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After more than ten years of preliminary exploration, the localization development of narrative medicine has made some achievements in theoretical research, medical education and clinical practice, but its development direction and pathway still need to be further confirmed. From the five perspectives of policy system, management mechanism, cultural background, medical education and social development trends, this paper discussed systematically and macroscopically the localization development of narrative medicine, and advocated that improving the top-level design and local policies, constructing management systems at all levels, taking root in Chinese culture, carrying out systematic narrative education and closely integrating with the development trend, so as to inspire the theoretical construction of the development path of narrative medicine in China.
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Objective:To analyze the career development path and related problems of general practitioners (GPs)in the community.Methods:In October 2019, general practitioners with different positions working in Malu Town Community Health Service Center of Shanghai Jiading district were selected by typical sampling to participate in a focus group interview. Based on the saturation principle, 5 general practitioners were invited for in-depth interviews on their career development and related issues. The original data were analyzed with Colaizzi′s seven-step analysis method.Results:The career development of the general practitioners working in the community was divided into three stages: start stage, experience-accumulation stage and career-differentiation stage. In the start stage (the first 0-24 months), the GPs mainly got familiar with the community health service center through community rotation. In the experience-accumulation stage (1-5 years after entering the community health service center), GPs accumulated clinical experience from outpatient clinic, ward, and being family doctor, etc; at the same time, they accumulated management experience through part-time public health management, research and education management, secondment in district health committee. In the professional differentiation stage (5 years or more after entering the community health service center), GPs may take a position of full-time management, or department head. The three respondents had confusion in certain career development stages, including confusion in clinical skills upgrading and balance between clinical and management duties.Conclusions:The study suggests that general practitioners in the entry stage need to be given timely clinical rotation as well as research and teaching training; in the career differentiation stage, it is necessary to incorporate upgrading clinical service and management capability with policy development directions and institutional development needs to promote the successful career differentiation of general practitioners.
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Based on the documents issued by the General Office of the State Council, the authors took system innovation, technological innovation, mode innovation and management innovation as the general principles of development, took safety, effectiveness, patient centered, fairness, economy and timeliness as the goal of high-quality development of outpatient services, and combined the three attributes of " medical quality management path" to explore the improvement path and specific practice of high-quality development from three aspects of technical quality, service quality and management quality for reference of peers.
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Hospice care is a health care involving end-of-life quality of millions of people. Compared with the growing demand for hospice services, the domestic service supply is seriously insufficient, making it urgent to explore the development path to meet the diversified health service needs of the public. Based on the analysis of the current situation of hospice development in the mainland and Taiwan of China, the " five-in-one" hospice development path consisting of top-level design, legislative protection, personnel training, social support, and publicity and education was proposed, which was expected to provide a basis for promoting the development of hospice practice in Chinese mainland. The aim is to provide a reference for promoting the development of hospice practice in Chinese mainland.
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Guangdong province is experimenting with a model composed of various types of medical alliances, having achieved initial success with some of them and preliminarily has formed a holistic governance pattern. Experiences behind such initial success lied in a coordinated top-level design, reasonable and classified guidance, leader role of key governance subjects, and the construction of a telemedical system. However, as analyzed from the angle of collaborative governance, existing medical alliances have not yet formed a community of services, that of responsibility, that of interests, and that of services. In this consideration, the authors recommended to strengthen the collaborative governance of such alliances by respective governance subjects based on the theories of integrated medical service system and collaborative governance, eventually forming an integrated medical and health service system.
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OBJECTIVE: To analyze the current status of China's pharmacy discipline rankings, and compare the development gap between China's pharmacy disciplines and world-class pharmacy disciplines to explores the development path of building a world-class pharmacy discipline. METHODSE: Website research, literature research, and comparative analysis were adopted. RESULTS AND CONCLUSION: The ranking status of pharmacy disciplines in China is compared and analyzed, and from the three aspects of the index system, international influence, and innovative talents training, the development path of building world-class pharmacy discipline in China is proposed.
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Under the strategic background of the "Healthy China" and the "coordinated development of Beijing-Tianjin-Hebei",based on the perspective of cross-boundary integration,taking the Beijing-Tianjin-Hebei health industry as the study case,it analyzed the basic condition of the health industry cross-boundary integration of the Beijing-Tianjin-Hebei region and considered that the Beijing-Tianjin-Hebei healthcare industry marketplace was immerse,which had good industrial foundation conditions and a certain degree of dislocation,provided with foundation for cross-border integration development.Therefore,it put forward further development path of the horizontal industry crossover and vertical industry chain integration in Beijing-Tianjin-Hebei healthcare industry,building and perfecting industrial chain,extending industrial development space,and promoting the cultivation and development of healthcare industry in three places.
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Loss of the ethical basis in the Chinese healthcare reform is embodied in a number of noticeable questions arising during the reform and development course.We should adhere to correct value orientation and ethical principles in deepening healthcare reform.Each stakeholder inside the reform including government,medical institutions,medical staff,patients and their relatives should take their respective ethical responsibilities.Therefore,the Chinese healthcare industry could develop with Chinese unique characteristics,and the healthcare reform will conduct correctly and continuously.
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As an important aspect of new healthcare reform,the reform of public hospitals should be conducted not only in the management system,operation mechanism and supervision mechanism,but also in making right ethical choice of the development path,that is to say,public hospitals should follow the non-profit principles in hospital idea,management system,supervision mechanism,operation mechanism and establishment of core competitiveness,so as to practice the people-oriented ethical values and safeguard people's right for health and interests.