Based on in-depth survey of township hospitals in Lushan County of Henan Province, this paper studies the development situations of rural medical care and health undertaking in the course of new medical reform. Result...Based on in-depth survey of township hospitals in Lushan County of Henan Province, this paper studies the development situations of rural medical care and health undertaking in the course of new medical reform. Results show that both rural medical institution and public health undertaking have considerable development in this course. Working capital situation gradually turns better. However, there are still problems and challenge of shortage of high quality medical care personnel, lack of employment mechanism, poor medical environment, and imperfect bidding and purchasing system of medicines. To further develop rural medical situation, it should improve medical environment, speed up informationization construction, and give prominence to functional orientation.展开更多
Objective:To analyze the mental health status of Hainan Provincial medical staff who aided Hubei Province to combat COVID-19.Methods:The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Self-Reporting ...Objective:To analyze the mental health status of Hainan Provincial medical staff who aided Hubei Province to combat COVID-19.Methods:The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Self-Reporting Questionnaire-20(SRQ-20)and PTSD Checklist-Civilian Version(PCL-C)were used to evaluate the mental health status of 243 medical staff who aided Hubei Province to combat COVID-19.Results:A total of 221 persons have completed the psychological assessment.The survey showed that 9.05%of the medical staff had different degrees of anxiety,16.29%had different degrees of depression,13.12%were abnormal in Self-Reporting Questionnaire-20,and 9.05%were abnormal in PTSD Checklist-Civilian Version.There were difference in scores of Self-Rating Depression Scale across different genders,age groups,profession and educational levels,But Regression analysis rejects the correlation.Conclusions:The mental health status of Hainan Provincial medical staff who aided Hubei Province to fight against COVID-19 was abnormal,regardless of gender,age,profession or education background.Preventative measures at an early stage are warranted to alleviate the psychological problems.展开更多
With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery s...With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery system,a medical consortium plays an important role in integrating public hospitals and primary care facilities.The first medical consortium policy issued after the COVID-19 pandemic apparently placed hope on accelerating the implementation of a medical consortium and tiered health-care delivery system.This paper illustrates the possible future pathway of China’s medical consortium through retrospection of the 10-year process,changes of the series of policies,and characteristics of the policy issued in 2020.We considered that a fully integrated medical consortium would be a major phenomenon in China's medical industry,which would lead to the formation of a dualistic care pattern in China.展开更多
基金Supported by Humanities and Social Science Research Project of the Ministry of Education in 2010 (10YJC840088)
文摘Based on in-depth survey of township hospitals in Lushan County of Henan Province, this paper studies the development situations of rural medical care and health undertaking in the course of new medical reform. Results show that both rural medical institution and public health undertaking have considerable development in this course. Working capital situation gradually turns better. However, there are still problems and challenge of shortage of high quality medical care personnel, lack of employment mechanism, poor medical environment, and imperfect bidding and purchasing system of medicines. To further develop rural medical situation, it should improve medical environment, speed up informationization construction, and give prominence to functional orientation.
基金Hainan Natural Science Foundation Project(No.819MS129)
文摘Objective:To analyze the mental health status of Hainan Provincial medical staff who aided Hubei Province to combat COVID-19.Methods:The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Self-Reporting Questionnaire-20(SRQ-20)and PTSD Checklist-Civilian Version(PCL-C)were used to evaluate the mental health status of 243 medical staff who aided Hubei Province to combat COVID-19.Results:A total of 221 persons have completed the psychological assessment.The survey showed that 9.05%of the medical staff had different degrees of anxiety,16.29%had different degrees of depression,13.12%were abnormal in Self-Reporting Questionnaire-20,and 9.05%were abnormal in PTSD Checklist-Civilian Version.There were difference in scores of Self-Rating Depression Scale across different genders,age groups,profession and educational levels,But Regression analysis rejects the correlation.Conclusions:The mental health status of Hainan Provincial medical staff who aided Hubei Province to fight against COVID-19 was abnormal,regardless of gender,age,profession or education background.Preventative measures at an early stage are warranted to alleviate the psychological problems.
基金supported by the National Natural Sciences Foundation of China(No.71874058 and No.72174068).
文摘With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery system,a medical consortium plays an important role in integrating public hospitals and primary care facilities.The first medical consortium policy issued after the COVID-19 pandemic apparently placed hope on accelerating the implementation of a medical consortium and tiered health-care delivery system.This paper illustrates the possible future pathway of China’s medical consortium through retrospection of the 10-year process,changes of the series of policies,and characteristics of the policy issued in 2020.We considered that a fully integrated medical consortium would be a major phenomenon in China's medical industry,which would lead to the formation of a dualistic care pattern in China.
