Analysis of reciprocal sharing of large medical devices at the medical alliance headed by the Third People′s Hospital of Wuxi / 中华医院管理杂志

Reciprocal sharing of medical devices plays a breakthrough point for strengthening medical alliances, while promoting efficiency building is the core work of medical devices sharing as well. Taking this medical alliance as an example, this paper discussed the effective strategies of large medical devices sharing within the medical alliance. The measures taken include basic information research and expert interview, high-level planning, and information platform, as well as incentive protection, effectiveness evaluation and atmosphere construction. These efforts can enhance the service support, satisfaction, inspection income, full usage, work ability, new function extension, and equipment management. Furthermore, it can promote the service ability, telemedicine and hierarchical medical of the medical alliance.

Exploration into the medical model of medical alliances specialized in chronic wounds / 中华医院管理杂志

This paper rounded up the resources and advantages leveraged by the hospital′s burn and plastic surgery department as a national key discipline. The department practiced medical services for chronic wounds in the regional hierarchical medical system for chronic wounds to promote the development medical alliances. IT development of the hierarchical medical network has achieved disease information sharing, namely centralized patients screening, patients referral confirmation, mutual recognition of test results, online consultation and treatment follow-up. Other achievements include standardization of medical criteria for chronic wounds by means of effective integration of resources imbalance within the network and improvement of internal medical regulations; elevation of primary level innovation capacity and services by means of high-caliber specialists working at primary institutions and mutual exchanges in between; effective medical cost control via guarantee system building, thus enhancing the public benefit nature of public hospitals. The paper also probed into problems and solutions expected in the way of promoting the chronic wound hierarchical medical system.

THE ARTERIAL SUPPLY OF THE TALUS / 解剖学报

The arterial supply of the human talus in 100 specimens, ranging in age from newborn to 87 years, has been studied by the arterial perfusion method. The talus is supplied by the artery of tarsal canal, the artery of tarsal sinus, the superior arteries of the neck and the branches of the posterior tubercle. These arteries arising diffusely from the three major arteries of the lower leg and anastomose to form the periosteal network on the non-articular surface of the talus. The anastomotic branches between them, ranging from 25 to 150 microns in diameter, form the arterial plexus within the bone. The relations between the characteristics of the arterial distribution and the avascular necrosis of the body of talus after fracture have been discussed.