ABSTRACT
Public hospitals and other non-profit or profit-oriented institutions can engage in external cooperation by way of management, technology, talents and information, and achieve medical resource sharing, complementary advantages, and maximal benefits. In December 2019, a university carried out the whole process audit on 75 external cooperation projects which were carried out from January 2016 to June 2019 by 4 affiliated public hospitals through the " two overall planning" management mode (i.e., overall planning audit projects and overall planning organization). The audit found that there were some problems in the external cooperation projects of public hospitals, such as lack of consistency and scientificity in the management system and decision-making mechanism, lack of standardization and preciseness in the conclusion of contracts, and the inadequate supervision of the implementation of contracts and the insufficient of project effectiveness evaluation and dynamic adjustmont. It is suggested to establish a comprehensive audit path for external cooperation projects of public hospitals, innovate the audit management mode, scientifically and reasonably allocate audit forces, expand the breadth and depth of audit supervision, and strictly implement problem rectification.
ABSTRACT
Objective To investigate the effects of Huoxue yiqi runchang decoction in the treatment of chronic intractable constipation in colonic dynamics.Methods 68 cases patients of chronic obstinate functional constipation from October 2013 to June 2016 in linhai traditional chinese medicine hospital were selected and randomly divided into two groups,34 cases in each group,two groups received reasonable diet and lifestyle guidance and general treatment, and the control group received oral mosapride,and the experiment group received more with Huoxue yiqi runchang decoction.Levels of serum MTL and SP,the score of line Wexner constipation and GIQLI,colon motility examination,and clinical efficacy were compared.Results Compared with before treatment,levels of serum MTL and SP in two groups were increased (P<0.05),score of Wexner constipation decreased (P<0.05),and score of GIQLI increased (P<0.05),and transmission time of RCTT,LCTT and RSTT decreased (P<0.05).Compared with the control group,levels of serum MTL and SP in the experiment group were higher,score of Wexner constipation were lower (P<0.05),score of GIQLI were higher(P<0.05), and transmission time of RCTT,LCTT and RSTT was lower ( P <0.05 ) , and the clinical efficacy was higher ( P <0.05 ) .Conclusion Huoxue yiqi runchang decoction can improve clinical symptoms in patients with chronic constipation, and enhance the gastrointestinal motility,and improve the clinical efficacy.