La Economía Circular desde la perspectiva de la empresa estatal cubana: ¿ oportunidad o necesidad en la condiciones actuales? / The Circular Economy from the perspective of the Cuban state enterprise: ¿opportunity o necessity in current condition?

La Economía Circular (EC) se ha posicionado como una alternativa viable ante la insostenibilidad del modelo económico lineal. Hoy este constituye una temática que está en el centro del debate y de todas las agendas de gobierno y Cuba no puede ser la excepción. El presente artículo persigue como objetivo principal diagnosticar el estado de la economía circular en Cuba desde la perspectiva de las empresas estatales. En este sentido se parte de sistematizar las ventajas de la aplicación de modelos circulares en el país. Se particulariza en el estudio por sectores que han avanzado en la aplicación del paradigma circular y se concluye con una propuesta de acciones estratégicas a seguir para expandir las prácticas circulares en el país, las cuales son validadas según criterio de los principales usuarios responsables de su implementación a través de la técnica de IADOV

The Circular Economy (CE) has positioned itself as aviable alternative to the unsustainability of the linear economic model. Today this is an issue that is at the center of the debate and of all government agendas, and Cuba cannot be the exception. The main objective of this article is to diagnose the state of the circular economy in Cuba from the perspective of public enterprises. e study is particularized to analyze separately the advance of the different sectors in the application of the circular paradigm. It concludes with a proposal of strategic actions to be followed to expand circular practices in the country, which are validated according to the criteria of the main users responsible for their implementation through the IADOV technique

SWOT analysis of internet-based cognitive behavioral therapy application in improving negative emotions in patients with coronary heart disease / 中国实用护理杂志

Objective:With the help of SWOT(S: internal strengths, W: internal weaknesses, O: external opportunities, T: external threats)analysis, to explore the internal and external conditions of internet-based cognitive behavioral therapy applied to improve the negative emotions of patients with coronary heart disease, and to propose development strategies.Methods:SWOT analysis was used to analyze and sort out the internal strengths and internal weaknesses, external opportunities and external threats of internet-based cognitive behavioral therapy in improving the negative emotions of patients with coronary heart disease.Results:The internal strengths of internet-based cognitive behavioral therapy in improving the negative emotions of patients with coronary heart disease were significant therapeutic effect, strong operability and high cost-effectiveness. The internal weaknesses included excessive dependence on patients′ treatment enthusiasm, and a lack of psychological training among nurses. The external opportunities included demand support, technical support, and theoretical support. The external threats were the lack of large-scale empirical research and the risk of patient personal information leakage.Conclusions:In the clinical application of internet-based cognitive behavioral therapy to improve the negative emotions of patients with coronary heart disease, both strengths and weaknesses coexist, and opportunities and threats coexist. Only by taking strengths of opportunities to overcome weaknesses, improve the autonomy and enthusiasm of patients in treatment, and increase the psychological training of medical staff, can internet-based cognitive behavioral therapy be further promoted in the clinical application of improving the negative emotions of patients with coronary heart disease.

Standardized construction of Party branches of university-affiliated public hospitals based on SWOT / 现代医院

Amid ongoing reforms in the healthcare system and the pursuit of high-quality development in public hospi-tals,the significance of party building in leading the standardization of hospital party branches has become increasingly promi-nent.Taking a university's affiliated hospital as an example,this study comprehensively analyzes the current situation of Party building on the standardized construction of party branches within university-affiliated public hospitals using the SWOT method.Meanwhile,this paper proposes targeted strategies by assessing the strengths,weaknesses,opportunities,and challenges of party building leadership.These strategies are intended to refine the framework for the role of Party building in advancing the standard-ized construction of Party branches in university-affiliated public hospitals.

Strategies for scientific and technological innovations in provincial maternal and child health care insti-tution based on PEST-SWOT model / 现代医院

Objective To investigate the internal and external factors of scientific and technological innovations in pro-vincial maternal and child health care institutions and propose effective strategies for facilitating the innovations.Methods The PEST-SWOT model was used to analyze the internal strengths and weaknesses,external opportunities,and threats of the scientific and technological innovations in a provincial maternal and child health care institution from the perspectives of political,econom-ic,social,and technical environment.Results The institution has advantages and opportunities in policy support,scientific re-search management and investment,and disciplinary characteristics.However,it faces some threats and has disadvantages in tal-ent team,information-oriented level,and industrial competition.Conclusion The development of scientific and technological in-novation in provincial maternal and child health care institutions is affected by internal and external factors.It is necessary to firmly seize opportunities and comprehensively promote scientific and technological innovations from the aspects of medical treat-ment,teaching and research collaboration,discipline layout,talent team,and information-oriented construction.

Management strategies of scientific research projects based on SWOT analysis / 现代医院

SWOT analysis is used to identify the strengths and external opportunities of scientific research management in hospitals.It facilitates the establishment of a systematic and rational approach to scientific research project management,help-ing hospitals to mitigate internal weaknesses and address external threats.This article chooses Y Hospital to carry out a case stud-y.SWOT analysis was done to investigate the hospital's strengths,weaknesses,opportunities,and threats.Based on the analysis results,it proposes targeted management strategies of"SO,""WO,""ST,"and"WT".After the use of the strategies in the management,the number of funded scientific research projects,published papers,registered invention patents,and achievements transferred from the scientific research remarkably increases,driving the improvement of research quality.

Análisis FODA: fortalecimiento de la prevención y el control de la tuberculosis en post pandemia de COVID-19, Hospital Muñiz, Buenos Aires / SWOT analysis: strengthening tuberculosis prevention and control in post COVID-19 pandemic, Hospital Muñiz, Buenos Aires

Resumen Introducción : El proyecto de fortalecimiento en Vigi lancia Epidemiológica en Tuberculosis (VET) del Hospital Muñiz, Buenos Aires (Argentina), busca mejorar los re sultados operacionales relacionados en mayor medida al diagnóstico precoz de la enfermedad, estableciendo como objetivo la identificación oportuna de personas enfermas de tuberculosis (TB) que consultan posterior a la pandemia por COVID-19. Métodos : Se realizó un análisis FODA (Fortalezas, Oportunidades, Debilidades, Amenazas): una herramien ta esencial en la planeación estratégica, que proporciona información necesaria para la implementación de accio nes y medidas correctivas, generación de nuevos pro yectos de mejora, donde se evaluó la situación interna de la institución para determinar las FODA presentadas después de la pandemia COVID-19, a fin de desarrollar un fortalecimiento en VET, mediante vigilancia epide miológica de campo. Resultados : Se cuenta con personal capacitado, posi bilidad de diagnóstico precoz y control oportuno, gene rado desde la Unidad Febril de Urgencias. El servicio de guardia presenta adecuado control de la población con TB, que posibilita la coordinación y trabajo en conjunto con otros programas ministeriales. Existe capacidad de respuesta de la institución ante los brotes, epidemias y pandemias. Discusión : La aplicación de este proyecto incorporará una actividad de fortalecimiento en vigilancia epidemio lógica, donde el Hospital Muñiz, mediante el abordaje integral y la identificación de casos nuevos de respuesta a las necesidades de la población con TB. Se proporcio nará así información válida y confiable para la preven ción y control de la TB en la institución después de la pandemia por COVID-19.

Abstract Introduction : The Hospital Muñiz's "Strengthening Epidemiological Surveillance in Tuberculosis (VET) Proj ect" is focused on improving operational outcomes, spe cifically by enhancing early TB diagnosis. Our primary aim is to promptly identify individuals with tuberculo sis (TB) who seek care at our institution following the COVID-19 pandemic. Methods : A SWOT analysis (Strengths, Weaknesses, Opportunities, and Threats) was carried out. It is an essential tool in strategic planning, which provides information for the implementation of actions and corrective measures in the generation of new improvement projects. The internal situation of the institution was evaluated to determine SWOT after the COVID-19 pandemic, in order to strengthen VET, through field epidemiological surveillance. Results : There are trained personnel, the possibility of early diagnosis and its opportune control generated from the Febrile Emergency Unit. The on-call service has an adequate control of the TB population that enables coordination and joint work with other programs (HIV), response capacity of the institution to outbreaks, epi demics and pandemics. Discussion : The application of this project will in corporate a strengthening activity in epidemiological surveillance, where the Muñiz Hospital, through a com prehensive approach and the identification of new cases, responds to the needs of the local population with TB. This will provide valid and reliable information for the prevention and control of TB in the institution after the COVID-19 pandemic.

Strategy Analysis of Traditional Chinese Medicine Ancient Books Knowledge Base Construction Based on SWOT-PEST Model / 世界科学技术-中医药现代化

Objective At present,the knowledge base of ancient books of traditional Chinese medicine has many problems,such as the lack of high-performance information processing model and efficient knowledge representation method,non-standard terms,resource sharing system has not been established,leading to the low efficiency of the knowledge base,be unable to fully and effectively explore and utilize knowledge.This study comprehensively investigated the internal and external environment of traditional Chinese medicine books knowledge base construction,and put forward countermeasures.Methods Based on the SWOT-PEST model,this study deeply analyzes the strengths and weaknesses of the construction of knowledge base of ancient books of traditional Chinese medicine,and sorts out the external opportunities and threats of its development from political,economic,social and technological dimensions.Result It proposes strategies such as giving full play to the role of policies,drawing lessons from successful experiences,promoting joint construction of disciplines,expanding publicity,carrying out precise services,raising funds from various sources,reforming and cultivating talents,establishing unified standards,perfecting updating mechanism,supplementing quality evaluation,improving infrastructure,optimizing performance model,and strengthening technological innovation.Conclusion This paper provides effective tools and construction strategies to realize the aggregation,mining and activation of knowledge of ancient books of TCM,enhance the depth of the creative transformation of ancient books,and promote the inheritance and academic innovation of traditional Chinese medicine.

Analysis on the Current Situation,Influencing Factors and Strategies of Data Sharing in Cross-regional Specialty Medical Alliances / 医学信息学杂志

Purpose/Significance To clarify the construction mode and key factors of data sharing in Chinese medical alliances,and to provide references for promoting data sharing in medical alliances.Method/Process Taking children's medical alliance of Yangtze River Delta as an example,Delphi method and qualitative interview method are used to explore the key contents and effect evaluation of specialty alliance construction,and the key factors of specialty alliance data sharing are defined based on the technology-organization-environment framework;SWOT analysis model is used to propose development strategies.Result/Conclusion Member hospitals are less satisfied with the construction effect of information interconnection.Key factors for realizing data sharing in specialty alliances include:support from government administrative departments,uniform and systematic compatibility of information standards,information security emergency response,patient privacy protection and informed consent,willingness of department directors to share,and internal communi-cation and compensation mechanism of alliances.

SWOT analysis and strategy for construction of county medical service community in Ningbo Yinzhou district / 中华全科医师杂志

The construction of county medical service community (medical community) is an important measure for building a hierarchical and integrated medical and health service system. The article takes Yinzhou District of Ningbo city as an example to elaborate the strengths and weaknesses of the internal environment and the opportunities and challenges of the external conditions using SWOT analysis in the construction of county medical community, also put forward corresponding countermeasures and suggestions to provide reference for the further improvement.

Can Drug Price Controls Help Patients Get a Better Deal? A SWOT Analysis

@#Introduction: Due to the increasing rate of drug prices and overall healthcare inflation, stakeholders from the pharmaceutical industry and non-governmental organisations (NGOs) are voicing their concerns about the possible reciprocal effects in the long run. Drug price controls (DPCs) regulation is crucial to ensure affordability and indirectly reduce congestion in public healthcare facilities. This study aims to identify the SWOT analysis of the DPCs in Malaysia and how it will impact the drug supply chain. Methods: The study adopted a subjective environmental scanning method and a SWOT analysis tool to examine the Malaysian pharmaceutical DPCs in the healthcare supply chain (HSC) ecosystem through both intrinsic and extrinsic perspectives. Results: The immediate effect of DPCs would be beneficial, especially to the patients and the government. Balancing the right amount of control and liberalization of the market is seen to be the biggest factor contributing to the policy’s effect on the drug supply chain. The main concern would be the long-term effect as mixed results are coming from a group of countries that had implemented a similar policy. Conclusion: Notwithstanding the qualitative methodology of the paper, the findings could provide a better understanding of the price of drugs in Malaysia’s HSC and serve as a foundation for future studies. This paper proposes a new way to diversify the DPCs economy by entering the HSC chain industry.

Discussion on the construction of holistic nursing based on SWOT in apheresis platelets collection / 中国输血杂志

【Objective】 To explore the application and effectiveness of holistic nursing based on SWOT in platelet collection at blood stations. 【Methods】 SWOT analysis was used to analyze the causes of adverse reactions to blood donation in platelet donors, put forward countermeasures and take holistic nursing measures. Routine nursing was adopted from January to June 2021, and holistic nursing based on SWOT analysis was adopted from July to December 2021. The adverse reactions and the nursing quality before and after the implementation of holistic nursing in the two groups were compared, and the satisfaction of blood donors to the nurses was analyzed. 【Results】 After the implementation of holistic nursing based on SWOT analysis, the incidence of adverse reactions in blood donation was 2%(2/100) in the observation group, significantly lower than 11%(11/100) in the control group(P<0.05). Nursing satisfaction score of the observation group was (93.10±4.97 points), significantly higher than that of the control group (78.12±5.36 points)(P<0.05). 【Conclusion】 The implementation of holistic nursing based on SWOT analysis can significantly reduce the incidence of adverse reactions in platelet donors and improve the satisfaction of blood donors with the nursing work, thus significantly improving the quality of nursing in the department.

SWOT analysis of HIV control strategy in key areas of Zhejiang Province / 预防医学

Objective @#To analyze the problems in the AIDS control strategy in key areas of Zhejiang Province, so as to provide insights into the improvement of the control strategy.@*Methods @#The AIDS control data were collected from 10 key counties (districts) in Zhejiang Province, and the AIDS control strategy was comprehensively evaluated using a SWOT analysis.@*Results @#The strengths of the AIDS control strategy in key counties (districts) of Zhejiang Province included distinct working objectives, well-organized leadership, and effective control measures, the weaknesses included large number of HIV-infected cases, high burden of disease, difficulty in management of AIDS transmission and insufficient AIDS control capability, and the opportunities included the AIDS control in key counties (districts) conforming to the current status of AIDS control, strong support of innovative strategies and technical support from professional teams, while the threats included insufficient working mechanisms for AIDS control, the gap between the effectiveness of AIDS control and the target goal and unverified scientific evidence of the control strategy. Supported policies should be fully used, working mechanisms need to be improved, control strategies need to be innovated, and assessments need to be implemented for AIDS control in key counties (districts). @*Conclusions @#There are both opportunities and challenges for AIDS control in key counties (districts) of Zhejiang Province. Optimization of the working mechanisms, promotion of precision interventions, and search for repeatable control strategy in other disease-affected regions are required for AIDS control.

Reflections on the use of shared decision-making in obstetric care / 中国实用护理杂志

Shared decision-making as a new model of healthcare culture is gaining more and more popularity and attention among healthcare participants. The paper successively described the concept of shared decision-making and the key points of the steps of applying shared decision-making in obstetrics, and analyzed the internal and external conditions and problems of applying shared decision-making in obstetrics wards with the help of SWOT analysis, in order to provide reference for further research and clinical practice related to shared decision-making in obstetrics wards in the future.

Analysis on the influencing factors and strategies of high-quality development of public hospitals / 中华医院管理杂志

Objective:To analyze the internal conditions and external environment of high-quality development of high-level public hospitals and establish a high-quality development strategy model, for reference of public hospitals to formulate and implement high-quality development strategies.Methods:The case hospital was a pilot in high-quality development of high-level public hospitals. SWOT method was used to analyze the influencing factors, AHP analytic hierarchy process was used to compare the importance of each influencing factor, and then the four-quadrant coordinate system method was used to establish a high-quality development strategy model.Results:The total strength(S), the total weaknesses(W), the total opportunity(O), and the total threat(T)were 0.095, 0.063, 0.065 and 0.024 respectively, reflecting that the strength of internal conditions was greater than the weaknesses, and the opportunities of external environment were greater than the threats. In the four-quadrants, the growth strategy model had the largest triangle area(0.003), and the strategic quadrilateral center of gravity was located in the opportunity area of the growth strategy.Conclusions:High-level public hospitals as represented by the case hospital had entered a period of important strategic opportunities, which the external opportunities were greater than its own strength. These hospitals were recommended to fully leverage the external opportunities, adopt a positive growth oriented(SO)strategy, formulate a development strategy with their own characteristics, promote the interaction of internal conditions and external environment to form new momentum, hence achieving high-quality development.

Cognitive Analysis and Improvement Strategy of Nursing Staff’s Nursing Research Ethics in China / 中国医学伦理学

At present, the legal, ethical and social issues involved in clinical nursing research have attracted increasing attention. This paper used SWOT analysis to explore the strengths and weaknesses, opportunities and challenges of nursing staff’s cognition of research ethics. The results showed that the internal factors of nursing staff’s cognition of research ethics mainly come from the factors of nurses themselves, nurse interpersonal relationship, the relationship between nurses and subjects, and the hospital factors. The external factors mainly rise from the social level, university education level, information technology application level. Therefore, to enhance nurses’ cognition of nursing research ethics, internal and external factors need to be taken into account, including improving the system of nursing scientific research ethics governance, enhancing the system protection of nursing scientific research ethics governance, strengthening the review and supervision of nursing scientific research ethics, and deeply developing the education and publicity of scientific research ethics.

The path of improving chinese youth's physical health from the perspective of public sports service / O caminho para a melhora do nível de saúde física dos jovens chineses a partir da perspectiva do serviço público desportivo / Opciones para mejorar la salud física de nuestros adolescentes en el marco del servicio público de deportes

ABSTRACT Teenagers are the future of our country, and their physical health has a great impact on the economic and social development of our country. In view of this, this study applied questionnaire survey, analytic hierarchy and situation analysis to construct the evaluation index system and hierarchical structure model of youth physical health promotion path, and used empirical analysis to analyze and deal with the key factors in the index system. The results show that the coordinates are (0.648, 0.648, 0.648, 654) located in the first quadrant, which indicates that the external opportunities and internal advantages have a high degree of matching; the effect of youth physical health management under the government mechanism is poor, but youth physical health management under the market mechanism needs to be established. The internal advantages of youth physical health management are relatively large, and the public management service market has great potential, and the market-oriented health construction. It is hoped that this study can provide certain reference for the improvement of Chinese teenagers' physical health.

RESUMO Os adolescentes são o futuro do nosso país, e sua saúde física tem grande impacto no desenvolvimento econômico e social do nosso país. Em vista disso, este estudo aplicou o método de levantamento por questionário, processo de hierarquia analítica e método de análise situacional para construir o sistema de índice de avaliação e modelo de estrutura hierárquica do caminho da melhora da saúde física entre os jovens, e usou o método de análise empírica para analisar e tratar os fatores-chave do sistema de índice. Os resultados mostram que as coordenadas estão (0.648, 0.648, 0.648, 0.648, 654) localizadas no primeiro quadrante, o que indica que as oportunidades externas e as vantagens internas têm um alto grau de correspondência; o efeito da gestão da saúde física dos jovens no âmbito do mecanismo governamental é precária, mas a gestão da saúde física dos jovens no âmbito do mecanismo de mercado precisa de ser estabelecida. As vantagens internas da gestão da saúde física dos jovens são relativamente grandes, e o mercado de serviços de gestão pública tem um grande potencial, além da saúde orientada para o mercado. Espera-se que este estudo possa fornecer alguma referência para a melhoria da saúde física dos adolescentes chineses.

RESUMEN Los adolescentes son el futuro de nuestro país y su salud física tiene un gran impacto en el desarrollo económico y social de nuestro país. En vista de esto, este estudio aplicó encuestas de cuestionario, procesos de jerarquía analítica y análisis de situación para construir el sistema de índices de evaluación y el modelo de estructura jerárquica del camino de promoción de la salud física de los jóvenes, y utilizó análisis empíricos para tratar los factores clave en el sistema de índices. Los resultados muestran que las coordenadas están (0.648, 0.648, 0.648, 654) ubicadas en el primer cuadrante, lo que indica que las oportunidades externas y las ventajas internas tienen un alto grado de coincidencia. El efecto de la gestión de la salud física de los jóvenes bajo el mecanismo del gobierno es pobre, es necesario establecer la gestión de la salud física de los jóvenes bajo el mecanismo del mercado. Las ventajas internas de la gestión de la salud física de los jóvenes son relativamente grandes y el servicio de gestión pública del mercado tiene un gran potencial. Por eso es necesaria la construcción de la salud orientada al mercado. Se espera que este estudio pueda proporcionar una referencia para la mejora de la salud física de los adolescentes chinos.

SWOT analysis and promotion strategy of core employment competence of master of nursing specialist in China / 中国实用护理杂志

Objective:To explore the internal and external factors that affect the core competitiveness of nursing degree graduates in China, and to put forward strategies for improvement.Methods:SWOT analysis method was used to analyze the strengths, weaknesses, external opportunities and threats of the core competitiveness of nursing graduates.Results:Students' own advantages include strong self-learning ability, strong scientific research thinking ability, strong education communication ability; disadvantages include inaccurate professional positioning, lack of clinical experience and professional quality; external opportunities include national policy attention, clinical platform demand, high attention of colleges and universities; threat factors include backward construction of teaching staff, lack of assessment methods and evaluation system, and lack of specialized curriculum system Characteristics of science and technology.Conclusion:The factors that affect the promotion of core competitiveness of professional degree nursing graduates in China cover two aspects: students themselves and training colleges and universities. We should make corresponding coping strategies on the basis of overall consideration of strengths and weaknesses, opportunities and challenges.

SWOT analysis on the involvement of general practitioners in prevention and control system of sudden cardiac death / 中华全科医师杂志

Sudden cardiac death (SCD) is one of the most common causes of death for patients with cardiovascular diseases. General practitioners are the providers of primary medical and health service, it its worthwhile to discuss their role positioning in the prevention and control system of SCD. In this study, SWOT analysis was used to explore the strength, weakness, opportunity and threats of the involvement of general practitioners in SCD prevention and control system, to clarify the roles of general practitioners and to provide suggestions for the improvement and development of SCD prevention and control system in China.

Analysis of scientific research status of Grade-A tertiary obstetrics and gynecology hospital based on the Science and Technology Evaluation Metrics in Chinese hospitals / 中华医学科研管理杂志

Objective:To analyze the current situation of scientific research in hospitals in China based on the indicators and results of Science and Technology Evaluation Metrics in Chinese hospitals, and propose possible countermeasures for scientific research development.Methods:The external and internal environment of scientific research in a Grade-A tertiary obstetrics and gynecology hospital was discussed through the results of Science and Technology Evaluation Metrics and situation analysis.Results:The external opportunity of the hospital is that the national and municipal government lead the development direction of science and technology, the hospital leaders attach great importance to the development direction of the hospital and have a clear direction for the development of the hospital; the challenge is that the new generation of information technology puts forward the requirements of cross integration of scientific research work, the flow of high-level talents is accelerated, and there is a significant gap with the similar hospitals in the field of obstetrics and gynecology. The internal advantages are embodied in the following points: the advantages of specialties are obvious, the output of scientific research results has increased year by year after the implementation of the scientific research management of hospital departments, the training and introduction of talents are equally important; the disadvantages are reflected in the following points: lack of basic research and scientific research platforms, lack of high-end scientific and clinical research talents, insufficient academic influence, lack of national-level scientific research projects, insufficient high-level scientific research results, and low achievement conversion rate.Conclusions:The hospital should improve performance assessment, build research platform and achievement transformation platform, strengthen interdisciplinary integration and personnel training, and promote the fine management of high-level achievements, so as to improve the scientific and technological output, academic influence and scientific and technological conditions of the hospital.

Development strategy analysis of clinical science and technology innovation park based on PEST-SWOT model / 中华医学科研管理杂志

Objective:To formulate sustainable development strategies for the newly-found clinical science and technology innovation park to improve the clinical research and disease diagnosis and treatment.Methods:PEST-SWOT model was used to analyze the internal and external environmental factors that impact the development of the park.Results:The advantages and disadvantages of the park were analyzed as well as the opportunities and challenges. Effective strategies for the construction and development of the park were put forward from four aspects, such as SO, ST, WO and WT.Conclusions:The development strategy proposed in this study is conducive to establish a well-known clinical science and technology innovation park which is an institute integrating clinical and scientific research.