Multi-subject and multi-objective integrated optimization system and implementation strategy for energy-saving renovation of the existing residential buildings

The core of the healthy and orderly operation of the existing residential building energy-saving renovation market lies in the exploration of the implementation mechanism of multi-subject and multi-objective integrated optimization.The multi-agent and multi-objective integrated optimization system framework is a powerful tool to guide the scientific decision-making of the market core structural entities in the future market practice. This paper analyzes the practical dilemma of energy-saving renovation of theexisting residential buildings in China, summarizes the practical experience of multi-subject and multi-objective integrated optimization of energy-saving renovation of the existing residential buildings in foreign countries, and puts forward beneficial practical enlightenment on the basis of comparison at home and abroad;The design principles of the target integrated optimization system have established a multi-subject and multi-objective integrated optimization system framework for the energy-saving renovation of the existing residential buildings, from six aspects: government guidance, trust consensus, value co-creation, risk sharing, revenue sharing, and social responsibility sharing. This paper proposes a multi-subject and multi-objective integrated practice strategy, in order to promote the efficient and orderly development of China's existing residential building energy-saving renovation market.

Research misconduct in hospitals is spreading:A bibliometric analysis of retracted papers from Chinese university-affiliated hospitals

Purpose: The number of retracted papers from Chinese university-affiliated hospitals is increasing, which has raised much concern. The aim of this study is to analyze the retracted papers from university-affiliated hospitals in China’s mainland from 2000 to 2021. Design/methodology/approach: Data for 1,031 retracted papers were identified from the Web of Science Core collection database. The information of the hospitals involved was obtained from their official websites. We analyzed the chronological changes, journal distribution, discipline distribution and retraction reasons for the retracted papers. The grade and geographic locations of the hospitals involved were explored as well.Findings: We found a rapid increase in the number of retracted papers, while the retraction time interval is decreasing. The main reasons for retraction are plagiarism/self-plagiarism(n=255), invalid data/images/conclusions(n=212), fake peer review(n=175) and honesty error(n=163). The disciplines are mainly distributed in oncology(n=320), pharmacology & pharmacy(n=198) and research & experimental medicine(n=166). About 43.8% of the retracted papers were from hospitals affiliated with prestigious universities. Research limitations: This study fails to differentiate between retractions due to honest error and retractions due to research misconduct. We believe that there is a fundamental difference between honest error retractions and misconduct retractions. Another limitation is that authors of the retracted papers have not been analyzed in this study.Practical implications: This study provides a reference for addressing research misconduct in Chinese university-affiliated hospitals. It is our recommendation that universities and hospitals should educate all their staff about the basic norms of research integrity, punish authors of scientific misconduct retracted papers, and reform the unreasonable evaluation system.Originality/value: Based on the analysis of retracted papers, this study further analyzes the characteristics of institutions of retracted papers, which may deepen the research on retracted papers and provide a new perspective to understand the retraction phenomenon.

The Model of Integration of Traditional Medicine with Modern Medicine in Hospitals of Traditional Medicine in Vietnam:Present Status and Prospective Plan

Vietnam has a 4000-year old traditional system of pharmaco-medicine which was founded during the Hung King era （2879-257 B.C.）. Vietnamese traditional medicine （TM） came from the society and was developed during the long years of living, working and struggling for existence among the Vietnamese people among 54 ethnic groups under extremely severe natural conditions, conflicts, and interaction with local neighboring nations such as China, Laos, Cambodia, india, etc. All of those form the foundations to shape the diversity, abundance and specialty of Vietnamese TM. Valuable experiences in TM have been transmitted from generation to generation, which is an important part of Vietnamese culture.

Supply Chain Integration, a Chain of Efficient Utilization of Information Technology: Its Benefits &Challenges

Business renovation, effective utilization of information technology and the role of business process modeling are dealt in supply chain integration projects. The main idea is to show how the performance of supply chain can be improved with the integration of various tiers in the chain. Integration is preconditioned for efficient sharing and utilization of information between diverse companies in the chain.

Assisting Nurses in Basic-Level Hospitals to Improve Three Capacities

The importance of scientific study has received more and more attentions from various levels of hospitals,while paper writing,topic declaring,and achievement and patent grasping have become the fundamental tasks for the hospitals. As nurses in basic-level hospitals,howto find and implement excellent scientific research thoughts in busy work has become a challenge in front of them. Nursing of Integrated Traditional Chinese and Western M edicine attempts to establish a Special Fund for Nursing of Integrated Traditional Chinese and Western M edicine( "Special Fund"for short),aiming to support and assisting nurses in basic-level hospitals to conduct nursing-associated scientific research project approval,achievement declaration and publication,and to promote the co-improvement of scientific research level,academic level and quality of journals in domestic nursing field of integrated traditional Chinese and western medicine by assisting the nurses in basic-level hospitals to improve their declaring,executing and summarizing capacities on nursing research topics.

基于业财融合的公立医院成本精细化管控研究

随着医保支付制度改革的深入,公立医院的发展方向从规模扩张转向提质增效,成本管理也亟需从粗放式管理转向精细化管控。目前,大多数公立医院的成本管控存在效率低、效果差的问题,必须建立健全成本精细化管控制度、成本管控信息系统、预算成本管理系统,优化成本核算方法,针对各项资源消耗情况制定成本精准化管控措施,并开展成本精细化管控评价,推动医院高质量和可持续发展。

医院多场景融合智能门禁系统的设计与实现

目的充分发挥门禁系统在医院管理中的作用,满足医院多场景应用需求,使门禁系统更智能。方法制定合理流程及相应技术方案,通过门禁系统与医院信息系统、智慧医院微信公众平台、叫号系统、人事系统、教学系统等进行融合,建设多场景融合智能门禁系统。结果实现了医院多场景融合下的全流程自动化、智能化门禁系统。结论多场景数据与门禁数据互通,解决了患者、陪护、职工、学生、第三方人员进出医院的管理问题,提升了患者就诊效率,节约了人力成本,实现了医院的精细化管理。

公立医院廉洁风险防控量化评价研究

目的探讨公立医院廉洁风险防控量化评价,为提升公立医院廉洁风险防控工作质效提供参考。方法自行设计《公立医院权力事项廉洁风险防控检查标准》,从权力运行流程梳理清晰程度、廉洁风险点查找准确程度、防控措施有力程度三个方面对四川大学华西医院各部门/临床医技科室提供的权力事项廉洁风险防控进行评分和评级。结果共检查了236个权力事项的廉洁风险防控情况,根据检查标准,57项评为一档,103项评为二档,76项评为三档,占比分别为24.15%、43.64%和32.20%。经检查,全院236个权力事项的廉洁风险防控检查得分为(5.82±1.92)分,其中,流程维度得分为(2.11±0.75)分,风险点查找维度得分为(1.89±0.75)分,防控维度得分为(1.89±0.79)分,体现出部分单位的工作流程不够清晰、个别风险点查找不准确、防控措施不具体等问题。结论医院要结合自身工作环节的问题,从思想、行为、成效和考核评价几方面入手,着力思考廉洁风险防控长期建设中的具体化、精准化、显著化和可量化。

公立医院党建业务融合发展“五同”机制实证研究

党建与业务工作深度融合不仅是基层党组织工作开展的基本要求,也是公立医院高质量发展的根本保障。本研究在把握公立医院党建工作和业务工作内在关系基础上,系统阐述党建业务融合发展的重要性,围绕目标规划、管理体制、人才培养、实践活动、评价机制,构建党建与业务工作同谋划、同部署、同推进、同落实、同考核“五同”工作机制,全方位促进党建业务深度融合,以高质量党建推动医院高质量发展。本文为公立医院党建与业务工作深度融合发展提供了一定可行的实践经验。

综合医院资源整合型学科建设的实践与探讨

以中山大学附属第三医院围绕脑疾病的诊疗研究工作,以学科群形式组建精神与神经疾病研究中心(脑病中心)为案例,介绍综合医院资源整合学科建设模式,并按照资源整合建设思路,结合中心建设实践从学科方向、学科平台、学科任务、学科人才、学科管理五个学科建设要素开展探讨,同时对中心建设过程中面临的问题与挑战进行分析和讨论。

融媒体传播下某肿瘤专科医院网站建设的实践与思考

在当今的数字化时代,医院门户网站已成为医院与患者之间的重要桥梁。门户网站的设计、开发、维护和升级对于医院的形象塑造和患者的就诊体验具有重大影响。文章结合浙江某肿瘤专科医院官网近年来实际运营经验,阐述其在患者视角下的开发理念、设计思路与实践方案,对网站访问数据进行分析讨论。数据证实,改版后的网站流量稳步上升,以手机为代表的移动类设备已逐步呈现快速上升的趋势,这与近年来移动互联网的迅猛发展是同步的。其经验表明医院网站建设应以患者视角,结合融媒体传播理论,走集群化、移动化和大数据之路。

基于业财融合的医院绩效管理探索与实践

绩效管理作为医院管理的重要组成部分,在医院结构转型、提质增效中发挥着不可替代的作用。随着医疗改革进入深水区和攻坚期,医院为进一步发挥绩效功能促进业财融合,基于精益管理理念,从自身实际出发,立足战略,搭建动态调整、多方协同、分工合作的绩效管理系统,形成医院、科室、员工多层次的全员参与体系。运用质量管理工具,直面国家政策、年度重点工作、业务等变化,持续进行体系和方案的调整与完善。借助信息化手段,建立可视化绩效运行分析平台,通过定期绩效分析与反馈,最终实现医院运营效率及医疗服务质量的双提升。

公立医院一体化运营管控体系建设路径思考

公立医院运营管理信息化是智慧管理建设的重要内容。本研究通过将公立医院各部门的资源要素和各业务流程环节进行整合和优化,将资源要素与业务流程相耦合,在数字孪生医院的场景化业务基础上增加管控规则,达到构建一体化运营管控体系的目的。该体系可以提升公立医院运营管理的科学化、规范化和精细化水平,有助于降低医院的运营成本,提升运营效益,从而推动公立医院的高质量发展。

某集团化医院数据集成平台的安全建设

互联互通、大数据人工、智能、云计算、互联网医院、移动物联网等新技术在医疗行业的广泛应用,有效提高了各项诊疗业务的方便性、快捷性。同时,各类医疗业务系统数量不断增加,各系统间的数据交互越来越频繁且复杂,数据安全性要求不断提高。该研究以某集团化医院数据集成平台的安全建设情况为例,从数据集成平台的安全性出发,分析平台的运行安全、数据安全、访问安全方面存在的问题,并根据以上问题从应用层面、网络层面、主机层面、制度建设层面完善防护措施,通过实践应用并跟踪,有效降低了平台运行的安全风险。

新形势下MDT监管模式在清廉医院建设中的实践

在全国范围内开展医药领域腐败问题集中整治工作的新形势下,浙江大学医学院附属儿童医院纪检监察室借鉴多学科行政管理模式,创建了以清廉科室、行风查房为抓手的MDT监管模式,推进落实党风廉政建设党委主体责任和纪委的监督责任,通过查摆问题、督促整改、完善制度等方式实现全流程闭环管理。在强化责任体系建设、廉洁风险防控、强化行风建设、精准廉政宣教等方面取得良好成效。

基于数字化转型的医院后勤“一站式”报修管理研究与实践

随着智慧医院建设的日益深入,医院后勤成为智慧医院建设的重要组成部分,越来越多的医院开始建立并应用后勤报修信息化系统,然而系统的应用效果参差不齐。该文介绍了上海市胸科医院后勤“一站式”报修服务工作及管理经验,针对“一站式”报修服务中出现的医护人员自我报修率低下、报修定位不准、服务商响应积极性不高等问题,通过设置报修位置码、拓展报修范围、升级报修系统、主动预防巡检等措施,持续改进后勤服务质量和效率,更好地满足现代化医院高效、便捷、人性化的管理需求。

集团化医院多院区后勤机电设备设施集成化管理探索与实践

分析了集团化医院多院区后勤机电系统管理信息化的现状,以及医院后勤管理流程存在的问题和挑战。以华中科技大学同济医学院附属协和医院为例,介绍医院后勤一体化综合管理平台对于后勤机电设备的集成管理实践,包括平台的功能框架、部署方式以及数据标准化和流程优化等。通过平台的部署和集成,实现了多院区后勤机电设备和系统的数据共享和协同管理。实践表明,基于综合管理平台的集成管理是解决集团化医院多院区后勤机电系统管理问题的有效途径。

中国酒店业高质量发展:环境、问题和路径

改革开放40多年来,中国酒店业作为推动社会主义市场经济发展的重要组成部分,得到了快速发展,同时也面临着一系列挑战。从现实情况来看,如何在复杂多变的环境中释放产业动能,满足消费者日益多样化的需求,成为当前实现酒店业高质量发展目标的关键。鉴于此,文章创新性地结合上市酒店公司的管理层讨论与分析文本和官网信息,遵循“环境发展特征-问题挑战-转型路径”理论逻辑,探讨了中国酒店企业微观行为和推进策略实践。研究发现,当前中国酒店业主要呈现行业集中化和连锁化升级、产品创新迭代、消费者需求多样化和个性化、产业融合以及重视可持续发展和社会责任等若干发展特征,还面临着行业竞争激化、内部管理复杂性加剧等现实挑战。为发挥酒店业结构优化推动旅游业高质量发展的重要作用,文章围绕高效、公平和可持续发展的理念,构建了与之相适应的转型路径,旨在为中国酒店业高质量发展提供理论指导和经验借鉴。

院前院内无缝隙一体化急救模式对急诊危重症孕产妇救治效果及母婴结局的影响

目的:探讨院前院内无缝隙一体化急救模式对急诊危重症孕产妇救治效果及母婴结局的影响。方法:回顾性收集2022年5月-2023年2月本院实施传统急救模式时救治的急诊危重孕产妇83例作为传统组,2023年3月-2024年1月本院实施院前院内无缝隙一体化急救模式时救治的急诊危重孕产妇85例作为观察组。比较两组急救时间、急救效果、母婴不良结局。结果:观察组院前急救反应时间(6.4±1.6 min)、院内转运时间(10.3±3.1 min)、急救物品准备时间(15.4±5.1 min)、急诊科救治时间(21.5±6.8 min)均短于传统组(8.1±1.8 min、13.8±4.2 min、24.5±6.4 min),急救总有效率(95.3%)高于传统组(85.5%),孕产妇不良结局发生率(3.5%)、新生儿窒息率(5.9%)及死亡率(1.2%)均低于传统组(16.9%、9.6%)(均P<0.05)。结论:在危重症孕产妇急救中采取院前院内无缝隙一体化急救模式可明显提高急救效率,改善母婴结局。