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外科医师技术岗位等级分级指标体系的构建 被引量:7
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作者 王曼丽 周朝华 +2 位作者 方海清 高兴民 陶红兵 《中国医院管理》 北大核心 2019年第11期45-47,共3页
目的基于以资源为基础的相对价值比率(Resource Based Relative Value Scale,RBRVS)思想构建外科医师技术岗位等级分级指标体系。方法通过文献研究法和头脑风暴法,结合RBRVS思想初拟指标体系,采用德尔菲法进行两轮专家咨询,最终确立评... 目的基于以资源为基础的相对价值比率(Resource Based Relative Value Scale,RBRVS)思想构建外科医师技术岗位等级分级指标体系。方法通过文献研究法和头脑风暴法,结合RBRVS思想初拟指标体系,采用德尔菲法进行两轮专家咨询,最终确立评价指标体系。结果两轮问卷回收率均为100%,两轮咨询的权威系数均为0.73,平均协调系数分别为0.30和0.51(两轮P<0.01),达到一致性检验要求。最终构建了包含2个维度、22个指标的外科医师技术岗位等级分级指标体系。结论指标体系的专家积极性、权威系数和协调系数较高,已筛选的指标的创新性、可靠性、实用性较好,需进一步测算指标权重、开展实践验证。 展开更多
关键词 以资源为基础的相对价值比率 外科医师 技术岗位 等级分级 专家咨询
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基于扎根理论的外科医师技术岗位等级分级制度优化概念框架构建 被引量:5
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作者 王曼丽 周朝华 +2 位作者 方海清 高兴民 陶红兵 《中国医院管理》 北大核心 2019年第12期48-51,共4页
目的构建外科医师技术岗位等级分级制度优化概念框架。方法于2017年7-12月按照目的抽样方法选取25名医院外科部门管理者和研究者进行半结构化访谈,采用扎根理论三级编码进行归纳分析。结果经过三级编码,梳理出574条原始概念、78条概念... 目的构建外科医师技术岗位等级分级制度优化概念框架。方法于2017年7-12月按照目的抽样方法选取25名医院外科部门管理者和研究者进行半结构化访谈,采用扎根理论三级编码进行归纳分析。结果经过三级编码,梳理出574条原始概念、78条概念、22个范畴、5个主范畴,形成包含4个核心支架--政策目标、分级制度、优化维度和优化策略的外科医师技术岗位等级分级制度优化概念框架,同时包含5条理论假设。结论外科医师技术岗位等级分级制度优化不仅要坚持医师技术服务价值的目标导向,设置能够体现政策目标以及可操作和可量化的分级指标,还应该适应外科岗位内外部环境变化,不断改革创新。 展开更多
关键词 外科医师 技术岗位 等级分级优化 概念框架 扎根理论
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Relationship Between Anthocyanin Biosynthesis and Related Enzymes Activity in Pyrus pyrifolia Mantianhong and Its Bud Sports Aoguan 被引量:3
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作者 FENG Shou-qian CHEN Xue-sen +5 位作者 ZHANG Chun-yu LIU Xiao-jing LIU Zun-chun WANG Hai-bo WANG Yan-ling zhou chao-hua 《Agricultural Sciences in China》 CAS CSCD 2008年第11期1318-1323,共6页
The aim of this article is to study the relationship between biosynthesis of anthocyanin and activities of phenylalanine ammonia lyase (PAL), chalcone ismoerase (CHI) enzymes in Pyrus pyrifolia. Changes in the lev... The aim of this article is to study the relationship between biosynthesis of anthocyanin and activities of phenylalanine ammonia lyase (PAL), chalcone ismoerase (CHI) enzymes in Pyrus pyrifolia. Changes in the level of anthocyanin and the activities of enzymes of anthocyanin biosynthesis including PAL, CHI were studied in the pericarp of Pyrus pyrifolia Aoguan and Mantianhong during the period of pigment formation. Bagging treatment was also carried out to manipulate the synthesis of anthocyanin and the activities of related enzymes during the period of pigment formation. The results demonstrated that the level of anthocyanin of Aoguan was higher than that of Mantianhong. However, the content of anthocyanins has the similar changing trend in Aoguan and Mantianhong, highest anthocyanin concentrations of two varieties appeared in immature fruit and faded toward harvest. Meanwhile, similar changing trends of activities of PAL and CHI were also observed in both varieties. Aoguan has a lower activity of PAL than Mantianhong, whereas activity of CHI in Aoguan was higher than that in Mantianhong. Activity of PAL decreased during the period of pigment formation and was apparently not limiting to color development, whereas CHI activity increased at the same period and was closely related to the synthesis of anthocyanin. The results of bagging treatment showed that bagging treatment inhibited the activity of CHI, as well as the synthesis of anthocyanin, whereas debagging enhanced both the activity of CHI and synthesis of anthocyanin. The activity of CHI in debagging Aoguan pericarp was higher than the untreated Aoguan. However, effect of bagging treatment toward PAL activity was not obvious. Anthocyanin of bagging treated Aoguan decreased toward harvest. The content of anthocyanin of Pyruspyrifolia increased at the beginning of fruit coloration period and decreased toward fruit harvest. Activity of PAL was apparently not limiting to color development, whereas CHI activity was closely related to the synthesis of anthocyanin. Debagging enhanced both the activity of CHI and anthocyanin synthesis. Bagging treatment also proved that degradation of anthocyanin was not induced only by light. Light appeared to have two opposing effects in pears: it is required for anthocyanin synthesis and also for apparently increasing red color loss through increased degradation of anthocyanin. 展开更多
关键词 Pyrus pyrifolia ANTHOCYANIN PAL CHI
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