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Objective:To investigate the status quo of the management of chronic obstructive pulmonary disease (COPD) in primary care health institutions in Miyun District of Beijing.Methods:The Measures to Improve Medical Services in Primary Medical and Health Institutions was issued by Beijing Municipal Health Commission in June 2019. In August 2020, a survey on COPD management status after the measures was conducted with self-designed questionnaire among 19 community health service centers and 61 general practitioners (GPs) from 4 centers in Miyun District of Beijing. Two questionnaires were used for the survey: one was on the status of medical institutions (institution questionnaire, filled by the person in charge of the center) and other was on COPD knowledge of general practitioners (doctor questionnaire, filled by selected GPs). Results:For health institution, 19 valid questionnaires were collected. Among them, 12 centers were equipped with lung function examination equipment after reform; 17 centers were equipped with inhaled corticosteroids/long acting β 2 receptor agonists (ICS/LABA); 12 centers carried out the contract management of family doctors for COPD; 267 patients signed the contract, 7 centers followed up the signed patients at least twice a year; 13 centers referred patients to Miyun District Hospital with 2 024 referrals per year. For GPs, 61 valid questionnaire were collected with a recovery rate of 100% (61/61). Among them 12 GPs (20%) had contracted management for COPD patients; 12 GPs (20%) had referred COPD patients to the secondary or tertiary hospitals; and 9/12 of GPs referred the patients for lung function examination due to the needs of diagnosis or follow-up.The mean COPD-related knowledge score was (58.9±20.0), compared with the score of 65 GPs from the 4 same community centers tested in 2018 (63.2±18.9), there was no significant difference ( t=0.456, P>0.05). Conclusions:The implementation of the primary care institution measures in Beijing promoted the management of COPD and improved capacity building in primary health institutions, also promoted the work docking between primary health institutions and secondary, tertiary hospitals. However, it is still necessary to strengthen the ability training of general practitioners in relevant knowledge and skills to improve their management ability of COPD.
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To investigate the prevalence and risk factors of stress urinary incontinence in women of Miyun County.Questionnaire survey was conducted in 8665 residents selected from urban and rural areas of Miyun County.Total 8663 questionnaires were completed with a response rate of 99.98％.The prevalence of urinary incontinence was 34.43％ (2983/8663),among which 1790 cases were of stress type with a prevalence rate of 20.66％,414 cases were of urgent type with a prevalence rate of 4.78％ and 779 cases were of mixed type with a prevalence rate of 8.99％.The risk factors of the stress urinary incontinence were advanced age(OR =1.555),BMI≥24 kg/m2 (OR =0.556),alcohol drinking(OR =1.308),constipation (OR =1.360),delivery times≥3(OR =1.998),history of macrosomia-bearing (OR =0.572).
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Objective To evaluate the training quality of junior college graduates of clinical medicine based on the feedback from the graduates and their employers.Methods Totally 112 junior college graduates tailored to rural areas among all the three years' graduates were selected.These graduates and their employers were asked to do the questionnaire and discussion.Results The overall evaluation from the graduates on the school curriculum and teachers was good,with satisfactory rate being above 95％.The employers had nice impression on the graduates and spoke highly of them,with satisfactory rate reaching 97.4％.Of all the three years' graduates,one-time passing rate in the qualification examination for assistant practitioners came to 41.0％,much higher than the average passing rate of 20.12％ in the same area and at the same time.Conclusion The teaching effect for junior college graduates of clinical medicine tailored to rural areas is satisfactory and the reform on teaching is worka ble and effective,however,it needs further practice.
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Objective To investigate the trend in birth weight of term infants delivered in Miyun Hospital in recent ten years, and its relationship with cesarean section rate, to provide evidence for health care during pregnancy and lowering the cesarean section rate. MethodsSingleton term live-birth newborns in Beijing Miyun Hospital from January 1, 2000 to December 31, 2009 were admitted into this study.Trends of birth weight, microsomia rate and cesarean section rate were analyzed. Results(1) There were 14 716 singleton term live-birth newborns delivered in the tenyear period, among which 7642 males and 7074 females with the proportion of male and female of 1.08 : 1. One thousand seven hundred and seventy-three (12.0％) microsomia were delivered, and the number of low birth weight infants was 180 (1.2％). (2) The birth weight of term infants was from 1200 g to 5850 g and the average birth weight was (3422±447) g. The average birth weight of each year increased, and the differences among each year showed statistical significance (F= 15. 337,P＜0.01). (3) The percentage of microsomia of each year increased, and the differences among each year also showed statistical significance (x2= 125. 285, P＜0. 01).(4) The cesarean section rate increased from 49.9％ in 2000 to 57.1％ in 2009 with statistical difference (x2 =180. 883, P＜0.01).(5) The cesarean section rate increased with the average birth weight of the singleton live-birth term infants in the 10 years from 52.2 ％ in those ＜2500 g to 85.4 ％ in those 4500 g～, and the differences had statistical significance (x2 =518. 519, P＜0. 01). ConclusionsCesarean section rate had close correlation with birth weight in term birth infants.It is suggested that prenatal care should be strengthened and nutrition guidance during pregnancy should be paid more attention.