Research on the current implementation and management of key clinical specialty programs in Guangzhou / 中华医院管理杂志

Objective:To study the problems found in the implementation of key clinical specialty programs and come up with feasibility suggestions.Methods:November 2020 to January 2021, by means of quota sampling and snowball sampling, 22 depth interviews were made with principal-investigators, project team elites, leaders of functional departments, and experts of independent examination teams. The interview data were subject to theme analysis.Results:Six(27%) of the interviewees confused the concepts of " key specialty" and " key discipline" ; 9(41%) of them held that at specific stage of the program development, the connotation and implementation emphasis of specialty development and those of key disciplines were overlapped to some extent. Twenty(88%)of them held that functional management process and responsibility should be further refined, 19(86%) said that lack of professional financial knowledge hindered their program implementation, 16(73%) reported difficulties in information statistics, management and sharing, 19(86%)presented disputes in understanding the program examination criteria.Conclusions:In the implementation of key clinical specialty program, management at various levels should work in alignment with program teams, provide accurate definition and guidance to key steps and working mechanisms, refine the management process, provide accurate financial management, and build information platforms for big data collection and sharing.

Operation practice of residency program management in pediatric standardized residency training specialty base / 中国实用儿科杂志

Strengthening the organization and administration of standardized residency training is essential to ensuring the function and quality of residency training. On the level of secondary discipline of pediatrics,a residency program committee should be established including program director,site coordinators and resident representatives,and so on.The program committee is responsible for the resident admission,training,evaluation and program quality control.Through implementing program director responsibility system,regular meeting of residency program committee and regular seminars,the program management in pediatric standardized residency training specialty base is carried out,so as to ensure the smooth progress of residency training,effectively realizing the clinical teaching professionalization,and ensuring the quality of standardized residency training.

Efectividad del programa de control de tuberculosis en las entidades estatales. Departamento de Córdoba, Colombia 2015 / Effectiveness of the tuberculosis control program in state entities. Department of Cordoba, Colombia 2015

Objetivo. Medir la efectividad del Programa de Control de Tuberculosis en las diferentes entidades estatales del departamento de Córdoba. Materiales y métodos.Estudio descriptivo, retrospectivo, utilizando datos de las fuentes secundarias relacionados con aspectos sociales y demográficos, epidemiológicos, clínicos, de laboratorio, tratamiento y evolución y diagnostico final, analizando el comportamiento de la atención y el grado de adherencia terapéutica de la Tuberculosis. Resultados. En 2015 la prevalencia de Tuberculosis fue de 17 casos por 100000 habitantes; en cuatro de las seis zonas geográficas sujetos de este estudio las prevalencias superaban la media nacional. Las regiones con prevalencias más altas corresponden al Alto Sinú y Alto San Jorge y las más bajas las zonas costaneras y de sabanas. El 79.2% de los casos fueron incidentes, 18.8% recaídas y 2.1% abandono del tratamiento. En 68.7% de las historias revisadas no se encontró evidencia de actividades realizadas a contactos. Los pacientes acuden a la consulta inicial tras un periodo entre 31 a 60 días de síntomas; 12.5% fueron diagnosticados después de 15 días de la consulta inicial, en 14.6% de los casos el tratamiento se inició después de 16 días de la consulta inicial. 41.7% culminaron con baciloscopia negativa, a 37.5% de quienes terminaron su tratamiento no se les realizó Baciloscopia al final, 2.1% de los casos fracasó y 14.6% falleció. Conclusiones. Existen factores de gestión del programa que se manifiestan en demoras para identificar los casos probables e iniciar tratamiento oportunamente

Objective. To measure the effectiveness of the Tuberculosis Control Program in the different entities of the department of Córdoba. Materials and methods. This is a descriptive and retrospective study. The researchers used data from the secondary sources relating to social, demographic, epidemiological, clinical, laboratory, treatment, final evolution, and diagnosis to analyze the behavior of the attention and the degree of therapeutic adherence to tuberculosis. Results. In 2015, the prevalence of disease was 17 cases per 1000 inhabitants. In four of the six geographic target areas, the prevalence exceeded the national average. The regions with the highest incidence were the Alto Sinú and Alto San Jorge. The lowest was the coastal and savanna areas. 79.2% of the cases were incidents, 18.8%, relapses, and 2.1%, treatment withdrawal. In 68.7% of the reviewed histories of the cases attended in the public network, no institutional evidence of activities performed to contacts was found. Patients go for the initial consultation after a period between 31 to 60 days of symptoms. 12.5% of the cases were diagnosed after 15 days of the initial consultation. In 14.6% of the cases, the tuberculosis treatment started after 16 days of the patient's initial meeting. In 41.7%, negative sputum smear microscopy was achieved. 37.5% of those who completed their treatment but did not undergo BK at the end. 2.1% of the cases failed, and 14.6% died. The process ended with positive bacilloscopy. Conclusions. There are program management factors that delay in identifying the probable instances and initiate treatment promptly.

Design and implementation of information management system for Chinese materia medica resources survey / 中国中药杂志

By means of the established Information Management System for Chinese materia medica resources survey, the national, provincial and county level organization, personnel and the implementation of the program of Chinese materia medica resources survey, and the survey team of medicinal plant investigation, photos, Chinese herbal medicine market survey, the traditional Chinese materia medica resources knowledge survey, germplasm resources investigation and the data collation and summary specimen have been realised. Throughout the whole working process of the fourth national Chinese materia medica resources survey, it is ensured that all data were no missing, no repeat, and well stored and managed. The Information Management System can improve the standardization degree of Chinese materia medica resources survey, and maintain the continuity.

Management strategy and technology of medical assistance to advanced schistosomiasis patients in Hunan Province / 中国血吸虫病防治杂志

The medical assistance to advanced schistosomiasis patients established by the Chinese government is a major public facility for patients with advanced schistosomiasis. Since the medical assistance to advance schistosomiasis patients in Hu?nan Province started ten years ago,a set of mature and operable programs with whole program management and related technolo?gies has been developed. The author investigated the data on medical assistance to advanced schistosomiasis patients in Hunan Province during the last 10 years(from 2006 to 2015)retrospectively,and found that the program had high therapeutic effect and high satisfaction degree of both patients and the society. In order to improve the management of the medical assistance to ad?vanced schistosomiasis patients and share our experiences of the whole program management and related technologies with the colleagues of other provinces,this paper mainly illustrates the experiences of the program,as well as the existing problems and related strategies.

Analysis of cases from China national treatment program for patients with chronic Keshan disease 2005-2012 / 中华地方病学杂志

Objective In this paper,major issues for all those who have been selected in China national treatment program for patients with chronic Keshan disease (CNTP-CKD) were uncovered through evaluation of the annually reported data from participating provinces,in order to improve the performance quality of the program.Methods The datasets 2005-2012 were merged after cleaning them,and the composition of the treated patients was statistically analyzed,including gender and age distribution,diagnosis evidence for chronic Keshan disease (ECG,cardiothoracic ratio by X-ray,heart function grade of NYHA),and proportion of cases who had received treatment more than once.Results ①A total of 2 649 patients participated in the treatment,of them 1 115 patients were males accounting for 42.1％ (1 115/2 649),1 534 patients were females accounting for 57.9％ (1 534/2 649).Age of the patients were mainly distributed in 41 to 70 years old,and 24 CKD patients under 10 years accounting for 0.9％ (24/2 649).②2 313 cases of the involved patients were diagnosed with sufficient evidence,accounting for 81.9％ (2 313/2 823) and 121 cases with full misdiagnosis,accounting for 18.1％ (121/2 823).③There were 881 patients been treated for more than once,accounting for 38.3％ (881/2 301) of the number of treatment.Conclusions ① Diagnosis for CKD remains a key problem,suggesting that medical record for each patient diagnosed by province-level doctors' needs to be built up as early as possible.The rate of patient treatment for more than once is low which is not beneficial to the patients.② Treatment period for CKD patients is highly recommended to expand to at least one year,and the disease should be enrolled in the free cost list of the new rural cooperative medical system (NCMS).

Management on national major program based on the theory of PDCA cycle / 中华医学科研管理杂志

Apply PDCA cycle theory to the progress management of the national 863 program aimed at the problem of paying more attention to program application and achievement awards,but ignoring progress management.It indicated that the quality of research has been improved.So,scientific research administrators should renew their management knowledge,to improve the ability of scientific research management.

The role of monitoring and evaluation in the implementation of international collaboration programs on disease control and prevention / 中国艾滋病性病

Program monitoring and evaluation (M & E) is the major method used in the international collaboration programs on disease control and prevention in China in recent years. It functions in the progress overseeing,problem finding and solving in terms of enhancing the program quality,managing the work plan,summing up the experiences,auditing the performance and finally achieving the expected goal. The indicators and implementation progress based on M & E serve as a scientific tool to measure the program implementation outcome periodically.

Cooperation with the Philippines in Tuberculosis Control / 国際保健医療

In the early 1960s, the WHO developed a tuberculosis control policy whereby tuberculosis services (including regular and complete treatment of infectious cases) could be integrated into the general medical institutions distributed across a country. This control policy was deemed the best way to effectively reduce the tuberculosis problem within a community.<br><br>In late 1960s, the Philippines successfully developed a National Tuberculosis Program, based on WHO recommendations, that was integrated into the general health services. But due to inadequate management, it was not effectively implemented. The Government of the Philippines requested that the Japanese Government cooperate in improving its effectiveness. So, in 1992 JICA initiated a technical cooperation project in tuberculosis control. The total period of the project is from 1992 to 2007. During the cooperation, the project made major contributions to the introduction and expansion of WHO strategies throughout the country. Among the reasons for its success, the most important was that the Philippines had already developed a primary health care infrastructure throughout the country. In addition, the following factors should also be mentioned: 1) the strong commitment of the Philippine government in tuberculosis control, 2) the JICA project led to the coordination of other international aid agencies, 3) the Research Institute of Tuberculosis (Japan Anti-Tuberculosis Association), which has ample experience in tuberculosis research and international cooperation, was involved in the planning and operation of the project.<br><br>However, the Philippines' governance is still weak at the central, regional and provincial levels. The strengthening of their ability to administrate will be a key factor in the future success of the program.