Abstract
Objective To explore the change in the medical serviceability of primary hospitals since the establishment of the Huzhou No. 1 People's Hospital medical care group incorporating the integrated delivery system. Methods With reference to the “Grade Evaluation Standard of General Hospitals in Zhejiang Province” and the “Guidelines for Service Capacity Evaluation of Township Hospitals (2019 Edition),” we analyzed the influence of the integrated delivery system on the capacity of primary medical services and selected the targeted core indicators. From the four dimensions of diagnosis and treatment breadth, diagnosis and treatment efficiency, surgical ability, and patient satisfaction, an index evaluation system was established to explore the changes in the medical serviceability in primary hospitals. Results The measurements were aimed at four specific issues, that is, the low medical technology level of grassroots personnel, the poor information communication among medical institutions, the difficulty in recruiting people, and the imperfect training mechanism in primary hospitals. After establishing a series of measurements related to the problems faced by the primary healthcare sector in China, the score of breadth of diagnosis and treatment, efficiency of diagnosis and treatment ability, surgical ability, and patient satisfaction of the primary hospitals in our medical group have greatly increased. Conclusion The integrated delivery system improved the primary hospitals' medical health ability obviously. Our study also provides various useful and operable suggestions for primary healthcare.
Highlights
With the rapid development of industrialization and urbanization and the increasingly aging population, the health field is facing challenges related to various infectious and chronic diseases as well as numerous other major public health safety issues
WHO officially describe integrated health services as a system wherein “continuous services such as health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and nursing treatment are provided according to the needs of different stages of the lifecycle of the population through the cooperation between different levels of medical institutions in the health system” [1]
In December 2016, the National Health and Family Planning Commission in China further promoted the construction of a medical consortium and proposed the Journal of Healthcare Engineering establishment of a guiding mechanism with consistent responsibilities and rights aimed at ensuring that the medical association becomes a community of service, responsibility, benefit, and management, one that effectively allows sharing the medical resources in the region and further improving the grassroots service capacity [5]
Summary
To explore the change in the medical serviceability of primary hospitals since the establishment of the Huzhou No 1 People’s Hospital medical care group incorporating the integrated delivery system. From the four dimensions of diagnosis and treatment breadth, diagnosis and treatment efficiency, surgical ability, and patient satisfaction, an index evaluation system was established to explore the changes in the medical serviceability in primary hospitals. After establishing a series of measurements related to the problems faced by the primary healthcare sector in China, the score of breadth of diagnosis and treatment, efficiency of diagnosis and treatment ability, surgical ability, and patient satisfaction of the primary hospitals in our medical group have greatly increased. E integrated delivery system improved the primary hospitals’ medical health ability obviously. Our study provides various useful and operable suggestions for primary healthcare
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