Through this study,we aim to construct a teaching model for basic medical courses that enhances“clinical competency.”We explore the optimal methods and pathways for the organic integration of exam-oriented teaching ...Through this study,we aim to construct a teaching model for basic medical courses that enhances“clinical competency.”We explore the optimal methods and pathways for the organic integration of exam-oriented teaching and professional teaching,optimize teaching efficiency,improve teaching quality and educational effectiveness,and provide theoretical support for the cultivation of clinical medical talents in China.The goal is to establish a talent cultivation objective oriented towards“clinical competency,”promote the teaching reform of basic medical courses in comprehensive universities,facilitate the transition of basic medical course teaching from“teacher knowledge presentation”to“student knowledge construction,”and cultivate high-quality medical talents with clinical competency.展开更多
activities.Ex-periments on a synthetic log of the non-secondary hy-pertension MTP and empirical findings demonstrate the effectiveness of our approach.The results show that the process mining in our approach framework...activities.Ex-periments on a synthetic log of the non-secondary hy-pertension MTP and empirical findings demonstrate the effectiveness of our approach.The results show that the process mining in our approach framework can automatically generate more accurate MTP mod-els,and the subprocess models based on treatment pat-terns make the models easy to understand.展开更多
BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-p...BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia.METHODS Overall,98 out-patients and in-patients with chronic schizophrenia treated in our hospital from February 2022 to January 2023 were included and randomly divided into the study(50 patients)and control groups(48 patients).For 3 months,the control group was treated with conventional drugs,and the research group with a comprehensive intervention model of drug-psychology-society-skills.Data were obtained for the mini mental assessment scale(MMSE),Montreal cognitive assessment scale(MoCA),positive and negative symptom scale,insight and treatment attitude scale,cognitive ability scale and social skills[personal and social function scale(PSP)].The adverse reactions were observed.RESULTS After the intervention,the MMSE and MoCA scores improved in both groups.MoCA scores in the study group(26.58±3.21)were significantly(P<0.05)higher than those in the control group(24.68±3.02),MMSE scores were not significantly higher.Post-intervention,positive and negative symptom scores improved in both groups,and the positive and negative symptom scores in the study group[(12.01±2.58)and(32.51±2.11)]were significantly(P<0.05)different than those in the control group[(14.54±2.33)and(33.74±2.55)].Post-intervention,insight and treatment attitudes questionnaire scores of both groups were improved and compared with the control group(7.97±3.02),the study group(13.56±6.35)had significantly(P<0.05)higher scores.Post-intervention,the MATRICS consensus cognitive battery score of both groups was improved and compared with the control group(38.44±6.23),the score of the study group was significantly(P<0.05)increased(43.51±6.01).Post-intervention,the PSP score of the study group(78.38±6.63)was significantly(P<0.05)higher than that of the control group(74.52±7.01).During the intervention period,the incidence of adverse reactions in the study group was 6.25%,not significantly different from that in the control group(8.33%).During the intervention,both groups experienced adverse reactions,with no significant difference between groups(P>0.05).CONCLUSION The comprehensive intervention model based on drug-psychology-society-skills has obvious intervention effects on patients with chronic schizophrenia,which improves their cognitive ability and reduces their positive and negative symptoms.Simultaneously,it improves the self-knowledge of patients,improves their attitude toward treatment,effectively promotes the recovery of patients'social functions,and is safe.Therefore,it is worthy of being vigorously promoted and widely used in clinics.展开更多
目的 以山东省57家三级综合医院为研究样本,评价其医疗质量与运营效率状况,为加强医院内涵建设、提升精细化管理水平提供参考依据。方法 通过构建评价指标体系,运用熵权逼近理想解排序法(technique for order preference by similarity ...目的 以山东省57家三级综合医院为研究样本,评价其医疗质量与运营效率状况,为加强医院内涵建设、提升精细化管理水平提供参考依据。方法 通过构建评价指标体系,运用熵权逼近理想解排序法(technique for order preference by similarity to ideal solution, TOPSIS)与数据包络分析法(data envelopmentanalysis, DEA)分别对样本医院的医疗质量及运营效率水平进行评价分析。结果 医疗质量方面,样本医院间四级手术占比和CMI差异较大,且权重最大;质量水平排名靠前的医院为A1、A2、A3、A4、A29,均为三级甲等医院,且多为省属医院。运营效率方面,57家样本医院整体运营效率较高,但医院间发展不均衡,其中22家医院DEA有效,12家医院DEA弱有效,23家医院DEA无效。医疗质量与纯技术效率之间存在正相关关系。结论 部分样本医院医疗质量与运营效率有较大改进空间,应聚焦功能定位,在医疗技术水平、资源配置和内部管理能力等方面持续改进和提升,从规模扩张转向提质增效,助力医院高质量发展。展开更多
基金Key Project of the“14th Five-Year”Plan for Heilongjiang Provincial Education Science in 2021(GJB1421168)Key Project of the“14th Five-Year”Plan for Heilongjiang Provincial Education Science in 2022(GJB1422698)+4 种基金Key Project of the“14th Five-Year”Plan for Heilongjiang Provincial Education Science in 2023(GJB1423165)Research Topic on Higher Education of Heilongjiang Provincial Association of Higher Education(23GJYBC057)Special Project for New Medical Education in Jiamusi University(2023XYK-20)“Dongji”Academic Team of Jiamusi University(DJXSTD202405)Heilongjiang Province Postgraduate Quality Course High-Quality Construction Project(HLJYJSZLTSGC-YJSJPKC-2022-082)。
文摘Through this study,we aim to construct a teaching model for basic medical courses that enhances“clinical competency.”We explore the optimal methods and pathways for the organic integration of exam-oriented teaching and professional teaching,optimize teaching efficiency,improve teaching quality and educational effectiveness,and provide theoretical support for the cultivation of clinical medical talents in China.The goal is to establish a talent cultivation objective oriented towards“clinical competency,”promote the teaching reform of basic medical courses in comprehensive universities,facilitate the transition of basic medical course teaching from“teacher knowledge presentation”to“student knowledge construction,”and cultivate high-quality medical talents with clinical competency.
基金Chinese National Key Research and Development Program(No.2017YFB1400604).
文摘activities.Ex-periments on a synthetic log of the non-secondary hy-pertension MTP and empirical findings demonstrate the effectiveness of our approach.The results show that the process mining in our approach framework can automatically generate more accurate MTP mod-els,and the subprocess models based on treatment pat-terns make the models easy to understand.
文摘BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia.METHODS Overall,98 out-patients and in-patients with chronic schizophrenia treated in our hospital from February 2022 to January 2023 were included and randomly divided into the study(50 patients)and control groups(48 patients).For 3 months,the control group was treated with conventional drugs,and the research group with a comprehensive intervention model of drug-psychology-society-skills.Data were obtained for the mini mental assessment scale(MMSE),Montreal cognitive assessment scale(MoCA),positive and negative symptom scale,insight and treatment attitude scale,cognitive ability scale and social skills[personal and social function scale(PSP)].The adverse reactions were observed.RESULTS After the intervention,the MMSE and MoCA scores improved in both groups.MoCA scores in the study group(26.58±3.21)were significantly(P<0.05)higher than those in the control group(24.68±3.02),MMSE scores were not significantly higher.Post-intervention,positive and negative symptom scores improved in both groups,and the positive and negative symptom scores in the study group[(12.01±2.58)and(32.51±2.11)]were significantly(P<0.05)different than those in the control group[(14.54±2.33)and(33.74±2.55)].Post-intervention,insight and treatment attitudes questionnaire scores of both groups were improved and compared with the control group(7.97±3.02),the study group(13.56±6.35)had significantly(P<0.05)higher scores.Post-intervention,the MATRICS consensus cognitive battery score of both groups was improved and compared with the control group(38.44±6.23),the score of the study group was significantly(P<0.05)increased(43.51±6.01).Post-intervention,the PSP score of the study group(78.38±6.63)was significantly(P<0.05)higher than that of the control group(74.52±7.01).During the intervention period,the incidence of adverse reactions in the study group was 6.25%,not significantly different from that in the control group(8.33%).During the intervention,both groups experienced adverse reactions,with no significant difference between groups(P>0.05).CONCLUSION The comprehensive intervention model based on drug-psychology-society-skills has obvious intervention effects on patients with chronic schizophrenia,which improves their cognitive ability and reduces their positive and negative symptoms.Simultaneously,it improves the self-knowledge of patients,improves their attitude toward treatment,effectively promotes the recovery of patients'social functions,and is safe.Therefore,it is worthy of being vigorously promoted and widely used in clinics.
文摘目的 以山东省57家三级综合医院为研究样本,评价其医疗质量与运营效率状况,为加强医院内涵建设、提升精细化管理水平提供参考依据。方法 通过构建评价指标体系,运用熵权逼近理想解排序法(technique for order preference by similarity to ideal solution, TOPSIS)与数据包络分析法(data envelopmentanalysis, DEA)分别对样本医院的医疗质量及运营效率水平进行评价分析。结果 医疗质量方面,样本医院间四级手术占比和CMI差异较大,且权重最大;质量水平排名靠前的医院为A1、A2、A3、A4、A29,均为三级甲等医院,且多为省属医院。运营效率方面,57家样本医院整体运营效率较高,但医院间发展不均衡,其中22家医院DEA有效,12家医院DEA弱有效,23家医院DEA无效。医疗质量与纯技术效率之间存在正相关关系。结论 部分样本医院医疗质量与运营效率有较大改进空间,应聚焦功能定位,在医疗技术水平、资源配置和内部管理能力等方面持续改进和提升,从规模扩张转向提质增效,助力医院高质量发展。
