{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T06:34:40Z","timestamp":1777358080956,"version":"3.51.4"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>New Quality Productivity emphasizes innovation-driven, quality-focused development, requiring data-driven and efficient healthcare. However, Clinical nutrition is an interdisciplinary field bridging public health and clinical medicine, which is prone to marginalization and currently lacks platform development and data support. To address this, our study assesses clinical nutrition departments in Chinese public hospitals via a Chongqing survey, offering potential insights into national trends, while acknowledging regional specificity to propose data-driven solutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The survey list of secondary and above public hospitals in Chongqing was obtained from the official website of the Chongqing Clinical Nutrition Quality Control Centre. A retrospective analysis was conducted using verified electronic questionnaire data retrieved from the National Clinical Nutrition Quality Control Platform. The collected data were organized in Microsoft Excel and analyzed by SPSS 26.0. Additionally, a targeted literature review was performed using databases such as PubMed, Web of Science, and CNKI to assess the structural, operational, and strategic challenges facing clinical nutrition departments and to formulate evidence-based development pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The survey included 294 public hospitals in Chongqing, comprising 34.0% tertiary hospitals and 66.0% secondary hospitals. Among them, 160 (54.4%) had established Clinical Nutrition Departments, of which 42.1% had implemented the dedicated clinical nutrition information systems. These Clinical Nutrition Departments employed 643 professionals, including 284 physicians (44.2%), 187 technicians (29.1%), and 172 nurses (26.7%). This corresponds to a clinical nutritionist-to-bed ratio of 1:451. Only 11.9% of the clinical nutrition departments participated in academic education programs, whereas 33.3% engaged in clinical research activities. Between 2022 and 2024, the 24-h nutritional risk screening rate showed significant annual increases (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05), and tertiary hospitals consistently achieving higher inpatient nutritional assessment rates than secondary hospitals (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Chongqing\u2019s clinical nutrition sector shows progress in scale and efficacy, yet disparities between tertiary and secondary hospitals persist alongside key challenges in talent, discipline positioning, and research\/education. To address these, we propose implementing the New Quality Productivity framework through national medical centers, focusing on technology integration, process optimization, and human capital development to shift from scale expansion to innovation-driven, high-quality growth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1727081","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:37:13Z","timestamp":1777354633000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["New quality productivity-driven development of clinical nutrition in Chinese public hospitals: a Chongqing survey"],"prefix":"10.3389","volume":"14","author":[{"given":"Zhongmin","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Clinical Nutrition Children\u2019s Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents\u2019 Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuelian","family":"Cheng","sequence":"additional","affiliation":[{"name":"Food Department of Chongqing Municipal Health Commission","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, The Thirteenth People\u2019s Hospital of Chongqing","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition Children\u2019s Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents\u2019 Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"19606","DOI":"10.1038\/s41598-024-70736-5","article-title":"Efficiency evaluation, regional technological heterogeneity and determinant of total factor productivity change in China's healthcare system","volume":"14","author":"Xu","year":"2024","journal-title":"Sci Rep"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1038\/s41398-026-03943-5","article-title":"The nature of depression and the biomedical model: ten questions in search of an answer","volume":"16","author":"Fountoulakis","year":"2026","journal-title":"Transl Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"115950","DOI":"10.1016\/j.socscimed.2023.115950","article-title":"Beyond the biomedical, towards the agentic: a paradigm shift for population health science","volume":"326","author":"Acolin","year":"2023","journal-title":"Soc Sci Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1016\/j.clnu.2024.01.008","article-title":"ESPEN practical guideline: nutritional support for polymorbid medical inpatients","volume":"43","author":"Wunderle","year":"2024","journal-title":"Clin Nutr"},{"key":"ref5","year":""},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.3969\/j.issn.1671-332X.2024.09.002","article-title":"Key points and implementation paths of developing new quality productive forces in healthcare","volume":"24","author":"Zhou","year":"2024","journal-title":"Modern Hospitals"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/bs.pmbts.2022.02.002","article-title":"Precision medicine with multi-omics strategies, deep phenotyping, and predictive analysis","volume":"190","author":"Ahmed","year":"2022","journal-title":"Prog Mol Biol Transl Sci"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"362","DOI":"10.3233\/SHTI240422","article-title":"Development of a big data platform for the collection and utilization of Korea biobank network clinical information","volume":"316","author":"Im","year":"2024","journal-title":"Stud Health Technol Inform"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"111168","DOI":"10.1016\/j.radonc.2025.111168","article-title":"The need for IT specialists in radiation oncology - 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