Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019_West China Medical Journal

Authors：

LI Rongmei ^1,2,3 , DU Xinwen ⁴ , FENG Xianqiong ⁴ , WANG Miao ⁵ , LUO Chunxia ⁶ , CHEN Birong ⁷ , LEI Yuqian ⁸ , JIANG Guanghui ⁹ , CHEN Zhuo ¹⁰ ,  LIU Ming ¹¹

1. Operation Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. President & Dean’s Office, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
3. Sichuan University - The Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction, Chengdu, Sichuan 610207, P. R. China;
4. West China School of Nursing / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
5. Public Affairs Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
6. Department of Infection, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
7. Department of Nursing, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
8. Department of Operation Management and Information, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
9. Hierarchical Diagnosis and Treatment Office, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
10. Department of Research and Teaching, Jintang First People’s Hospital, Jintang, Sichuan 610400, P. R. China;
11. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIU Ming, Email: 1078289717@qq.com

Keywords：

Coronavirus disease 2019; Treatment; Lead-type close medical consortium; Application effect

DOI：

10.7507/1002-0179.202004432

Video：

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Objective To explore the innovative application and effect of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019 (COVID-19).Methods During the epidemic of COVID-19, Jintang First People’s Hospital implemented a series of innovative countermeasures under the guidance of West China Hospital of Sichuan University, the leading hospital of a lead-type close medical consortium. To verify the implementation effect of the countermeasures, the patient satisfaction questionnaire and medical personnel satisfaction questionnaire were administered in confirmed or suspected COVID-19 patients and anti-epidemic healthcare workers. The relevant health economic indicators were extracted through the hospital information system for descriptive analysis.Results A total of 16 patients were included, including 10 confirmed patients and 6 suspected patients. The median score of patient satisfaction was 66. All patients were cured and discharged. A total of 56 healthcare workers were included, including 18 doctors and 38 nurses, with a median satisfaction score of 81. The average length of hospital stay of patients was 11.00 d, the average hospitalization cost was 5 117.35 yuan; the average drug cost was 1 099.95 yuan, accounted for 21.49%; the average material cost was 38.63 yuan, accounted for 0.75%.Conclusions The innovative application of the lead-type close medical consortium in the treatment of patients with COVID-19 plays an important role in the prevention and control of epidemic, and has achieved remarkable results in patients treatment, patients satisfaction, and hospital management. It is worthy of being widely popularized.

Citation： LI Rongmei, DU Xinwen, FENG Xianqiong, WANG Miao, LUO Chunxia, CHEN Birong, LEI Yuqian, JIANG Guanghui, CHEN Zhuo, LIU Ming. Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019. West China Medical Journal, 2021, 36(2): 160-165. doi: 10.7507/1002-0179.202004432 Copy

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18.	趙一鳴, 左秀然, 楊國良. 基于醫聯體的遠程會診系統應用研究. 醫學信息學雜志, 2014, 35(10): 31-35.
19.	蔡濱, 周羅晶, 湯佳, 等. 醫聯體醫療質量同質化管理對策研究. 江蘇衛生事業管理, 2019, 30(12): 1515-1516, 1520.
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1. 彭欣元, 周煥. 醫聯體背景下區域醫療信息化平臺建設中存在的問題及對策. 現代醫藥衛生, 2016, 32(1): 147-148.
2. 王淼, 石柯燦, 陳蕾, 等. 四川大學華西醫院領辦型緊密醫療聯合體特征分析. 華西醫學, 2019, 34(12): 1422-1425.
3. 衛生健康委, 中醫藥局. 衛生健康委、中醫藥局關于印發醫療聯合體管理辦法(試行)的通知. (2020-07-09)[2020-12-13]. http://www.gov.cn/gongbao/content/2020/content_5554582.htm.
4. 葉芳, 申屠瑾, 趙志強, 等. COVID-19疫情期間居家隔離人員就診流程再造的實踐與效果評價. 醫院管理論壇, 2020, 37(4): 71-73.
5. 李舍予, 黃文治, 廖雪蓮, 等. 新型冠狀病毒感染醫院內防控的華西緊急推薦. 中國循證醫學雜志, 2020, 20(2): 125-133.
6. 李琛, 彭喆鑫, 葉子青, 等. 新型冠狀病毒肺炎防治中華西遠程醫學工作機制初探. 華西醫學, 2020, 35(4): 373-376.
7. 文進, 曾銳, 徐才剛, 等. 華西醫院抗擊新型冠狀病毒肺炎疫情的十大管理舉措. 中國循證醫學雜志, 2020, 20(3): 365-368.
8. 國家衛生健康委. 關于在疫情防控中做好互聯網診療咨詢服務工作的通知. (2020-02-07)[2020-12-13]. http://www.nhc.gov.cn/yzygj/s7653p/202002/ec5e345814e744398c2adef17b657fb8.shtml.
9. 國家衛計委. 國家衛生計生委辦公廳關于開展醫院滿意度調查試點工作的通知. (2017-09-04)[2020-03-18]. http://www.nhc.gov.cn/yzygj/s3593g/201709/0bdf4161d0454bea9c5310aa71e0764f.shtml.
10. 國家衛生健康委. 國家醫管中心病人滿意度調查平臺. (2017-09-04)[2020-03-18]. https://health.10086.cn/questionnaire/front.html.
11. 國家衛生健康委. 國家醫管中心醫務人員滿意度調查平臺. (2017-09-04) [2020-03-18]. https://open.weixin.qq.com/connect/oauth2/authorize?appid=wx80c817acbda69769&redirect_uri=https://health.10086.cn/questionnaire/front.html&response_type=code&scope=snsapi_base&state=1#wechat_redirect.
12. 王月瑩, 賈欣睿, 宋繼權, 等. 新型冠狀病毒肺炎流行期間醫護人員的心理健康狀況調查及分析. 武漢大學學報(醫學版), 2020, 41(5): 706-710.
13. Zheng R, Zhou Y, Fu Y, et al. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: a cross-sectional study. Int J Nurs Stud, 2020, 114: 103809.
14. 陳婕, 茅偉安. 新冠肺炎疫情期間基層醫護人員心理狀況的分析及干預. 心理月刊, 2020, 15(17): 146-147, 149.
15. 梁思燕, 李怡, 許瓊. 抗擊新冠肺炎期間一線醫護人員心理狀況調查及應對策略. 智慧健康, 2020, 6(14): 42-44, 53.
16. 國務院辦公廳. 關于推進醫療聯合體建設和發展的指導意見. (2017-04-26)[2020-03-18]. http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm.
17. 董昌宇. 醫聯體模式下信息化建設與發展探討. 信息安全與管理, 2019(20): 187-188.
18. 趙一鳴, 左秀然, 楊國良. 基于醫聯體的遠程會診系統應用研究. 醫學信息學雜志, 2014, 35(10): 31-35.
19. 蔡濱, 周羅晶, 湯佳, 等. 醫聯體醫療質量同質化管理對策研究. 江蘇衛生事業管理, 2019, 30(12): 1515-1516, 1520.
20. 李颯颯, 郭航遠. 醫聯體及其資源共享模式探討. 醫院管理論壇, 2015, 32(5): 13-14.

West China Medical Journal

Innovative application and effects of lead-type close medical consortium under the epidemic situation of coronavirus disease 2019

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