Review and inspirations of the payment mechanism of Long-Term Care Hospital of Medicare of the United States / 中华医院管理杂志

A type of designated hospitals in Medicare is referred to as Long-Term Care Hospital (LTCH). LTCH is one of Post-Acute Care settings(I. e. Intermediate care)and the only facilities certified by length of stays. This article reviewed the milestones and payment methods of Medicare Long-Term Care Hospital payment system, for perfection of the medical insurance and construction of China′s intermediate care system.

Analysis on the functional composition of the official App of tertiary general hospitals and its usage / 中华医院管理杂志

Objective To sort out the functional composition of the official App of a tertiary general hospital, and its usage. Methods Taking the tertiary general hospitals identified from the national hospital quality monitoring system as the research objects, statistically analyzing their functional composition, and comparing the App and WeChat public platform of two hospitals as examples.In addition, collecting relevant data from the official website of the hospital, and analyzing the influencing factors of its download and usage with multiple linear regression methods. Results There were 469 tertiary general hospitals nationwide, of which 137 had official Apps, with an accessibility rate of 29.21%.The accessibility rated in the eastern, central and western regions were 27.85% , 13.48% and 17.43% respectively.Hospital App prioritized in turn appointment registration (94.9% ), test report ( 76.8% ), and hospital navigation ( 71.7% ). The development of the hospital App in the eastern region taked the lead compared to the middle and western ones.The App′s score and the total outpatient visits of hospital had a positive impact on the download and use of the hospital App.The App′s scoring had a noteworthy impact. Conclusions Hospitals should enable to innovate their services, and highlight their characteristics.App should optimize its interface, improve its functions, enhance the interconnection of App functions, strengthen data security management, strengthen its publicity and expand its influence.

Framework-building and Promotion Tactics of Patient Electronic Engagement Under E-Health Environment / 中国医院管理

Patient engagement is considered as one pillar of new stage of health care reform and new vitality of health care quality improvement.In recent years,the rapid development of E-Health technology provides richer opportunities for patients to actively participate in health care.The article concludes the basic connotation of patient electronic engagement and proposes the framework on the basis of foreign actions as well as literature reviews,expounds the type,media and methods of patient electronic engagement as well.From the views of projects support,patient education and information rights,feasible policy measures are proposed for patient electronic engagement advancement under E-Health environment.

Analysis on the Use of Wechat Public Platform of the Main Class Ⅲ Hospitals / 医学信息学杂志

In the meantime of collecting data the Wechat public platform utilization of main Class Ⅲ hospitals in Wuhan area,the paper conducts contrastive analysis on the use of Wechat with Wechat top 10 public hospitals from the perspectives of basic operation situation,menu function setting,Wechat information push and public platform influence,analyzes the advantages and disadvantages of the Wechat public platform of main Class Ⅲ hospitals in Wuhan area,and provides reference for Wuhan and related areas to improve the construction,utilization and promotion of the Wechat public platform of hospitals.

The relationships of pulmonary arterial pressure with serum S100B protein, cytokines and procalcitonin in patients with acute exacerbation of chronic obstructive pulmonary disease / 中国中西医结合急救杂志

Objective To investigate the relationships of pulmonary arterial pressure (PAP) with serum protein S100B, cytokines and plasma procalcitonin (PCT) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods A prospective controlled study was conducted, 160 subjects admitted in the Critical Care Medicine and Respiratory Disease Departments in the Affiliated Hospital of Shanxi Medical University/Changzhi Municipal People's Hospital from January 2012 to August 2013 were enrolled in the study, including 80 patients with AECOPD (AECOPD group) and 80 COPD under stable condition (SCOPD group). Meanwhile 100 healthy people having passed physical examinations were chosen as healthy control group. The levels of blood routine and plasma PCT were examined, PAP was evaluated by modified Simpson, sequation with echocardiography, serum S100B was measured by radioimmunoassay, and enzyme linked immunosorbent assay (ELISA) was used to measure interleukins (IL-18, IL-1β) and tumor necrosis factor-α(TNF-α). The linear correlation analysis was carried out for the various indicators. Results The gender and age in different groups were matched. Compared with the healthy control group, the levels of white blood cell count (WBC), ratio of neutrophil granulocyte (PMN), PAP, PCT and S100B, IL-18, IL-1β, and TNF-αwere significantly higher in SCOPD and AECOPD groups [WBC (×109/L):0.84±0.22, 1.94±0.64 vs. 0.73±0.12, PMN: 0.70±0.09, 0.85±0.08 vs. 0.54±0.05, PAP (mmHg, 1 mmHg = 0.133 kPa): 39±5, 47±8 vs. 24±5, PCT (μg/L): 0.41±0.08, 6.35±2.14 vs. 0.11±0.01, S100B (μg/L): 0.081±0.017, 0.101±0.028 vs. 0.041±0.011, IL-18 (ng/L): 162±19, 181±27 vs. 112±19, IL-1β(ng/L): 55±12, 75±14 vs. 34±10, TNF-α(ng/L):67±17, 89±18 vs. 35±17, all P<0.05], and the increase in level of indexes was more significant in AECOPD group than that in the SCOPD group (all P < 0.01). Serum S100B was significantly positively correlated with PCT, IL-18, PMN and PAP (r value was 0.36, 0.41, 0.39, 0.35, all P<0.05), and plasma PCT was also significantly positively correlated with PMN and PAP (r value was 0.41, 0.37, both P<0.05). Conclusion The level of serum S100B might have positive obvious correlation to the changes of plasma PCT, cytokines and PAP.

Discussion on Medical Information Management Talents Cultivation under Population Health Informatization Background / 医学信息学杂志

The paper introduces American health informatization talents cultivation scheme, combining the current situation and ex-isting problems of medical information management talents cultivation in China, it proposes medical information management undergradu-ate talents cultivation strategies under the strategic background of population health informatization from three perspectives: curriculum system, teaching staff and teaching mode.