A Scale of Parental Anxiety about Pediatric Emergency Medical Care Services of Japan: Development, Reliability, Validity, Generalizability and Usefulness

Aim: The purpose of this study was to develop a scale, “parental anxiety about pediatric emergency medical care services” (PAPEMCS), and to evaluate its psychometric properties. Methods: Participants were 14,510 parents with children 6 years old or younger in Kagawa Prefecture. Using each half of the participants, exploratory factor analysis was performed to generate items and factors for the PAPEMCS, and confirmatory factor analysis (CFA) was used to establish the construct validity. The generalizability of the PAPEMCS was evaluated by congruence tests and multigroup CFA. The usefulness of the PAPEMCS was established by the relationship between the PAPEMCS and non-urgent usage of pediatric emergency medical care services (PEMCS). Results: The PAPEMCS compromised 4 factors: “anxiety about quality of PEMCS”, “anxiety about PEMCS system”, “anxiety about public support”, and “anxiety about private support”. All reliability estimates (polychoric ordinal alpha coefficients, item-rest correlations), the item discrimination, 5 fit indices for CFA, the convergent validity (indicator reliabilities, composite reliabilities, average variance extracteds), and the discriminant validity fulfilled the acceptability thresholds. All generalizability estimates fulfilled the predetermined levels of acceptability (Tucker’s congruence coefficients, congruence tests, strict factorial invariance). The usefulness of the PAPEMCS was established by the higher scores of the PAPEMCS being related to non-urgent usage of PEMCS. Conclusions: The PAPEMCS demonstrated satisfactory reliability, validity, generalizability and usefulness. The PAPEMCS is useful to quantify the contents and extent of parental anxiety about PEMCS, and to clarify the mechanisms of non-urgent PEMCS usage.

Research on the Path to High-Quality Development of Grassroots Libraries in the Era of Artificial Intelligence in Henan

Since the age of digital intelligence,the government has introduced policies to actively promote the intelligent transformation of grassroots public cultural services.Based on the investigation and analysis of the development status quo of grassroots libraries in Henan Province,we put forward the path of high-quality development of grassroots libraries in Henan,namely,improving the mechanism and system,leading with digital intelligence technology,empowering by Yellow River culture(the heritage and values rooted in the history and traditions of the Yellow River region),and driven by users’demand.

Exploration and Research on the Integrated Development of“Internet Plus Medical Treatment”

Objective To analyze the development of“internet plus medical treatment”and to explore advantages.Methods The literature of“internet plus medical treatment”was systematically combed and analyzed.Results and Conclusion After exploring the status quo of“internet plus hospitals”,smart pharmacy and web-assisted health management in China,we find that there are some problems in the medical service at present,such as the imperfect laws and regulations,the hidden dangers of information security and the obstacles of medical insurance payment.Therefore,we propose that the development of web-assisted medical service should be led by the government and relevant policies must be improved.Then,self-regulation should be strengthened,and industry standards should be enhanced.Three suggestions are made to improve medical insurance payment and benefit both hospitals and patients,which can provide reference for promoting the development of“internet plus medical treatment”in China.

China’s Service Sector and the 14thFYP: Trends, Breakthroughs andPolicy Outlook

China’s service sector has developed a lot in the 13th Five-Year Plan period,and is positioned to upgrade on all fronts in the new era. In the 14th Five-Year Plan period,China’s service sector boasts huge potentials and is expected to maintain steady growth. By2025, the service sector is expected to account for 59.05% of total value added, 54.96% ofemployment, 60.51% of fixed asset investment, and 50.04% of consumption. Service laborproductivity will rise from 143,400 yuan/person in 2019 to 178,400 yuan/person by 2025.It can thus be concluded that in the 14th Five-Year Plan period, China’s service sectorwill play a dominant role in the economy and head toward higher quality development. Toachieve this goal, we must allow for the decisive role of the market and the fundamentalrole of the government, and open up new prospects in development of the service sector withrespect to digilitalization, platform-based operations, smart technology, integration, andstandardization.

Development and prospect of telemedicine

With the continuous improvement and development of modern network information technology and the continuous improvement of people’s demands for health care,the traditional health care model has evolved,giving birth to a new telemedicine health care model.Telemedicine refers to the comprehensive application of information technology for medical information transmission and long-distance communication between different places.It integrates medicine,computer technology,and communication technology for remote monitoring,diagnosis,consultation,case discussion,teaching,and surgery as well as a series of medical activities.With the continuous development of communication technology,telemedicine is also constantly changing.As a relatively novel technology,telemedicine is sought after by major hospitals.With the advancement of internet technology,digitization and informatization have been gradually applied in telemedicine,but due to various factors,telemedicine still has great limitations.This paper summarized the development status of telemedicine;discussed in detail the development of telemedicine at home and abroad;reviewed the application of telemedicine as well as the feasibility and limitations of its promotion and development;and put forward an outlook for the future development of telemedicine.

Impact of regional differences in stroke symptom awareness and low-income status on seeking emergency medical service in China

Background:Unawareness of stroke symptoms and low income are two barriers that affect the seeking of emergency medical service(EMS).This study aimed to assess the effect of unawareness and low income on seeking EMS and to investigate the regional distribution of the unawareness and low-income status and their associations with failing to call EMS in China.Methods:A total of 187,723 samples from the China National Stroke Screening Survey was interviewed cross-sectionally.Four status of awareness and annual income were identified:unaware and low-income,unaware-only,low-income-only,and aware and regular income.The outcomes were whether they intended to call EMS or not.The regional distribution of each status and their associations with not calling EMS were presented.Results:The status of unaware and low-income,unaware-only,and low-income-only accounted for 6.3%(11,806/187,673),11.9%(22,241/187,673),and 21.5%(40,289/187,673)of the total sample,respectively.Not calling EMS was significantly associated with the status of unaware and low-income(odds ratio[OR]:3.21,95%confidence interval[Cl]:3.07-3.35),unaware-only(OR:2.38,95%Cl:2.31-2.46),and low-income-only(OR:1.67,95%Cl:1.63-1.71),compared with the aware and regular income status.The Midwest regions had higher percentages of people in the unaware and low-income status;the East,South,and Central had higher percentages of unaware-only status;the North and Northeast regions had a higher percentage of low-income-only status,compared with other regions.Conclusion:The existence of the regional difference in unawareness and low income justifies the specific stroke education strategies for the targeted regions and population.

养老服务新体系下推进医养与康养衔接发展的思考

人口老龄化程度加剧带来了老年人健康需求的变化,医养与康养相融合成为当前养老服务体系建设的重要内容之一,因此要通过两者的有效衔接实现服务的均等化、可及性、延伸拓展、资源共享,但是由于管理体系不顺畅、资源配置不合理、服务项目不融合、保障措施不力、主动健康认识不足等因素造成了医养与康养衔接的现实障碍。文章提出了要将医养与康养有效衔接作为促进健康老龄化的积极行动、将管理协同和有效作为推动医养与康养衔接的重要力量、将政策推动和协同作为推动医养与康养衔接的保障基础、将资源整合和可及作为推动医养与康养衔接的关键动力、将医养与康养衔接作为高质量发展“银发经济”的有效途径等建议,为养老服务新体系下推进医养与康养衔接的发展提供政策依据。

某大型公立医院人才培养与能力提升的建设实践

随着医改的逐渐深入,各级公立医院都在推进高质量发展,对医院来说既是机遇也是挑战。在公立医院高质量发展过程中,人才因素最为重要,是医院发展的基石,只有不断提升人才的综合能力和素质,才能推动医院良性可持续发展,提升医院的医疗服务水平。近年来,南京医科大学附属淮安第一医院在组建专病诊疗组、多学科诊疗、外聘学科带头人、专科联盟、新技术开展、基础医疗质量评价体系、急危重症管理体系建设、手术医师能力提升等方面做了许多探索,取得了显著成效,这些创新性举措的实施推动了医院人才培养与能力提升,为国内医院高质量发展提供借鉴。

欠发达城市社区老年人医疗护理服务需求调查的SWOT分析

随着老年人口的持续增加,我国老龄化程度逐年加深。目前,我国欠发达城市社区医疗卫生服务体系尚不完善,社区老年人医疗护理问题仍处于探索阶段。明确欠发达城市社区老年人的主要需求,提供相应的医疗护理服务是老年护理服务的重要环节。本文通过SWOT分析方法对欠发达城市社区老年人医疗护理服务需求调查进行系统分析,为欠发达城市社区医疗机构更好地提供医疗卫生服务提供参考。

SWOT分析模式下医务部门发展现状与对策分析

医务部门的发展是一个动态的过程,需要不断调整和改进,SWOT分析模式又称为态势分析,属于较为成熟的战略规划方法。文章通过SWOT分析模式,包括医务部门内部的优势和劣势,以及外部的机会和威胁进行分析。在内部方面,其优势和劣势可能涉及医疗资源、人力资源、设施设备、技术水平、管理能力等。在外部方面,医务部门面临的机会包括不断增长的医疗需求、技术进步带来的创新机会等,而威胁则可能来自竞争对手的挑战、法规变化等因素。针对这些问题,文章提出了一系列对策,旨在利于医务部门实现可持续发展,提供更高质量的医疗服务,满足社会的健康需求。

患者满意度视角下互联网医疗服务发展对策

互联网医疗服务为医患之间提供了更加便捷的沟通渠道,医生可以通过在线咨询、电话等方式与患者进行沟通,了解患者病情,提供治疗建议,这种沟通方式能够让患者更加信任医生,建立良好的医患关系。文章分析了医院互联网医疗服务开展情况,从诊前、诊中及诊后服务情况出发分析了服务的开展状况,针对缺少完善的政策保障、无法切实反馈患者的需求、缺少成熟的服务模式等问题,提出了患者满意度视角下互联网医疗服务发展的对策。

以价值医疗为导向的大型公立医院运营数据中心建设实践

目的:基于价值医疗导向,对大型公立医院运营数据中心的建设进行探索,助力医院医疗服务模式创新,促进公立医院高质量发展。方法:在价值医疗内涵下从医疗质量、医保支付调控、业财融合、患者服务、后勤医工精益管理等方面构建多维度多层次多模态运营数据中心的建设模式。结果:实现以价值医疗为导向的运营数据中心建设,助力医院的运营管理体系构建。结论:价值医疗理念可为医院高质量医疗服务、运行成本控制、维持可持续发展提供有效的指导,基于此建设的运营数据中心能够为医院的精细化运营提供指标数据参考。

多维度视角下我国民营医院发展变化研究

目的:基于多维度视角下对民营医院发展变化进行研究,为推动民营医院建设发展和相关部门出台政策提供借鉴。方法:采用描述性分析法,从服务规模、人员配置、财务状况、医疗服务量、医疗服务效率5个维度选取21个指标,对2010-2021年民营医院与公立医院进行分析与比较。结果:民营医院数量与床位数量扩张迅速;各类卫生人员数量年均增速均高于公立医院,2021年医护比高于公立医院;总资产、总收入及总支出均呈快速增长趋势,远高于同期公立医院增长速度;民营医院医疗服务量相关指标平均增速均为负值,公立医院均为正值;民营医院床位使用率低,平均住院日呈上升趋势,人均每日担负诊疗人次呈波动式下降趋势。结论:提升运营效能,打造差异化发展,促进民营医院发展从“量的积累”转为“质的提升”;借助合作,补短板创新机,实现跨越式发展;加大政策扶持力度,推动民营医院健康规范发展。

国内外互联网医疗相关概念辨析、演化及启示

通过梳理国内外互联网医疗的相关概念,系统阐述远程医疗、互联网医院、互联网诊疗等相关概念的内涵、关联与差异,追踪起源及发展演变,总结我国公立医院发展高质量互联网医疗服务的管理启示。从文献计量学的视角出发,辨析总括性、服务模式、服务平台和服务方式等4类9个概念,通过文献研究方法分析演化特征,为我国互联网医疗的高质量发展提出建议。借助于快速发展的信息技术,互联网医疗发展迅速,我国的互联网医疗更是进入了跨越式发展阶段。我国应进一步大力推进公立互联网医院发展,不断促进线上线下深度融合,从产品主导向服务主导逻辑转变,实现互联网医疗的高质量发展。

基于医院信息系统的患者服务功能优化研究

目的以患者为中心,围绕“改善就医感受,提升患者体验”优化医院信息系统(HIS)中的患者服务流程,提升服务效能。方法围绕诊前、诊中、诊后3个环节进行应用优化、技术优化和管理优化,实现智能预问诊、自助预约、自助点餐、床旁结算、智能语音随访等功能优化。结果诊前服务方面,“挂错号”和“乱挂号”现象显著减少,改善了患者就医体验;诊中服务方面,自助检查预约人均节省40 min~50 min,自助点餐120余万次,床旁结算26479人次,提高了患者就医满意度;诊后服务方面,出院随访约67.4万人次,提升了患者康复质量。结论以患者为中心优化医院信息系统功能是提升患者就医获得感的重要举措,是推进医院信息化建设、促进公立医院高质量发展的重要支撑。

“互联网+”医疗服务应用发展研究综述

研究国内外“互联网+”医疗服务的发展历程,应用VOSviewer软件探索该领域的研究热点和变化趋势,归纳了“互联网+”医疗服务目前的主要应用场景及其成效,总结了“互联网+”医疗服务当前或未来可能面临的挑战。基于此,提出一系列“互联网+”医疗应用的发展目标与策略,涵盖了线上诊疗、智慧医疗与护理服务、基层医疗服务、医保服务、健康与防病服务等多个方面,旨在为新时代下卫生事业的发展提供有益参考。

党建“115工程”推动医院高质量发展

鄂尔多斯市中心医院党委充分发挥把方向、管大局、作决策、促改革、保落实的领导作用,结合医院实际,创新开展党建“115工程”,坚持党的全面领导,锚定打造高质量区域医疗中心目标,实施五大工程,持续推进高品质党建引领医院高质量发展。以满足重大疾病临床需求为导向,以全面提高急危重症救治能力为目标,积极推动医院人才、重点学科、科研、医疗质量安全、信息化等方面建设工作,医院发展取得显著成效。

健康中国视域下上海医疗健康服务高质量发展研究

提升医疗健康服务是健康中国战略的重要内容。当前,随着经济发展与人口老龄化加速,民众对于高质量医疗健康服务的需求日益增加。基于2024年上海民生民意抽样调查的数据分析发现,当前市民健康状况总体良好、健康素养显著提高、心理健康福祉不断增进、医疗卫生服务整体满意度较高;此外,上海数字化转型为医疗服务赋能,体育健身设施补短板亦见显著成效。不过,当前仍然存在医院就医服务环境有待提升、分级诊疗体系有待完善、市民健康素养存在群体性差异、多样化体育健身设施供给仍显不足、互联网医疗服务能级有待提升、高质量心理健康服务供给与需求不匹配等问题。着眼于进一步提升上海医疗健康服务水平,亟需不断优化医院就医服务环境、健全分级诊疗体系、推动多元化健康服务体系、加快体育健身场地设施建设、提升互联网医疗服务能级、提高心理健康服务质量。

基于扎根理论的我国医养结合高质量发展政策文本分析

目的:分析我国医养结合高质量发展政策文本,为完善医养结合高质量发展的政策体系提供参考。方法:基于扎根理论对25份医养结合高质量发展相关政策文件进行文本分析。结果:通过开放性编码,整理得到105项原始概念和25个范畴;通过主轴编码,进一步提炼出10个主范畴;通过选择性编码,归纳出系统整合、组织整合、专业整合和服务整合4个核心范畴。结论:医养结合高质量发展政策文件在4个核心范畴上仍存在不足,应进一步加强顶层设计、促进多元主体协同、完善人才培养、建立需求评估标准,实现医养结合高质量发展。

公立中医院国际医疗服务规范化路径与发展策略探讨

公立中医院作为中医医疗服务的重要基地,不仅承载着传承中医药文化的使命,同时也在国际医疗服务领域展现出了独特优势。本文首先概述了公立中医院国际医疗服务的现状,即其在全球健康事业中的贡献与吸引海外患者的实际情况。其次阐述了构建公立中医院国际医疗服务规范化路径的四个方面:服务流程的规范化、医疗质量的监控与提升、团队建设的规范化及风险管理与合规性。最后,进一步提出了公立中医院国际医疗服务的发展策略,其中涵盖了加强中医药国际标准化建设、深化国际交流合作及对于质量的持续改进,旨在进一步提升公立中医院国际医疗服务的质量与效率,并不断促进中医药在国际医疗领域的推广应用。