ABSTRACT
BACKGROUND: Infectious disease hospitals (IDHs) play very important roles in the battle against the infectious disease. The present study aims to systematically analyze the development trends and possible problems of IDHs in China. METHODS: Most of the data came from the China Health Statistics Yearbook 2003-2019. Joinpoint Regression Model was used to analyze the development trends of IDHs between 2002 and 2018. RESULTS: From 2002 to 2018, the number of IDHs in China increased from 126 to 167, with an average annual percent change (AAPC) of 1.82%. The ratio of nurses to beds increased from 0.38 to 0.46 with the AAPC of 0.88%, and average business housing area per bed increased with an AAPC of 1.97%. The percentage of liabilities to total assets increased year by year and the percentage of medical business costs to total expenditure decreased. The segmented trend of daily visits per physician from 2014 to 2018 was stable, and the segmented trend of daily inpatients per physician from 2012 to 2018 decreased significantly. In 2017, the rates of surgical inpatients leaving the hospital without the doctor's advice and surgical inpatients mortality were higher than 2016. CONCLUSION: Although the development of IDHs was generally good in China, the scale of IDHs was generally small, the ability to respond to major emergencies was weak, the problem of irrational resource allocation was still prominent, and the operation of IDHs was facing a dilemma.
ABSTRACT
BACKGROUND: Healthcare-associated infections (HAIs) are still a major health threats worldwide. Traditional surveillance methods involving manual surveillance by infection control practitioners (ICPs) for data collection processes are laborious, inefficient, and generate data of variable quality. In this study, we sought to evaluate the impact of surveillance and interaction platform system (SIPS) for HAIs surveillance compared to manual survey in tertiary general hospitals. METHODS: A large multi-center study including 21 tertiary general hospitals and 63 wards were performed to evaluate the impact of electronic SIPS for HAIs. RESULTS: We collected 4,098 consecutive patients and found that the hospitals installed with SIPS significantly increased work efficiency of ICPs achieving satisfactory diagnostic performance of HAIs with 0.73 for sensitivity, 0.81 for specificity and 0.81 area under the curve (AUC). However, there were significant heterogeneity own to regions, time of SIPS installation, departments and sample size. CONCLUSIONS: SIPS significantly improved ICPs efficiency and HAIs monitoring effectiveness, but there were shortcomings such as untimely maintenance and high cost.
ABSTRACT
OBJECTIVE: To investigate the psychological well-being and the correlation between psychological status and social support among the settled immigrations from Three Gorges Reservoir areas. METHODS: A cluster randomized sampling was selected and 646 objects were interviewed with Basic Situation Scale, Symptom Check-list 90 (SCL-90) and Social Support Rating Scale (SSRS). RESULTS: Our findings from the results of SCL-90 revealed that the positive rate of psychological problem was higher in settled immigration than that of local permanent residents (chi(2) = 4.10, P = 0.04). The differences of scores on 6 factors including compulsion (t = 2.644, P = 0.009), interpersonal-sensitivity (t = 3.220, P = 0.001), depression (t = 2.684, P = 0.008), anxiety (t = 3.003, P = 0.003), paranoid-ideation (t = 3.246, P = 0.001), psychoticism (t = 2.088, P = 0.038) and the total score (t = 2.506, P = 0.013) were significantly different in female between the two groups. There were also significant differences of 10 factors score and total score (t = 4.114, P = 0.000) noticed between the two groups in age < or = 50 (P < 0.05) and the differences of 4 factors score including somatization (t = 2.777, P = 0.006), interpersonal-sensitivity (t = 2.384, P = 0.018), hostility (t = 3.174, P = 0.002), paranoid ideation (t = 2.611, P = 0.010). The total scores (t = 2.125, P = 0.034) were significantly different between the two groups in illiteracy and having received primary school education. Other than compulsion factor (t = 1.884, P = 0.061) and phobic anxiety factor (t = 0.979, P = 0.328), there were significant differences on other factors and the total score between the two groups in non-farmers (P < 0.05). Except compulsion (r = -0.103, P > 0.05), hostility (r = -0.084, P > 0.05) and paranoid ideation factor (r = -0.071, P > 0.05), the negative correlations were obvious between the total score, other factors score and social support (P < 0.05). The negative correlation was obvious between somatization (r = -0.128, P < 0.05), depression (r = -0.140, P < 0.05), anxiety (r = -0.137, P < 0.05), phobic anxiety (r = -0.120, P < 0.05), additional factor (r = -0.143, P < 0.05) total score (r = -0.137, P < 0.05) and subjective support. The correlation coefficient was not significant between SCL-90 total score, 10 factors score and that of objective support (P > 0.05). CONCLUSION: The psychological status of settled immigration was not satisfactory and closely correlated to psychological mental level and social support.
