A dynamic evaluation and effect analysis on the experment of separated management of income and expenditures for community health service in a Shanghai community
Author(s): BAO Yong, LIU Wei, JIN Guo-jun
Pages: 770-773
Year: 2008 Issue: 11
Journal: Chinese Journal of Hospital Administration
Keyword: Community healthcare Services; Separated management of income and expenditures; Dynamic evaluation and effect analysis; Shanghai;
Abstract: Objective A summary of the outcomes of the reforms on the separated management of income and expenditures, which was conducted in a Shanghai community healthcare center. Methods A dynamic evaluation and effect analysis were conducted on the separated management of income and expenditures in community health service in a Shanghai community. Results The investigation found the total income of a community healthcare service organization dropped by 2.24%(2006 vs. 2005), mostly contributed by income from medical checks and surgical operations, yet a significant rise of personal income of general practice staff and prevention-based healthcare staff, along with a significant improvement of their performance. There is no statistical difference on the satisfaction investigation results on whether it is convenient for community residents, healthcare administrative staff, and healthcare service staff to come to the center for medical service, as well as the medical environment,medical staff service items, explanations and communications; however, healthcare administrative staff are not satisfied (X2=9.340, P=0.009). Conclusions This pattern of separated management has proved satisfactory as in the Shanghai community healthcare center. It is recommended to further improve this effect evaluation system and criteria to assure its scientific correctness and efficiency.
Pages: 770-773
Year: 2008 Issue: 11
Journal: Chinese Journal of Hospital Administration
Keyword: Community healthcare Services; Separated management of income and expenditures; Dynamic evaluation and effect analysis; Shanghai;
Abstract: Objective A summary of the outcomes of the reforms on the separated management of income and expenditures, which was conducted in a Shanghai community healthcare center. Methods A dynamic evaluation and effect analysis were conducted on the separated management of income and expenditures in community health service in a Shanghai community. Results The investigation found the total income of a community healthcare service organization dropped by 2.24%(2006 vs. 2005), mostly contributed by income from medical checks and surgical operations, yet a significant rise of personal income of general practice staff and prevention-based healthcare staff, along with a significant improvement of their performance. There is no statistical difference on the satisfaction investigation results on whether it is convenient for community residents, healthcare administrative staff, and healthcare service staff to come to the center for medical service, as well as the medical environment,medical staff service items, explanations and communications; however, healthcare administrative staff are not satisfied (X2=9.340, P=0.009). Conclusions This pattern of separated management has proved satisfactory as in the Shanghai community healthcare center. It is recommended to further improve this effect evaluation system and criteria to assure its scientific correctness and efficiency.
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