 , 7 By the end of 2020, there were 11,870 public hospitals in the country, accounting for 33.5% of the total number of hospitals; 6.21 million health workers, accounting for 76.6%; 5.09 million beds, accounting for 71.4%; and 77.2% of bed utilization ratio. 8 However, such a large medical scale also has various problems, with the growing demand for health level, medical staffs are facing unprecedented pressure and challenges, such as the huge workloads (2.79 billion patient visits, accounting for 84.0%), the insufficient welfare of health staff, the increasing cost of health services, etc.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction with Public Hospital Reform and Associated Factors Among Medical Staff: A Cross-Sectional Survey in Wuhan, China

Tao¹,

Jiao²,

Xie³

et al. 2021

RMHP

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Purpose To assess whether medical staff are satisfied with public hospital reform and its influencing factors. Methods A sample of 2000 medical staff from 13 public hospitals in Wuhan were surveyed with a self-administered questionnaire. Descriptive analysis and binary logistic regression were conducted to identify the status of the medical staff’s attitude to the reform and the influencing factors. Results A total of 61.4% of medical staff satisfied with the reform and the main reason was the promotion of their practice environment and social status brought by the reform. The logistic regression model indicated that the attitude to the reform of medical staff was positively associated with 9–11 hours of daily working time (OR = 2.373, as compared with less than 8 hours), higher income (OR = 1.966), the occupation of the nurse and medical technician (OR = 2.196–1.464 as compared with the doctor) as well as negative attitude towards the effectiveness of reform (OR = 3.676). Conclusion More than half of medical staff are satisfied with the public hospital reform, while some still hold negative attitude to the reform because of the extra working hours, low salary and high expectations due to professional characteristics and high input costs (education and time). Thus, in the current epidemic of prevention and control, more attention should be paid to the work pressure and enthusiasm of medical personnel. Administrators should pay attention to increasing income and improving the practicing environment and social status to prevent medical staff from treating reforms negatively.

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Section: Introductionmentioning

confidence: 99%