Study On Key Clinical Specialist Capabilities Development Of Public Hospitals In China

1.ObjectivesThis study aimed to defined key clinical specialist capabilities conceptual framework of public hospitals in China, the establishment of hospital clinical specialist focus on capacity evaluation index system, analyzes the main factors of the key clinical capabilities, and provide a theoretical basis for the development and construction of the hospital clinical specialties.2.Research programs(a) defining the public hospitals in key clinical capabilities conceptual framework;(b) the establishment of a key clinical capabilities evaluation index system;(c) key clinical specialist services and study of ability;(d) capabilities of key clinical problem and building strategy.3.Methods3.1Literature method:from the Chinese Journal Full-text Database (CNKI), Chinese Science and Technology Journal Database (VIP full-text electronic journals), PubMed, OVID, Proquest Library retrieve information about key clinical specialist capabilities, clinical evaluation, clinical empirical research, the initial establishment of the key clinical capabilities evaluation index system.3.2Delphi expert consultation:to convene an expert consultation meeting, the selection of experts from universities, the administrative department of health and health services, to carry out expert consultation, evaluation index system build key clinical specialist services. 3.3A comprehensive evaluation of key clinical evaluation of five specialist442samples, analyzing data, given the score and ranking sub-specialist with the national key clinical specialist construction project results verified by comparing the index system.3.4Composite index key clinical specialist capabilities and capabilities of the three key sub-dimension index cluster analysis, cluster formation specialist and specialist groups capacity evaluation and structure analysis, and factor analysis on the basis of on building key clinical specialist capability evaluation factor structural equation modeling.3.5Insider depth interviews:the use of insider depth interviews sociological survey method further access to and complement the observations and recommendations on the evaluation of key clinical specialist capabilities.4.Results and ConclusionsFirstly, research combined with the reality of the national key clinical specialist carry out the work of the construction project, select the five clinical specialties reporting units of the442national key clinical specialist construction projects for the study, the first built by the capabilities of inputs, outputs and potential module composed of national key clinical specialist capabilities evaluation of the conceptual model, and learn from the national key clinical specialist construction projects relevant documents, to form a national clinical evaluation index system of key specialist services by expert advice. The index system consists of three-level indicators and14secondary indicators,39three indicators form. From the weight point of view, an indicator of the weight of the order of output (42.68%), basic resources (31.41%), development potential (25.91%). Comparison of results of the assessment of the evaluation index system of five specialist rank with the national key clinical specialist construction projects, practicality of index system is good. Secondly, use evaluation index system filter out the ability of45key clinical composite score, fractal dimension clustering analysis to explore the level of key clinical specialist capabilities, inputs, outputs, the potential of the status quo, the overall ranking of the five samples specialist urology, cardiovascular medicine, neurosurgery, respiratory medicine, pediatrics (neonatology), input the highest is cardiovascular medicine, outputs and potential are of Urology; utilization data compare specialist service capacity production efficiency,45specialist29DEA efficient, specialist services capacity is higher production efficiency, five specialist capacity production efficiency in descending order of Respiratory Medicine, urology, neurosurgery, pediatrics (neonatology), Department of Cardiology; specific specialist grades, summed up the " balance-high-level "," balanced-Horizontal "," equilibrium-a low level "," high input-low output"," low input-high output"," high potential "," low potential"7typical type of specialist, the top three types followed by "low input-high output type","balanced-low-level" and "low potential".Finally, build national key clinical specialist capability evaluation factor structural equation model found that:there is a strong positive impact on specialist resources and services on specialist radiation force (regression coefficient0.785), specialist resources and services on technological innovation forward(regression coefficient0.400), technological innovation has a positive influence on the radiation force (regression coefficient0.300), quality and safety of radiation force, technological innovation is a small negative effect on the quality and safety. In the empirical analysis of key clinical specialist capabilities found higher production efficiency but low potential for different types of specialist and specialist type, capacity building of key clinical specialists can take the resource-based strategy, knowledge evolution strategy, innovation and competition policy, strategy and core competencies.5.InnovationsThrough the research on ability of key clinical specialist, the conceptual framework, evaluation index system, influencing factors and building strategy, and sub comprehensive comparative analysis of the scores from different angles and aspects of the five specialist samples442reporting units to evaluate and establish evaluation factors of structural equation model, provide the basis for the national key clinical specialist construction project and the development of clinical specialties.