ABSTRACT
Objective To study outcomes of the family doctor contact system and outpatient coordination system in Qingdao.Methods Random selection of 400 community residents and 576 outpatients for a questionnaire survey,using t tests and time series analysis.The purpose is to analyze the number of insured workers,community referrals,costs of hospitalization and the proportion of out-of-pocket payment,and impacts on community healthcare services.Results Number of insured works increased year by year,up to 1,739,931 in 2010.The proportion of community referred hospitalization was raised to 56.97％ in 2010 and increased 54.26％ compared to 2007.Hospitalization costs and the proportion of out-of-pocket payment were reduced.Conclusion The family doctor contact system and outpatient coordination system in Qingdao proved a success,as the practices were highly popular among the employees,and benefited community health centers as well,making it worthwhile to promote.
ABSTRACT
Objective:To investigat the treatment effects of reattachment of skin combined with vacuum sealing drainage(VSD)on large avulsion injury of skin of lower limb.Metbods:44 cases of treated by reattachment of with sieve-pore full-thickness skingrafts,the wound surface was filled with polyvinyl alcohol foams(vacuscal)continuous negative pressure drainage was taken for 24h.Result:The average tim of VSD was 7 days.39 cases recovered completely.The flap survival rate in 5 cases was reattaching sieve-pore full-thickness skin grafts combined with VSD,which is a crediable treatment of limbs skin-tear wound。Conclusion:The large avulsion injury of skin of lower limbs could be closed by reattaching sieve-pore full-thickness skin grafts combined with VSD,which is a crediable treatment of limbs skin-ter wond.