On the training of rural-order tuition-waived medical students and its impact on grass-roots public health services / 中华医学教育探索杂志

Objective:To discuss the role of rural-order tuition-waived medical students in grass-roots public health, and put forward pertinent suggestions for further improving the effectiveness of rural directional general practitioner training programs.Methods:Through interviews with 63 graduated rural-order tuition-waived medical undergraduates from rural primary medical institutions in Sichuan Province, the standard procedures of spindle encoding and content analysis were used to analyze the influence of the training effect of rural-order tuition-waived medical students on grass-roots public health services.Results:The results showed that the training effect of rural-order tuition-waived medical students mainly reflected in theoretical learning, practical work ability, future career planning and post-graduation education, among which the training effect of theoretical learning and practical work ability was better. Rural-order tuition-waived medical students played a positive role in grass-roots public health services, mainly in the protection of key populations, home prevention and management of the elderly and chronic diseases patients, and home prevention and management of children and pregnant women.Conclusion:The measures for rural-order tuition-waived medical students to provide grass-roots public health services should include that the supporting policies of the state and schools can be continuously improved and implemented, college teachers should pay more attention to the guidance of the humanistic spirit of general medical students, and the curriculum system construction of rural-order tuition-waived medical students should highlight the courses related to grass-roots and general medicine. In the process of student training, we should construct effective practical methods and strengthen post-employment continuing education.

A preliminary study on the development of grassroots disease prevention and control institutions in post-epidemic era / 公共卫生与预防医学

Now China vigorously promoted the reform of the disease prevention and control system and the construction of the public health system. In the context of the reform of the disease prevention and control system, grassroots disease prevention and control institutions have been greatly improved in terms of the number and structure of personnel, the configuration of facilities and equipment, the construction of information technology, and the ability of laboratory testing. However, it is still a challenge for grassroots disease prevention and control institutions to achieve long-term development under the supportive development policy of “one type of protection and two types of management”. Paper in Wuhan district of institution of disease prevention and control, for example, by analyzing its current working train of thought, puts forward the basic institution of disease prevention and control should be in the internal management level, social level and system level under the three-dimensional development ideas, fully show the technical characteristics, improve the ability of the business, to provide more diversified public health services to the public, may be able to get long-term, stable and continued development.

Evaluation of training course of hepatic disease in grass roots clinical hepatic physicians in some poverty-stricken counties in Shanxi and Shaanxi provinces / 中华流行病学杂志

Objective To understand the awareness of hepatic disease related knowledge among hepatic physicians in poverty-stricken counties in China,assess the effectiveness of training and provide a reference for the training in the future.Methods The training was conducted in 90 clinical hepatic physicians selected from county hospitals in poverty-stricken counties (or cities) in Shanxi and Shaanxi provinces.An examination was conducted before the training,immediately after the training and at 5th month after the training,respectively.One-way analysis of variance and x2 test were conducted to evaluate the score and the correct rate.Results The knowledge score was (42.96± 14.02) before the training,(62.86 ± 13.28) immediately after the training and (59.03 ± 17.92) at 5thmonth after the training,and the differences were significant.After the training,the awareness of all aspects of related knowledge was improved,the difference was significant compared to knowledge score before training,and at 5th month after the training,the difference was still significant.Conclusion After the training,the awareness of liver disease related knowledge of clinical hepatic physicians in poverty-stricken counties (cities) in Shanxi and Shaanxi provinces was improved,and the improvement could be maintained for nearly halfa year.

Evaluation of training course of hepatic disease in grass roots clinical hepatic physicians in some poverty-stricken counties in Shanxi and Shaanxi provinces / 中华流行病学杂志

Objective To understand the awareness of hepatic disease related knowledge among hepatic physicians in poverty-stricken counties in China,assess the effectiveness of training and provide a reference for the training in the future.Methods The training was conducted in 90 clinical hepatic physicians selected from county hospitals in poverty-stricken counties (or cities) in Shanxi and Shaanxi provinces.An examination was conducted before the training,immediately after the training and at 5th month after the training,respectively.One-way analysis of variance and x2 test were conducted to evaluate the score and the correct rate.Results The knowledge score was (42.96± 14.02) before the training,(62.86 ± 13.28) immediately after the training and (59.03 ± 17.92) at 5thmonth after the training,and the differences were significant.After the training,the awareness of all aspects of related knowledge was improved,the difference was significant compared to knowledge score before training,and at 5th month after the training,the difference was still significant.Conclusion After the training,the awareness of liver disease related knowledge of clinical hepatic physicians in poverty-stricken counties (cities) in Shanxi and Shaanxi provinces was improved,and the improvement could be maintained for nearly halfa year.

Establishment and effect of nursing information technology platform / 中华护理杂志

Objective To explore nurses' bonus assessment and distribution methods based on the information technology platform and to improve the efficiency of nursing management. Methods We build a hospital informa-tion platform in order to collect nursing work efficiency data by using existing computer information network. We distributed the bonus through the information platform according to evaluate nursing quality and performance effi-ciency. Results After the information flatform used for 2 years,the satisfaction of nurses with different professional titles and different experience showed no significant difference (P>0.05). The time of department management person-nel collecting and distributing data change from [103.75 (180.00,215.00)] min per month to [42.50 (60.00,90.00)] min per month.The difference showed statistical significance(P<0.05). Conclusion The technology platform can im-prove the satisfaction and the nursing management efficiency.

Interpretation of standards on training and evaluation of urine analyzers in grass-roots medical unit / 医疗卫生装备

Objective To analyze the training and evaluation standards on urine analyzers in the grass-roots medical unit.Methods The applicability,requirements,subject setup and items of the standards as well as the requirements of evaluation scoring chart were expounded in detail,and the related elementary knowledge was analyzed including the structure,working principle,installation and adjustment,operation,application,maintenance and etc of the analyzer.Combined personnel with the equipment was suggested to ensure the accuracy and high efficiency of the test result.Results The interpretation of the standards contributed to enhancing the quality of medical equipment training and the ability of practical support,and facilitated the examiner to perform annual evaluation with the scoring chart.Conclusion It is necessary to grasp accurately the connotation of the standards,to improve the quality of medical equipment training and to enhance combat support capability for the grass-roots medical unit and examiner.

Current situation of diabetes education and management in China at grassroots level / 中国基层医药

Diabetes mellitus is a worldwide public health problem,which is a serious threat to human health.WHO released the global diabetes report shows Chinese incidence of type 2 diabetes was explosive growth in the past few decades,but public awareness of diabetes is generally inadequate,especially at the grassroots level.Therefore,it is imperative to regulate the basic level of diabetes diagnosis and treatment.As one of the basic measures of diabetes treatment in our country,education and management of diabetes' foundation is weak,mainly for the lack of national basic medical and health institutions,dull form of education and lack of target,shortages of specialized diabetes staff.So in order to safeguards the success of primary diabetes education and management and improve the prevention of primary diabetes,it is necessary to establish a sound mechanism of reward system,make full use of various payment platform,strengthen the basic management of diabetes monitoring information construction and carry out the Internet education measures.This article reviews the current situation of education and management of primary diabetes.

Reflection and Exploration on Strengthening the Hospital′s Party Construction Work in the “New Normal” / 现代医院

To firm grass-roots Party Construction , the Party members , cadres groups , talent teams construction was set as the focus of hospital Party Committee by The First People′s Hospital of YiChang , China Three Gorges University .All the work was due to the new situation of the reform and development of health care , combined with reality , and the theme of scientific development and medical service was highlighted .At the same time, a sustainable health development and core val-ues with hospital characteristics was achieved by effective approach and methods .The grass-root party organizations was en-hanced during that hospital culture construction .

Analysis of ADR/ADE cases caused by Sanqi Panax notoginseng for injection / 中国基层医药

Objective To analyze the related factors of ADR/ADE cases caused by Sanqi Panax notoginseng for injection(lyophilization),in order to provide reference for clinical rational use of Sanqi Panax notoginseng for injection.Methods Adopted the method of retrospective study,this paper statistically analyzed ADR/ADE cases caused by Sanqi Panax notoginseng for injection(lyophilization)in the database of Adverse Drug Reaction Monitoring Center in Qingdao from January 2015 to December 2015.Results There were altogether 123 ADR/ADE cases caused by Sanqi Panax notoginseng for injection(lyophilization)in 2015,with 90 cases in general,12 new cases, 21 severe cases;more female patients than male patients;more middle -aged and old patients;irrational use of the drug accounting for 45.53% of the total number of the report;and there was a higher proportion of irrational drug use in grass -roots medical institutions.Conclusion Irrational drug use is an important factor leading to ADR/ADE cases caused by Sanqi Panax notoginseng for injection(lyophilization),so the injection of Sanqi Panax notoginseng (lyophilization)should be regulated in order to reduce the occurrence of ADR/ADE cases.

Medical and health organization management information system at grass-root level and platform at county level for data exchange in Sichuan Province:their design and implementation / 中华医学图书情报杂志

The medical and health organization management information system at grass-root level and platform at county level for data exchange in Sichuan Province were designed and constructed according to the health information exchange service network in Sichuan Province and standard medical CDA file, in order to implement data exchange on the medical and health organization management information system at grass-root level and platform at county level, to insure the basic medical and health service for the public, and to improve their health level.

A Study on Status Analysis and Strategies of Society Public’s Satisfaction Regarding the Grass-roots’TCM Work in Our Province / 浙江中医药大学学报

Objective] The study analyzes the current situation of public’s satisfaction and expectation on the grass-roots’work of TCM in our province to make advice on improvement. [Method] From the perspective of service objects, combining with satisfaction theory and using the method of random surveys, the article does the researches on the publics’satisfactions and expectations on 24 projects related to the grass-roots levels of TCM and puts forward corresponding countermeasure against those problems. [Consequence] The degree of satisfaction ranges from 65 to 72, average is 68.685; the highest degree of satisfaction is the therapeutic effects of TCM, but the lowest one is medical costs. The degree of expectation ranges from 79~86, average is 83.931, the highest degree of satisfaction is diagnostic reference level of medical staff from the grass-roots ’work of TCM, the lowest one is characteristic service projects of TCM. [Conclusion] The study analyzes and evaluates the grass-roots ’work of TCM by the related theory of satisfaction, having significant meaning on improving the management services’level of the grass-roots’work and the performance evaluation of government.

Health reform in grass-roots units of China according to the monitoring data of public opinion during NPC and PCC / 中华医学图书情报杂志

In order to show the social situation and public opinions for the decision-makers of medical reform, the viewpoints of main media, NPC and PCC members, and Internet users were analyzed according to the real-time monitoring data of public opinions on health-related topics ( new rural cooperative medical system, basic public health service, and rural medical workers) during the NPC and PCC, which showed the public awareness of health reform in grass-roots units of China.

Practice and Ethical Considerations on the leading role of Party Organizations in carrying forward the Hospital Spirit / 中国医学伦理学

The hospital spirit is not only the spiritual support and vital source for staff, but also the concentrat-ed expression of ideology and faith, value orientation, moral trait, psychology tendencies, culture stereotypes, the unified will and code of conduct for all kinds of personnel.The party organizations are the best helmsmen to culti-vate and carry forward the hospital spirit, which reveals distinctive and profound medical ethical principles and norms.In this paper, taking X hospital as an example, we describe the core function of the party committee′s lead-ership and results in the process of breeding, inheritance and innovation of hospital spirit and reflect ethically so as to provide good references for the current hospital spirit cultivation and promotion.

The causes of existing problems in academic grass-roots organizations in local university and reform countermeasures / 中华医学教育探索杂志

Affected by region economy,culture and low subject level as well as the lag of the academic grass-roots organizations,there exist dingle structure,similar systems,narrow,fuctions unsmooth operation and lack of vigor in the universities' academic grass-roots organizations.Therefore,we must fully understand the role of academic grass-roots organizations,reform the authority model and innovate university academic organizational structures.

ESTABLISHMENT AND IMPLEMENTATION COMPETITIVE STRATEGY IN SOME PRIMARY HOSPITAL IN SHENZHEN / 现代医院

Through objective, scientifically analyzes the inside and outside environment which the Shenzhen some basic unit courtyard locates, the superiority, the inferiority and so on the key aspect, using the strategic status and the motion appraisal matrix for the hospital formulation science competition strategy and effective, the practical and feasible course of action and the implementation means establishment provides some mentalities and the reference.In order to cause this hospital the medical market which opens day by day and in the keen competition is in an impregnable position day by day.

Hospital Infection Management in 32 Grass-roots Hospitals:Problems and Countermeasures / 中华医院感染学杂志

OBJECTIVE To investigate and analyze the hospital infection in 32 hospitals throughout the county,in order to reduce hospital infection. METHODS According to new Hospital infection administration regulations and medical service hospital infection control quality evaluation requirements,we had investigated and analyzed and guidanced to improve the hospital infection management in 32 hospitals of the county for a two-years. RESULTS The monitoring,surveillance and management of hospital infection in grass-roots hospitals as a quality evaluation index of hospital medical service still had many problems,After two years,it had been more improved the quality in the field of administration management,sterilization and disinfection,surveillance and sevage treatment. CONCLUSIONS According to Hospital infection administration regultions it is important to strengthen the hospital infection management for guaranteeing the grass-roots hospital medical service quality and medical care safety.

Involvement of NGOs in AIDS Global Fund Programs / 中国艾滋病性病

The study is to describe the main activities of NGOs involved in programs of China AIDS Global Fund Round 5 and analyze the advantage and necessity of their involvement in HIV/AIDS control. The experience and problems of NGOs ' involvement in AIDS Global Fund Programs,as well as appropriate approaches to address them are discussed.

Nosocomial Infections in Central Supply Unit in Hospital:Hidden Dangers and Administration Strategy / 中华医院感染学杂志

OBJECTIVE To prevent and control nosocomial infection in the central supply unit.METHODS Hidden dangers of nosocomial infection of central supply unit were investigated and analyzed to formulate the strategy of precaution and control.RESULTS Management status in central supply unit was not standardized and several administration shortages such as supervising system,architectural composition,and precaution consciousness were occurred.CONCLUSIONS Adopting comprehensive management,establishing regulations and carrying out strictly are essential for prevention and control against nosocomial infections in central supply unit.

Nosocomial Infection Control of Epidemic Measles in Medical Units at All Levels:A Prevalence Survey / 中华医院感染学杂志

OBJECTIVE To know the status of nosocomial infection control of epidemic measles in medical units at all levels of the epidemic area.METHODS The scene of the correlated medical units by cross-sectional study was investigated.RESULTS There were 7 children cases included 1 case of measles,4 cases with fever and 2 ordinary childrens cases in a local city general hospital.At the rural health clinic,a total of 19 cases were studied,including 3 cases with measles infection,2 cases of suspected measles cases,10 cases of children with fever and other children 4 cases.CONCLUSIONS The infected sources concentrate in grass roots medical unit relatively,The problem of isolating infected sources,protecting high risk crowd and measures for medical staff in grass roots medical unit should be improved.

Biosafety Management in Laboratory Department of Grass Roots Hospital / 中华医院感染学杂志

OBJECTIVE To approach biosafety risk in laboratory department of grass roots hospital to formulate the effective management measurement.METHODS The existing problems of biosafety management in laboratory department of grass roots hospital were investigated and analyzed.RESULTS A series of problems such as personnel′s training of biosafety consciousness,construction arrangement,work environment,protection equipment and personnel′s work habit were existing.CONCLUSIONS Medical institution should execute strictly relative policies and regulations,and emphasis on the consummate biosafety management.