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Objective:To understand the current situation of mobile healthcare adoption and perceived utility of primary healthcare workers, and to provide strategic suggestions for primary medical and health institutions to reduce their burden, increase efficiency and empowerment through informatization.Methods:In July 2019, 91 employees of different positions from 11 primary medical and healthcare institutions were interviewed on the topic of " adoption and perceived utility of mobile healthcare" . Nvivo11 qualitative research software was used to code and catalogue the interview records. Response rate, penetration rate and contingency table were used to describe the distribution of perceived utility.Results:Mobile healthcare is widely adopted by primary healthcare workers in the surveyed areas, mainly including smart phone applications and portable medical devices; the response rates of perceived utility positive and negative utility were 78.97% and 21.03% respectively, and the top five perceived utilities were work innovation, work efficiency improvement, network effect, data-driven resource allocation and technology overload, with a cumulative response rate of 73.80%. There were statistical differences in perceived utility among different posts. The penetration of management and public healthcare personnel was higher than others.Conclusions:The development of mobile healthcare is in the primary stage, evolving into an integrated stage. The initial effects for innovation and efficiency have emerged. The high utility of network effect, resource allocation and clinical decision support is more promising. Meanwhile, the double-edged sword effects of mobile healthcare call for attention, as such challenges in development as technology overload, technology investment and digital divide should be treated with caution and care.
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This paper analyzes the ERCP price setting policy and its impact on the patient''s cost and it puts forward possible price setting policy recommendations, according to the current situation of the disease payment system reform and promotion prospects of ERCP.ERCP belongs to the low-price high-value medical supplies, but hospitalization expenses data of 9 types of diseases show that consumables accounted for 35.81~48.25%.The main factor hindering widely the application of ERCP lies in high-ratio self-payment and high medical cost, in other words, as the ERCP supplies are not included in the scope of medical insurance payments, the current rate of patients with high surgical expenses, medical costs are expensive.As per the analysis of this paper, the following are the policy recommendations to put forward 1)Paying attention to historical settlement data and scientific formulation of disease charges;2)Considering different treatment methods and allocate appropriate disease payment standards;3)Standardize operation code to ensure the information quality of accurate disease expenses calculation.
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In order to understand the representative situation of medical services supply for China's public hospital in the mobile side,the research takes China hospital technology (comprehensive) influence ranked top 100 hospitals as the research object.From service supply channels,service content,providing mode,supply cooperation,comparative analysis of public hospitals from the traditional medical treatment to the mobile health reform is done.The 100 hospitals attaches great importance to the channel construction of mobile terminals,and App and WeChat have been mostly layout;On the basis of the medical process,a variety of service content is derived and innovated;Service providers change gradually to the context of navigation and mobile O2O medicine;The cooperation between hospitals and the technology companies is becoming more and more frequent.At the same time,these changes will also in turn promote the hospital process optimization,interconnection and multi game deepening governance.
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Addressing the problems that the unitization rate of medical and health App are generally low,based on the empirical approach,the paper demonstrates the positive influence of social factors on the utilization rate of mobile health App,and deeply analyzes the action mechanism and linkage effect of social factors such as social relation network,social support and subjective norms,so as to nationally design the socialized development strategies for mobile health App,thus providing the decision-making basis for the sustainable development and user cultivation of m-Health.
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Objective To investigate the reasons of misdiagnosis for dysfunctional uterine bleeding.Methods 152 case diagnoses as dysfunctional uttering bleeding in our hospital during May 1994 to May 2004 were retrospectively analysed. Results 62 were misdiagnosed as dysfunctional uttering bleeding, in fact they were hysteromyoma, adenomyosis,endometrial polyp, endometrtis, crdioma of endometrum of endometrium,cystic teratoma of ovary, granulose cell carcinoma, serous papillar cysatenoma of ovary,ovaran fo llicular dyst , hyperthyoidism, aplastic anemia and thrombocytopenia.Conclusions Diagnosis of dysfunctional uterine bleeding is based on eliminating other diseases, we can’t make a confirmed diagnosis of dysfunctional unterine bleeding only by medical history, gynecologic examination and diagnostic curettage. We shoud eliminate organic diseases by using ultrasonograph,laparoscope , hysteroscope and examination of endocrine system, finally we can make the confimed diagnosis by pathology ,only by these methods can we reduce the rate of misdiagnosis.