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This article discussed on the continuing medical education for general practitioners within a nonprofit multihospital system.Literature review,statistical analysis and survey results were employed.Training situation for general practitioner at home and aboard was reviewed.Statistics on population,disease spectrum,present situation of community doctors in Luwan branch of Ruijin hospital was also analyzed.Results showed that current education system for general practitioners cannot catch up the increasing demand yet.Meanwhile patients expected well qualified and skillful physicians in the community healthcare centers.Reinforcement of continuing medical education for general practitioners was the stepping stone of a nonprofit multihospital system.Improving skills and qualifications of physician played an essential role in the urban network of medical services.
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As urbanization moves on in China, the ongoing health reform tums to focus on the problems of "Too difficult and too expensive to see doctors" for migrant workers. The paper covered the present medical and healthcare services available to migrant workers. From the aspects of government,community and migrant workers, the paper analyzed problems found in services offered by community healthcare centers. In the end, the author came up with recommendations to rationalize such services by means of community healthcare centers.
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ObjectiveTo assess the relationship between central obesity and metabolic syndrome (MS) in community population.MethodsOne thousand and fifty-three individuals aged≥18 (mean,45.6),including 542 men and 511 women,were recruited for questionnaire survey and medical exarmnation from 4 communities of Hangzhou during March and November 2007.Their blood pressure,waist circumference,serum glucose,lipid profile,and other biochemical markers were measured.All data were used for variance analysis.ResultsThe prevalence of MS,central obesity,hypertension,and diabetes mellitus (DM) was 11.2%,23.6%,30.5%,and 8.5%,respectlvely.The prevalence of MS,DM,and hypertension was increased with waist circumference(P<0.05).Waist circumference was positively correlated to body mass index (BMI).systolic blood pressure(SBP),diastolic blood pressure(DSP),fasting blood sugar,total cholesterol,and triglyceride (r=0.812,0.649,0.712,0.657,0.598,and 0.676,respectively),although negativelv with high-density lipoprotein cholesterol(r=-0.578).Waist circumference also showed positive rclationship with the number of lipid metabolism abnormity(r=0.658,P<0.01).CondusionFor Hangzhou community population.central obesity might be one of the risk factors of MS.
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Objective To find out the usage of community healthcare service by citizens in Taiyuan and its influential factors,for the purpose of offering references for sustainable development of community healthcare services.Methods By means of multiphase sampling,in-home surveys were made to 800 residents in Taiyuan,recovering 768 valid questionnaires.The single factorx2 test and unconditional logistic regression analysis using SPSS13.0 software.Results The two-week visit rate is 13.28%,and two- week non-visit rate is 45.16%.Ratio of community healthcare service usage by residents surveyed was 36.72%.Factors affecting utilization of such service for residents are education level,monthly average income,and knowledge of community healthcare services.Conclusion Usage of community healthcare service is low in Taiyuan.It is recommended to improve the system of community healthcare services in Taiyuan in view of the influential factors,in order to maximize efficient usage of the service.