A qualitative analysis of perceptions of orthodontists in Concepción about removable orthodontic appliances

Objective: to determine the utilization, attitudes and perceptions about removable orthodontic appliances (ROA) among a sample of Chilean orthodontists. Materials and methods: Data collection was performed using semi-structured interviews with 10 orthodontists from diverse professional backgrounds. The analysis was performed using the “Grounded Theory” methodology, using Atlas.ti v.6.0.15. Results: We interviewed four men and six women (31 to 75 years old), with 7 to 53 years of experience as dentists, and 1 to 10 years of experience as orthodontists. All orthodontists have experience in private practice, five in public service, and one in a military institution. One-hundred and thirty-three codes were grouped into seven categories identified as follows: perception of orthodontists, control over treatment, ROA characteristics, ROA indications and contraindications, patients’ attitude to ROA, selection of treatment, and ROA utilization. Conclusion: In the selection of ROA, different factors are involved, including the characteristics of the dentist, of the patient, and the social context. The key factor in the utilization of ROA is the perception of control over treatment.

Surgical treatment strategy of gallbladder polyps based on high risk factors of gallbladder cancer / 中华肝胆外科杂志

In order to prevent the canceration of gallbladder polyps or avoid the misdiagnosis of gallbladder cancer,the mainstream practice is cholecystectomy for polyps larger than 1 cm,while gallbladder polyps larger than 0.5 cm as an indication of gallbladder preserving surgery.The reasons for this result is that we put the diameter of more than 1 cm of gallbladder polyps as high risk factors for prediction of gallbladder carcinoma,and we ignored the characteristics of gallbladder polyps that most of them are not gallbladder cancer or are not cancerous even larger than 1 cm.We analysed the high risk factors for gallbladder cancer on the basis of variety of clinical data,and we believe that the most valuable indicator of gallbladder cancer are the growth time of gallbladder polyps,the age of the patients,the combination of gallstones,the single polyps,and the sex.Polyps diameter greater than 1 cm are not a high risk factor for gallbladder cancer.We can use these five high risk factors to manage gallbladder polyps and reduce unnecessary cholecystectomy and gallbladder preserving surgery.

Insufficient treatment and over treatment for thyroid nodules / 中华内分泌外科杂志

Thyroid nodules are common diseases with increasing incidence in recent years.Patients undergoing thyroid surgery are increasing.Based on the current national guidelines,this article analyzes the issue of insufficient treatment and over treatment in the process of surgical treatment for thyroid nodules,conducive to individualized and standardized treatment.

Ethical Reflection on Interventional Therapy in Patients with Coronary Heart Disease under the Background of the Medical Conjoined in the New Medical Reform / 中国医学伦理学

Due to the development of economy,the mature of technology,and the improvement of institution,the under-treatment and over-treatment of percutaneous coronary intervention (PCI) gradually tends to be balanced in our country.However,these two phenomena still exist in some regions,even in the same hospital.Under the background of the medical conjoined in the new medical reform,it should play its positive role through strengthening the guidanceof medical ethics and the abiding the principle of optimization,in order to apply PCI scientifically and rationally,benefit patients more,and improve the medical quality.

Analysis on Mechanism of Over-diagnosis and Over-treatment Problem Formation in Public Hospitals of China / 中国卫生经济

According to the theoretical basis of using 5 gripper models of health system reform and high-value policy designing process, to define the over-diagnosis and over-treatment in the process of basic health care utilization in public hospitals of China, basing on the diagnostic framework of the internal and external environment, to explore the causes herein and discriminate the root, direct and intermediate factors that lead to the problem systematically, and identify the formation mechanism of the problem.

Role of improved primary healthcare compensation for curbing over-treatment / 中华医院管理杂志

Unleashed growth of gross healthcare expenses has emerged a major headache for public administration of countries at large.In China as well,such a rapid growth is incurred mostly by overtreatment due to irrational healthcare compensation.Against this background,it is highly significant to have a brand new insight into over-treatment in China' s viewpoint,and to further study the role of an improved mechanism for primary healthcare compensation for the purpose of curbing over-treatment.These efforts will help improve the primary healthcare service and realize goals of the ongoing health reform.

Ethical Reflection on the Over-treatment on Hypertension / 中国医学伦理学

The over-treatment on hypertension is harmful,thus we should attach enough importance to the counteraction.

Appropriate Medical Care and Social Contentment / 中国医学伦理学

Appropriate medical care is one of the greatest demands of the present society.The causes and harm of over-treament in the medical care are analyzed in this article from various aspects,such as society,administration,medical care institutes,medical staff and patients.The corresponding ways to solve the problem are introduced,including the efforts that Taizhou People 's Hospital has made on controlling over-treament.The author points out that the rectification of over-treatment should be taken as a social project in order to improve the social contentment of medical care.

The Ethical Ponderation On Over-treatment Caused by Onus Proof of Conversion / 中国医学伦理学

It's ethically important for doctor and patient to adopt onus proof of conversion,the ethical vice of which makes the hospital be potential accused,who will always take over treatment for self-protect.From the view of onus proof of conversion,to eradicate overtreatment,it's a must for medical to understand onus proof of conversion,the treatment organization to enhance management to improve the doctors's professional ethics,society to recognize the high risks of medical,establish and perfect the insurance system of doctors.

Ethical Reflection on the Over-use of Percutaneous Coronary Intervention / 中国医学伦理学

The problem of over-treatment of percutaneous coronary intervention is expounded in the paper.From the prospective of ethics,several factors such as doctor,patient and even society,all of which can affect the excessive implement of percutaneous coronary intervention,are analyzed in the article.Effective counter-measures to help the development of the technique are also discussed.