Analysis and reflections on investment and outcome in key clinical disciplines and specialty construction of medicine-demonstration examples from 9 public hospitals in Hangzhou

Abstract

Objective Investigate the research capacity and key discipline construction of 9 public hospitals of Hangzhou health system in the past three years, provide suggestions based on survey findings. Methods The questionnaire designed include following information: construction of talent team in key disciplines of medicine, laboratory infrastructure investment, research projects approval and funding, papers and monographs, work efficiency and financial income, NSF funding projects and awards, and comparison of input and output. Results Key disciplines of medicine in Hangzhou health system has more than 1 200 scientific research personnel, 18 provincial or municipal key disciplines, the laboratory equipment area was more than 9 000 m2 and total investment in lab facilities was more than 69 million RMB, the national, provincial and municipal funded project of medical key disciplines accounted for total hospital project were 71.7% , 66.1% and 53.66%. 1 842 papers in total were published in the medical key (specialized) disciplines of municipal hospital. Conclusions Hangzhou health system has invested a lot of resources in medical science and technology, but is still insufficient, and there are few ways to promote the construction of talent team in key disciplines of medicine and not many leading disciplines in the country. This situation shows that the core competitiveness is not strong, and the innovation system and management mechanism need to be improved. Key words: Key clinical disciplines; Investment and outcome; Analysis and thinking