What makes a good hospital?
This question is a matter of opinion, and everyone has their own understanding and definition.
In the eyes of patients, a “good hospital” is often as follows: it can be registered, can see a good doctor, and the attitude of doctors and nurses is very good.
In the eyes of medical workers, a “good hospital” may be that it earns more money and has better prospects for development.
Qian Qingwen, member of the Expert Advisory Committee of the 2nd State Council Medical Reform Leading Group and professor of the Institute of Hospital Management of Tsinghua University, painted a portrait of a “good hospital”: A good hospital is one that can Under the premise of compromising the safety of patients, using the least amount of money to cure the most difficult diseases can give patients and their families the most complete care, the most dignified feeling and the lightest burden.
Qian Qingwen mentioned that before understanding the concept of “good hospital”, we must first explain a concept. Is medical treatment a “remuneration” or a “responsibility”? How should hospitals meet the expectations of society?
In some capitalist countries, such as the United States, the idea of ”medical care is a reward” is deeply rooted, and the mainstream of medical insurance in the United States is social commercial insurance.
In Scandinavian countries such as Sweden, which pursue “welfareism”, medical care is regarded as a “human right”, and it is advocated that the country must provide necessary medical services for its citizens, otherwise it is the government’s dereliction of duty.
In socialist countries, medical care is regarded as a “natural human right” for citizens of a country, and it is an important “responsibility” of the government to provide medical care for the people.
Just like our country’s hospitals, we emphasize public welfare and inclusiveness, so that more people can enjoy basic medical services.
In the past three years of the new crown epidemic, the different response measures of various countries also reflect the different definitions of medical care in each country. Therefore, under different concepts, the definition of “good hospital” is different, even two extremes——
A country that pursues “welfare” defines a good hospital as: a good hospital is not to provide all medical services, but a good hospital that can provide “basic medical services” perfectly ‘s hospital.
But in most capitalist countries, good hospitals often mean those that provide the “best” or “highest” medical technology.
Qian Qingwen shared ten criteria for a good hospital based on the Six Principles of Medical Care (WHO):
Has a certain surplus
Have a people-oriented spirit
Employees are well-trained
employee-centred philosophy
A state of mind for excellence
Good information collection system
Inclusive community relationships
There are many touching stories
Cherish and care for the community
Have a good academic atmosphere
In addition, a QR code is attached to each garbage bag, and you can scan the code to check the source of the garbage and the person who handled it. Once a hospital sense event occurs, it can be traced quickly and accurately. This is even more significant at a time when the epidemic is normalizing.
In the United States, there are only more than 200 hospitals that are called good hospitals, which is a relatively small proportion.
In fact, most hospitals in the United States are not good. In rural hospitals, you can even see ants and cockroaches running around in the corridors.
There is a book called “Learning Management from the World’s Best Hospitals”, which tells about the Mayo Clinic, the holy place of medicine in the hearts of countless doctors. Through more than ten years of working experience in American hospitals, the author summarizes three characteristics of good American hospitals:
One, good historical heritage.
It is also what we often call the hospital culture and the core values of the hospital. This is the purpose of the existence of the hospital, which is usually non-profit. For example, a very important place in the hospital is the hospital history museum. Managers need to think about how to present the history of the hospital and let employees clearly perceive the spiritual heritage of the hospital.
In terms of conveying the cultural values of the hospital, the author specifically mentioned that the hospital needs to have moving stories.
The stories of “life and death” are staged almost every day. If the hospital can collect these touching stories, organize, summarize, and publish them, or the hospital can use positive, positive, and Open attitude, the core value of the hospital can be presented. It can be said that the number of touching stories in a hospital is the core indicator of a hospital’s service satisfaction, and is regarded as the key to a “good hospital”.
The author mentioned that the first time he was “shocked” by the short story of the hospital was at a parent-child activity in the hospital. The daughter of an employee asked the author if there was a real story that happened in the hospital. What impressed and moved you? The author could not answer.
It is disturbing that a hospital with a history of 30 to 40 years has no moving stories. Afterwards, the author began to systematically collect moving stories from the hospital, the stories later had a positive motivating effect on the hospital’s staff.
When the short stories of the hospital are compiled into a book, another use arises. At that time, many TV stations in Taiwan, China lacked scripts. When I saw these moving stories of the hospital, I got Inspired to write a script based on these stories.
The author let the TV station use these stories for free, but asked that before each episode aired, they had to visit the parties on the spot to ensure the authenticity of the stories. After the on-site interview clips were broadcast, the hospital also gained good public relations and played a role in external publicity.
Second, good equipment.
When we talk about hospital management and enterprise business management, we mainly talk about three things: “instruments and equipment”, “technology” and “management”.
For enterprises, the order of these three items has little effect. But for hospitals, there is only one correct sequence. There must be “instruments and equipment” first, then “technology”, and then “management”.
Why? For example, we are now the most famous Da Vinci surgical robot. If there is no such robot, how can the staff of this hospital get this technology? Even if employees are trained to have this technology, but there is no opportunity to operate it at work, it will be unfamiliar.
Third, evidence-based medicine management.
Evidence-based medicine management, like EBM, pays special attention to the attitude toward the desired management action, with an emphasis on obtaining proven evidence and digesting it.
With the implementation of DRG and DIP, hospitals need to be more and more evidence-based, and need to use a more scientific way to manage hospitals, rather than experience management.
Source | Health Community
Edit | Swagpp