Hospital Administration and Medical Practices <p>Hospital Administration and Medical Practices (HAMP)is an international, open access, and peer-reviewed academic journal published by Spring Media Publishing, which focuses on the managing practice and research in all field of hospital management. It is published in an Open Volume model. Articles published by HMA will be accessed and downloaded at : <a href=""></a> without any limitation.</p> <p>The scope of the journal includes but are not limited to: Hospital administration; Hospital networks; Medical practices; Public health system; Healthcare communication; Healthcare quality and patient safety; Hospital logistics; Hospital design and construction; Hospital economics; Clinical ethics; Healthcare Facilities management; Health informatics; Healthcare economics; Healthcare research; Medical case management; Healthcare delivery systems; Hospital medicine; Health insurance; Health policy; Big data in healthcare; Electronic medical records; Patients data management; Nursing and health science; Community health nursing; Personal health record; Family medicine; Hospital culture building; Hospital accreditation and ranking; Clinical department management. Submission of articles are not limited to these topics. Articles from relevant and related disciplines will also be considered for publication in this journal. Various types of articles are welcome, including: Editorial, Original Article, Reviews, Case Study, Letters to Editor, etc.</p> Scholar Media Publishing en-US Hospital Administration and Medical Practices 2789-696X Distributed leadership: A new perspective on leadership in driving innovation and transformation in healthcare? <p>None</p> Mapani A Copyright (c) 2023 Hospital Administration and Medical Practices 2023-02-27 2023-02-27 2 10.54844/hamp.2022.0020 A new challenge for Italy’s National Healthcare System <p>none</p> Angelo Tanese Copyright (c) 2023 Hospital Administration and Medical Practices 2023-01-18 2023-01-18 2 10.54844/hamp.2022.0030 The management of orphan drugs in Italy - Focus on haemophilia in the region of Umbria <p>none</p> Alessandro D’Arpino Alessandro Caraffa Copyright (c) 2023 Hospital Administration and Medical Practices 2023-04-06 2023-04-06 2 10.54844/hamp.2022.0032 The “binocular model” of hospital planning for quality improvement Alexander Carter Salman Rawaf Copyright (c) 2023 Hospital Administration and Medical Practices 2023-05-01 2023-05-01 2 10.54844/hamp.2022.0034 Job satisfaction and influencing factors among young medical staff based on ERG theory <p>Objective: On the basis of the existence, relatedness, and growth (ERG) theory, this study examines job satisfaction and its influencing factors among young medical staff at a public grade A tertiary general hospital in a prefecture level city, and explores corresponding management strategies according to the factual evidence. Methods: An electronic questionnaire survey was conducted on a random sample of 500 young medical staff at the hospital. Descriptive statistical analysis and single-factor variance analysis were performed. Results: The satisfaction of survival needs among young medical staff is reflected in their work itself and remuneration; relatedness needs are reflected by relationships with colleagues,<br />organizational management, hospital culture, and professional identity; and growth needs are reflected in professional development. Conclusion: To address the ERG needs of young medical staff and improve their satisfaction, hospitals may consider optimizing the practice environment, boosting remuneration, improving internal communications, deepening hospital culture construction, and strengthening employee career management.</p> Qiuzhu Chen Tao HE Han Li Yimeng Zhang Jianhong Shi Yilang Wang Copyright (c) 2023 Hospital Administration and Medical Practices 2023-08-09 2023-08-09 2 10.54844/hamp.2023.0042 Supply and utilization of traditional Chinese medicine services in the nine Pearl River Delta cities in the Greater Bay Area <p>Objective: To analyze the present situation of traditional Chinese medicine (TCM) service supply and utilization in 9 cities in the Pearl River Delta (PRD) region of China and provide the specific suggestions for further rational allocation of TCM service resources in the 9 cities in PRD region. Methods: Excel was used to conduct a descriptive statistical analysis of the main indicators of TCM service supply and utilization from 2010 to 2019. Results: In 2019, there were 100 TCM hospitals in the nine cities of the Pearl River Delta in the Greater Bay Area, with the number (0.155) of TCM hospitals for every 100,000 people; and the numbers (0.97 in Zhuhai and 0.19 in Dongguan) of TCM hospital beds for every 1,000 people. The utilization rate of TCM hospital beds was the highest in Zhongshan (93.3%), and the lowest in Huizhou (71.9%) for 10 consecutive years. The city with the highest average daily medical visits was Foshan (4051.2). Conclusion: In Shenzhen and Zhuhai, the input of TCM service personnel and materials is large but the utilization rate is low. The supply of TCM services in Dongguan is insufficient, and there is a huge gap between the demand and the supply. Thus, it is necessary to rationally allocate TCM medical resources, increase the supply of TCM services in some areas, and improve the utilization efficiency of TCM resources.</p> Zhenmiao Pang Yihui Tao Mingxin Wen Qing feng XU Copyright (c) 2023 Hospital Administration and Medical Practices 2023-08-09 2023-08-09 2 10.54844/hamp.2023.0040 Development status, influencing factors, and prospects for internet hospitals <p>In this paper, the development history and status, operation mode, existing problems, and other aspects relating to Internet hospitals in China are studied through relevant research literature, government documents, and platform data information released by Internet hospitals. The strengths, weaknesses, opportunities, and challenges of Internet hospitals are sorted, summarized, and compared, considering institutional, economic, social, and technological factors using the strengths, weaknesses, opportunities, challenges and politics, economic, society, technology (SWOT-PEST) matrix analysis method. The competitive strength of Internet hospitals is also analyzed using Porter’s five forces analysis mode. Future development strategies and ideas are explored, and Internet hospitals are promoted as an innovative way to optimize the allocation of medical resources, so that patients can enjoy high-quality and convenient medical services.</p> Juan He Xingtong Zhang Copyright (c) 2023 Hospital Administration and Medical Practices 2023-02-27 2023-02-27 2 10.54844/hamp.2022.0025 Impact of improving the quality of medical coding on comprehensive evaluation of DRG performance on the home page of medical records <p><strong>Objective</strong>: To explore the effect of improving the quality of medical coding on the comprehensive performance evaluation of disease diagnosis related groups (DRGs) on the first page of medical records. <strong>Methods</strong>: The defect details of disease diagnosis coding and DRG specific indicators on the first page of hospital medical records were collected and analyzed. The number of defects between 2019 and 2020 was compared by using test or Fisher’s exact test, and technique for order preference by similarity to ideal solution (TOPSIS) method was used to rank the comprehensive evaluation indexes of hospital DRG performance in the same period. <strong>Results</strong>: The number of defects on discharged medical records in 2020 (20<br />cases, 0.033%) was significantly lower than that in 2019 (406 cases, 0.603%), and the difference was statistically significant (<em>P</em> &lt; 0.001). From the evaluation results of TOPSIS method, the hospital’s corresponding period value increased from 0.488 to 0.512, and the comprehensive DRGs performance of the hospital kept improving, which was consistent with the quality improvement trend of the hospital’s medical record home page. <strong>Conclusion</strong>: The effective quality improvement of filling in the disease diagnosis coding on the first page of medical records lays a solid foundation for the comprehensive performance evaluation of DRGs and the improvement of medical quality.</p> Jian wei Wang Copyright (c) 2023 Hospital Administration and Medical Practices 2023-08-30 2023-08-30 2 10.54844/hamp.2023.0041 The “Scope” of moonlighting during gastroenterology fellowship <p>Moonlighting during medical training remains a polarizing and controversial topic. While some contend that moonlighting affords trainees an opportunity to supplement their income and grants valuable educational opportunities, others argue that moonlighting interferes with the objectives needed to achieve during training. Gastroenterology fellowship programs must carefully balance the financial needs and autonomy that accompanies being a board-certified internist with the educational objectives of fellowship program. While post-graduate program policies vary widely, a paucity of data exists on the effects of moonlighting on medical trainees. In this article, we examine the pros and cons of moonlighting during gastroenterology fellowship.</p> Zachary Field Copyright (c) 2023 Hospital Administration and Medical Practices 2023-05-01 2023-05-01 2 10.54844/hamp.2023.0035 Global health systems: Challenges amidst trying times <p>AbstractMore study of global health systems may open greater possibilities for reform to benefit all national health systems for and successes found in improved performance. No easy tasks lie in our immediate future. The social learning from those experiences could have aided a better global response to the COVID-19 outbreaks but have fallen short due to lower priority. Several public health scholars have engaged in conceptualizing global health systems within an international health framework with attempts to make greater sense of the varying paths and approaches those nations have chosen over time.</p> J. Warren Salmon Copyright (c) 2023 Hospital Administration and Medical Practices 2023-08-09 2023-08-09 2 10.54844/hamp.2023.0039 Research on the Path of Manpower Cost Control in Public Hospitals under DRGs Payment Framework <p>Currently, it is difficult to reflect medical professional values for the labor cost accounting under the framework of diagnosis-related groups (DRGs) payment in public hospitals, and labor cost control is also relatively weak. The present study is conducted to explore new ways of labor cost accounting and control. The point cost method based on resource-based relative value scale (RBRVS) was used to calculate the labor cost related to diagnosis code of GD29 (appendectomy) by literature research and case analysis. It is estimated that the labor cost for the diagnosis code of GD29 is 6374.558 CNY. The point cost method based on RBRVS is feasible in calculating labor cost classified by disease groups, and the implementation pathway for labor cost control is explained on the basis of this method.</p> Fang Qing Copyright (c) 2023 Hospital Administration and Medical Practices 2023-10-30 2023-10-30 2 10.54844/hamp.2023.0043 Respiratory and other systemic complications of coronavirus disease 2019 in adults: A narrative review <p>To review and summarize the health complications known to be caused by the coronavirus disease 2019 (COVID-19) and their<br />pathophysiology. A thorough search was conducted for articles on the complications of COVID-19 from December 30th, 2019<br />through November 20th, 2020. August using the PubMed, Google Scholar, and World Health Organization (WHO) databases.<br />and it was supplemented with inclusion of pertinent articles till May 30th, 2021 Articles that did not have patient data, those<br />which included data of patients &lt; 18 years of age, studies limited to pregnant patients, and studies limited to only specific<br />co-morbidities and organ dysfunctions were excluded to avoid selection bias and heterogeneity in study population. A total of<br />108 studies were included in the narrative review. These studies reported numerous complications of COVID-19 with the most<br />common being acute respiratory acute respiratory distress syndrome (ARDS) (19.5%–72%), myocardial injury (13.6%–36%),<br />cytokine storm (5%–10%), acute kidney injury (AKI) (4%–54.7%), acute liver injury (14%–62.4%), and venous thromboembolism<br />(VTE) (4%–20%). Our review extensively illustrates the incidence, predictors, and pathophysiology of respiratory, cardiovascular,<br />immunological, hepatobiliary, coagulative, neurological, and renal complications of COVID-19. Enhancing the host immune<br />responses against viral infection and modulating the inflammatory responses, along with appropriate support of respiratory<br />function; as well as the management of complications involving multiple organ systems potential leading to multi-organ failure,<br />are all important aspects to be considered for the recovery of critically ill patients with COVID-19.</p> Kiran S. Mahapure Ishita Mehra Kinza Iqbal Nikhil Sharma Romil Singh Ishita Gupta Paige Armaly Smruti Karale Hira Khan Vikas Bansal Mayank Sharma Rahul Kashyap Copyright (c) 2023 Hospital Administration and Medical Practices 2023-03-30 2023-03-30 2 10.54844/hamp.2022.0028 Structural variation and forecasting of medical costs of public hospitals in China <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-size: 10.0pt;">Objective:</span></strong><span style="font-size: 10.0pt;"> To analyze the levels of structural variation and forecasting of medical costs in public hospitals in China between 2010 and 2020. <strong>Methods:</strong> We analyzed the changes in average per-outpatient visit cost and average per-treatment cost of public hospitals at each level in China using the degree of structural variation, and forecasted the medical costs of public hospitals from 2021 to 2025 using a GM(1,1) model. <strong>Results:</strong> Between 2010 and 2020, the rate of contribution of medication costs was the highest at public hospitals of all levels, and the rate of contribution of other costs in public hospitals of all levels exhibited an upward fluctuation. <strong>Conclusion:</strong> Medical costs in Chinese public hospitals have been controlled effectively, but there is still much room for reducing the proportion of outpatient costs attributed to medication. In addition, controlling the cost of consumables should be prioritized to break the current pattern of medical service price shifting caused by regulating the proportion of individual costs, and to optimize the revenue structure of hospitals. Different levels of hospitals have different changes in cost structures, and promoting coordinated development of hospitals of all levels is necessary.</span></p> Mengyan Ge Zhi Zeng Luyao Wang Copyright (c) 2023 Hospital Administration and Medical Practices 2023-11-24 2023-11-24 2 10.54844/hamp.2023.0044