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The fragmentation and uneven quality of primary medical resources in China call for a deepening of integrated healthcare reform. China is promoting its county medical community (CMC) reform on a large scale in county-level administrative regions to promote the integration of local primary healthcare systems through information technology, which is consistent with the current trend of the digital governance era. Considering that the construction of a county medical community involves collaborative relationships between multi-level subjects, the evolutionary game theory was adopted in this study to construct a game model between the lead hospital of a CMC and primary healthcare institutions, and then the incentives of government department support were introduced to analyze the behavioral evolution of these three subjects. Taking into account the uncertainty of the real-life environment and information transformation, white Gaussian noise was introduced as a random disturbance term, and a numerical simulation was performed. In the two-subject model we focus on four parameters: information and management authority ceded by the primary healthcare institutions, integration coefficient of CMC information construction, intensity factor of information integration in the CMC, and medical resources delivered by the lead hospital. In the three-subject model we focus on three parameters: information and portion of authority ceded by the primary healthcare institutions and government departments, policy effect coefficient of CMC construction, and intensity of government departments' support for CMC construction. The simulation results show that there is a positive incentive for the concession of management power and information from the primary healthcare institutions to the lead hospital, but further determination of empowerment boundaries is needed. The lead hospital can improve the balance of medical resources in the county through the downward transfer of medical resources, but long-term resource delivery may inhibit the enthusiasm of the lead hospital. An improvement in the information integration intensity of the CMC can promote the efficient flow of information and knowledge and enhance the organizational closeness of the county medical community. At the same time, the integration of CMC information construction reduces the cost of collaboration among medical community members and streamlines and consolidates business modules, which can promote more efficient use of medical resources. The government departments' policies and funds provide obvious incentives to the lead hospital and primary healthcare institutions, but there is a need to explore appropriate financial payment ratios to balance the government's financial pressure.
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By controlling the benefits and drawbacks of informatization construction (IC) and development, evaluating the level of education informatization (EI) development can aid in university administration and decision-making. This work develops an evaluation method for the University Information Construction (UIC) based on the Analytical Hierarchy Process (AHP) and the Particle Swarm Optimization-based back-Propagation Neural Network (PSO-BPNN) algorithm to address the fuzziness issue in grade evaluation in the IC. Firstly, a set of data-driven evaluation index systems of the UIC effect is constructed with 16 second-class indicators and four first-class indicators of infrastructure, resource management, information management, and safeguard measures. The AHP method is used to determine the weight of the first-class indicators of the IC model. Secondly, from two perspectives of inertia weight and learning factor, the PSO-BPNN algorithm is designed to fit and analyze the level of UIC. The experimental findings demonstrate that the proposed model's training impact is better, reflecting UIC's effectiveness more accurately.
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Currently, the number of clinical research projects continues to grow. Both sponsors and researchers hope to accelerate medical ethical review efficiency, and the regulatory agencies strengthen the control over the ethical review quality. The ethics committee (EC) offices of medical institutions are relatively insufficient in terms of human resource allocation and archiving space. Combined with the development goals of the EC and the requirements of the homogeneity construction of ethical review, it was urgent to optimize the ethics review process and accelerate the efficiency of ethics review through informatization construction. Through informatization construction, the process management of ethical review could be strengthened, the work steps could be simplified, the ethical review level could be improved, and the supervision ability and efficacy of EC on clinical research could be strengthened, which may provide continuous quality improvement strategies and specific optimization measures for the operation and management of the EC, so as to effectively protect the safety, the rights and interests of subjects.
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The establishment of national standards for informatization construction of apheresis plasma and its standardization is conducive to the quality control and supervision of the whole process of raw plasma collection and supply in our country. This article reveals some thoughts and explanations of the developers on the Standards for Basic Functions of Apheresis Plasma Information System(WS/T 786—12021)(referred to as the standard), mainly the connotation of the system, including data sharing and collaboration, information interconnection, system security, information coding, identification technology, Internet of Things technology etc., as well as the functions of the system, including file management of plasma donors, setting up of database, identity verification before plasma collection, control and management of collection process, information management of the whole detection process, plasma labeling time, control methods of labeling and packing, plasma outgoing audit, key material quality inspection, management of quarantine period and other related business of apheresis plasma collection, so that the standard can be better understood and implemented by the colleagues.
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OBJECTIVE:To explore new method of prescription comment in medical institutions of Chongqing under the background of"New Medical Reform",and to provide reference for prescription comment innovation and promoting rational drug use in clinic. METHODS:Through analyzing policy background of prescription comment innovation and practice,referring to experience of other regions,the achievements and problems were analyzed by developing centralized prescription comment and prescription comment information construction in municipal and regional (county-level) medical institutions of Chongqing. The countermeasures suggestion was put forward. RESULTS&CONCLUSIONS:The prescriptions of 16 municipal medical institutions were commented centrally,involving more than 300 medical records and 1600 prescriptions or medical orders. The prescriptions of 135 regional (county-level) medical institutions were commented centrally,involving more than 3100 medical records and 12100 prescriptions or medical orders."Chongqing Medical Institution Prescription Comment Key Technology Monitoring System"was established. Above measures innovated centralized prescription comment mode,improved the quality of prescription comment and promoted prescription comment informatization. There were still problems as incomplete coverage of the system,inspection to become a mere formality. It is suggested to strengthen internal quality control of medical institutions by establishing rational drug use scoring management system,developing clinical pharmacist ward round and prescription checking in advance;establish and improve third-party external comment and supervision mechanism;improve the knowledge of prescriptions comment staff in all directions so as to further standardize prescriptions and promote rational drug use in medical institutions.
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The paper issues questionnaires to investigate the current status of informatization construction and application in 32 provincial disease prevention and control institutions of China,summarizes the current status of informatization organization and management,standard planning,capital input and allocation,analyzes the problems existing in the process of disease control informatization construction,focuses on the discussion of imbalanced regional development,insufficient capital input,lack of informatization personnel,and lack of informatization security awareness,and proposes corresponding suggestions and countermeasures.
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The paper sorts out the achievements in informatization construction of disease prevention and control in the United States,summarizes the construction features,and puts forward the objective,requirements,functions and contents of Informatization construction of disease prevention and control of People's Armed Police forces in China based on its current situations.
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〔Abstract〕 The paper introduces the informatization construction status of biobank in Peking University People's Hospital, including construction scope, basic infrastructure, steps as well as informatization management system application status, elaborates the application effect.The informatization construction of biobank could shorten the time of operation and ensure the quality of the samples.
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The paper summarizes application of new media in patient informatization services in hospitals, introduces exploration and practices made by Children′s Hospital of Shanghai on new media informatization platform construction from such aspects of OA system-basedwindowservice platform,order typeservice model provided to the public onMicroblogandWeChatplatforms andex-press typemobile network terminal service for hospital staffs.The service effects are summarized at last.
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This article discusses the necessity of the informatization construction and information of traditional Chinese medicine and its position and function in scientific research.Then from six aspects of infrastructure construction,information resource construction,information technology support,information personnel training,information and laws and regulations environment,and information resources product,this paper expounds the major tasks and constructive emphasis in each phase of scientific research informatization construction.Finally,this paper summarizes the prospect of TCM scientific research information construction and its role to the development of Chinese medicine.
