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Objective Investigate the research capacity and key discipline construction of 9 public hospitals of Hangzhou health system in the past three years,provide suggestions based on survey findings.Methods The questionnaire designed include following information:construction of talent team in key disciplines of medicine,laboratory infrastructure investment,research projects approval and funding,papers and monographs,work efficiency and financial income,NSF funding projects and awards,and comparison of input and output.Results Key disciplines of medicine in Hangzhou health system has more than 1 200 scientific research personnel,18 provincial or municipal key disciplines,the laboratory equipment area was more than 9 000 me and total investment in lab facilities was more than 69 million RMB,the national,provincial and municipal funded project of medical key disciplines accounted for total hospital project were 71.7％,66.1％ and 53.66％.1 842 papers in total were published in the medical key (specialized) disciplines of municipal hospital.Conclusions Hangzhou health system has invested a lot of resources in medical science and technology,but is still insufficient,and there are few ways to promote the construction of talent team in key disciplines of medicine and not many leading disciplines in the country.This situation shows that the core competitiveness is not strong,and the innovation system and management mechanism need to be improved.
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Objective To obtain Hangzhou residents' awareness, understanding, demands, and intentions of health examination and explore the factors influencing health examination. Methods Totally 1 183 residents (male: 542, female: 641, aged from15 to 80 years) were investigated by mean of questionnaire which included demographic characteristics, health status, medical behavior and awareness, the subjective reasons of unwilling to take health examination, the intention of choosing an institution, and the data of questionnaire were analyzed using single factor Chi-square test and conditional logistic regression analysis. Results Single factor Chi-square test showed that the factors affecting health examination participation which have statistical significances were as follows, gender (χ2=11.61,P=0.000), age (χ2=9.09, P=0.028), residence registration (χ2=44.16,P=0.000), marital status (χ2=8.96,P=0.03), educational backgroud (χ2=17.33,P=0.000), employment status (χ2=7.97,P=0.005), personal monthly income (χ2=22.82, P=0.000), having any kinds of health insurance (χ2=16.08,P=0.000), and the health examination fees paid by company (χ2=44.78,P=0.000). Conditional logistic regress analysis showed that the related fators which affecting the peoples participating rates of taking health examination are gender (P=0.003, OR=1.782), residence registration (P=0.000, OR=2.208), personal monthly income (P=0.009, OR=1.307), taking any kinds of insurance (P=0.004,OR=2.913)and the company organizing and paying for the healthy examination or not (P=0.000,OR=1.923). Conclusion The participation rates of taking health examination were affected by the factors such as male, younger than 45 years old, divorce, temporary residents, the jobless, low educational diploma and income, not having any insurance, taking the health examinaiton at their own expense and so on.