Practice and Effectiveness of the One Bed for the Whole Hospital Model in Grade A Tertiary Traditional Chinese Medicine Hospitals

Corresponding author: Wei Xiuling, weixiuling200418@sina.com

DOI: 10.12201/bmr.202603.00027

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  Abstract: Objective: To evaluate the effectiveness of the One Bed for the Whole Hospital management model in a Grade A tertiary traditional Chinese medicine (TCM) hospital and to explore effective pathways for breaking down departmental barriers and optimizing the allocation of medical resources.Methods: A retrospective before-and-after controlled study was conducted to analyze operational data from a municipal Grade A tertiary TCM hospital following the implementation of the One Bed for the Whole Hospital model starting in October 2024. Core interventions included establishing a centralized bed scheduling center, implementing a collaborative diagnosis and treatment model of attending physician + entrusted ward, and enforcing homogeneous TCM nursing management. Key evaluation indicators, including average waiting days for beds, bed occupancy rate, and patient satisfaction, were compared before and after implementation.Results: During the one-year implementation period (October 2024 to September 2025), a total of 1,518 beds were allocated across departments, admitting 584 cross-departmental patients. The average waiting time for surgical patients decreased from 10.0 days pre-implementation to 3.0 days post-implementation, representing a 70.00% reduction. The hospital-wide bed occupancy rate significantly increased and stabilized from (87.69 ± 7.20)% pre-implementation to (98.29 ± 7.21)% post-implementation (t=34.622, P<0.05), with peak utilization exceeding 100%. Patient satisfaction regarding the convenience of admission and discharge processes improved by 6.00 percentage points, rising from 92.50% (185/200) to 98.50% (197/200) (χ2=8.167, P<0.05).Conclusion: Based on ensuring medical safety and preserving TCM characteristics, the One Bed for the Whole Hospital model significantly enhances the operational efficiency of medical resources and improves the patient experience through intensive scheduling and cross-departmental collaboration. It serves as an effective management paradigm for promoting high-quality development in TCM hospitals.

  Key words: One Bed for the Whole Hospital; Bed Coordination; Traditional Chinese Medicine Hospital; Patient Experience; Optimization of Medical Resources

  Submit time: 10 March 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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