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ObjectiveTo encourage development of county-level hospitals by building a performance appraisal indicator system for such institutions. Methods Using the PATH model ( a performance appraisal tool for hospital ) quality improvement, an appraisal system was built for such institutions. Centering on patients, this system encompassed such dimensions as public benefits, quality of care and safety, staff and hospital development. Results This system consisted of six level-1 indicators, 21 level-2 indicators and 70 level-3 indicators, each given due weight. Conclusions This indicator system centers on patients, follows guidance of public benefits, and aims at continuous quality improvement, making it an effective in evaluating hospital performance and providing reference for the decision-makers to promote and adjust medical reform policies.
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Objective To explore and establish the performance evaluation system for telemedicine in China.Methods By the method of literature and brainstorming,building evaluation model and the initial indicators,using Delphi method and Analytic Hierarchy Process to determine the index and its weight.Results Based on the PATH model,a telemedicine performance evaluation framework was established with five primary indicators,11 secondary indicators and 32 tertiary indicators.And the five primary indicators include patient-centered,medical effective and efficiency,staff-oriented,safety and response management.Conclusion The PATH model is suitable for the establishment of telemedicine performance evaluation framework.The patient-centered indicator has the highest weight,and the cost of telemedicine services should be controlled,and the patient satisfaction should be improved from all angles.
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Objective To investigate the relationship among stressful life events ,social support and depression through researc‐hing a large number of Chinese army men ,then discovered the social psychological mechanism of the depression .Methods 11 ,400 officers and soldiers were tested with three scales ,the center for epidemiologic studies depression scale ,life events scale and social support scale .The differences between groups were determined with the variance ,SPSS 18 .0 software and AMOS7 .0 were used to analyse and build model .In addition ,we built the path model of life events and social support on depression with AMOS 7 .0 soft‐ware .Results (1)There is a significant positive correlation between Chinese soldiers depression levels and life events (r=0 .382 , P<0 .01) .(2) There is a significant negative correlation between Chinese soldiers depression levels and the social support (r= -0 .379 ,P<0 .01) .(3) It was established the path model of life events ,the social support and depressive symptom level .Con‐clusion Depressive symptom is related to the military life events ,which may predict the occurrence of the depression .Moreover ,so‐cial support ,a protective factor for mental health ,can relieve the depression of officers and men .
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Objective To explore the relationship of job-seeking self-efficacy, vocational interest and professional commitment. Methods 568 college students were questioned by job-seeking self-efficacy scale, vocational Interest Inventory and Professional Commitment scale. Results Job-seeking self-efficacy were positively related to professional commitment( r = 0.47, P ＜ 0. 0 1 ) ;different level of job-seeking self-efficacy had significant difference in professional commitment( F (2.565 =60.48, P＜0. 01 ). Among six types of vocational interest, career interest got highest correlation on professional commitment( r=0. 31, P＜0.01 ). Path analysis found that job search self-efficacy directly impacted on professional commitment( B = 0.58, P ＜ 0. 01 ), job search self-efficacy could also through research-oriented career interest had an indirect impact on the professional commitment ( B =0. 05, P ＜ 0. 0 1 ). Conclusion Professional commitment is mainly effected by job search self-efficacy, career interest. As a result, all these factors should be taken under consideration to improve colleges' professional commitment.