ABSTRACT
Objective To explore the economic performance after the performance‐based reform at primary medical institutions in Zhejiang Province and put forward measures for improving primary medical services .Methods Questionnaire investigation was conducted among 84 primary medical institutions with staff over 20 .The financial statements of these institutions during 2009‐2014 were collected and studied as well .Results The average outpatients and emergency patients in 2014 increased 113.3% than that in 2009 .The total usage times of laboratory tests and other auxiliary examinations also increased(55.7% and 103.1% ,respectively ) ,yet with a decrease of inpatients.Moreover ,the proportion of income from traditional Chinese medicine (TCM )in gross income increased from 9.39% in 2009 to 17.14% in 2014 .The cost‐profit ratio of TCM drugs at half of such institutions exceeded 120% . Conclusions The performance‐based reform has motivated medical staffs of primary medical institutions and effectively vitalized such institutions.Rules and regulations of these institutions require further improvement .
ABSTRACT
Objective] The article analyzed the origins of Zhu Danxi's concept of the spleen-stomach and the characteristics of the prescription, and explored the content of the academic research of Zhu Danxi. [Methods] Through literature method, the control analysis of the formation of succession context of Zhu Danxi's concept of the spleen-stomach, from three aspects, it analyzes the main characteristics of the view of the spleen and stomach on the physiology and pathology of spleen-stomach, spleen and stomach disease treatment, and treatment through the spleen-stomach.[Results] Zhu Danxi's concept of the spleen-stomach had the close relation with apprentice teacher and famous experts. The basic viewpoints origin from Liu Wansu, draws expelling spleen and stomach drug laws of Li Dongyuan, critically to retain the Zhang Congzheng's spleen-stomach academics, fully inherit the clinical experience of Luo Zhiti, and then form the concept of the spleen-stomach on physiological and the characteristics including the emphasis on physiological and pathological of the spleen-stomach and the prescription by protecting spleen-stomach. The treatment methods through the spleen-stomach to treat the exogenous and miscellaneous disease, including the tonifying spleen and regulating qi to dispel six stagnation, tonifying spleen and strengthening qi to remove exogenous, tonifying spleen and nourishing blood to resolute carbuncle and abscess, tonifying spleen and sweat to eliminate malaria cough, applicable law of clearing stomach and intestinal. [Conclusion] The formation and characteristics of Zhu Danxi's concept of the spleen-stomach is of great practical significance for guiding the clinical application and the cultivation of traditional Chinese medicine.
ABSTRACT
We herein overviewed the history,achievement and plan of the twelfth-five program for the development of key medical disciplines in Zhejiang Province.We summarized the practice and characteristics of establishing of the key medical discipline in the Zhejiang Province,and a systemic survey was conducted on the effectiveness of the program.We then proposed several improvements strategies including academic training,multidiscipline coordination,and fund managements to eventually establish the new pattern of discipline development.
ABSTRACT
A study of the quality assurance system building made at the training bases in Zhejiang since 2011 found the following.Five management systems on training quality have been established, covering basic clinical conditions, training management, faculty management and training, training assessment,and training incentives.PDCA is called into play for continuous improvement and perfection to develop a training quality management system of local features and continuous improvement.