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DRG付费下神经内科学科发展分析——以广西某三甲综合医院为例
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作者 江莉娜 李思贤 《中国医疗保险》 2024年第5期85-89,共5页
目的:探讨按疾病诊断相关分组(DRG)付费对神经内科学科发展的影响,并形成指导策略。方法:采用统计学描述方法,使用效率、效能、效益等指标,对广西某三级甲等综合医院神经内科2022年DRG分组数据进行学科发展评价。结果:样本医院神经内科... 目的:探讨按疾病诊断相关分组(DRG)付费对神经内科学科发展的影响,并形成指导策略。方法:采用统计学描述方法,使用效率、效能、效益等指标,对广西某三级甲等综合医院神经内科2022年DRG分组数据进行学科发展评价。结果:样本医院神经内科效率指标、效能指标均偏低,专科病组覆盖率不高,重点病组权重集中在低权重病组,科室医疗服务的产能有待提升。结论:DRG支付方式改革对于神经内科学科发展有着深远影响。通过DRG运行数据分析可进行精细化管理,提质增效降本,提高综合救治能力、专病专治能力,形成集中救治疑难危重等重点病组的理念,从而促进神经内科学科高质量发展。 展开更多
关键词 诊断相关分 神经内科 病组覆盖率
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High-coverage proteome analysis reveals the first insight of protein modification systems in the pathogenic spirochete Leptospira interrogans 被引量:8
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作者 Xing-Jun Cao Jie Dai +10 位作者 Hao Xu Song Nie Xiao Chang Bao-Yu Hu Quan-Hu Sheng Lian-Shui Wang Zhi-Bin Ning Yi-Xue Li Xiao-Kui Guo Guo-Ping Zhao Rong Zeng 《Cell Research》 SCIE CAS CSCD 2010年第2期197-210,共14页
Leptospirosis is a widespread zoonotic disease caused by pathogenic spirochetes of the genus Leptospira that infects humans and a wide range of animals. By combining computational prediction and high-accuracy tandem m... Leptospirosis is a widespread zoonotic disease caused by pathogenic spirochetes of the genus Leptospira that infects humans and a wide range of animals. By combining computational prediction and high-accuracy tandem mass spectra, we revised the genome annotation of Leptospira interrogans serovar Lai, a free-living pathogenic spirochete responsible for leptospirosis, providing substantial peptide evidence for novel genes and new gene boundaries. Subsequently, we presented a high-coverage proteome analysis of protein expression and multiple posttranslational modifications (PTMs). Approximately 64.3% of the predicted L. interrogans proteins were cataloged by detecting 2 540 proteins. Meanwhile, a profile of multiple PTMs was concurrently established, containing in total 32 phosphorylated, 46 acetylated and 155 methylated proteins. The PTM systems in the serovar Lai show unique features. Unique eukaryotic-like features of L. interrogans protein modifications were demonstrated in both phosphorylation and arginine methylation. This systematic analysis provides not only comprehensive information of high-coverage protein expression and multiple modifications in prokaryotes but also a view suggesting that the evolutionarily primitive L. interrogans shares significant similarities in protein modification systems with eukaryotes. 展开更多
关键词 Leptospira interrogans posttranslational modification eukaryotic-like evolutionary conservation
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