With the expansion of medical graduate enrollment, there are some problems in graduate teaching management, such as shortage of faculty, insufficient funding, and single assessment management. This can be solved by im...With the expansion of medical graduate enrollment, there are some problems in graduate teaching management, such as shortage of faculty, insufficient funding, and single assessment management. This can be solved by improving the quality of enrollment, strengthening process management and quality monitoring, enhancing the quality of mentors, and building a management team. This provides theoretical support and practical guidance for the management of graduate education in medical colleges, which helps to improve the quality of graduate education and cultivate more high-quality medical talents for the national healthcare industry.展开更多
Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital...Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.展开更多
Objective:To explore the effect of applying the Plan-Do-Check-Act(PDCA)cycle combined with instrument mapping to manage surgical instruments in a hospital sterilization supply center.Methods:A total of 600 surgical in...Objective:To explore the effect of applying the Plan-Do-Check-Act(PDCA)cycle combined with instrument mapping to manage surgical instruments in a hospital sterilization supply center.Methods:A total of 600 surgical instruments in a hospital’s surgical instrument sterilization and supply management center were sampled and grouped based on the introduction of the PDCA cycle combined with instrument mapping.The control group included 300 surgical instruments subject to routine sterilization management from November 2023 to January 2024.The observation group included 300 surgical instruments managed with the PDCA cycle combined with instrument mapping from February 2024 to April 2024.The quality of surgical instrument management,incidence of adverse events,and other indicators were compared between the two groups.Results:The observation group demonstrated significantly higher scores in management quality indices compared to the control group,with scores for disassembly and assembly(93.28±1.57 vs.87.41±1.48),cleaning(95.04±2.08 vs.90.23±2.12),disinfection and sterilization(95.33±1.27 vs.91.95±1.39),waste disposal(93.26±1.24 vs.89.65±1.18),packaging and traceability(94.35±1.74 vs.92.23±1.65),and issuance and recycling(95.79±1.72 vs.90.22±1.81)(all P<0.05).The observation group reported two adverse events(one incomplete instrument specification and one case of instrument package overweight)with an incidence rate of 0.67%.Conversely,the control group reported six adverse events(including shortages,incomplete specifications,unqualified sterilization,defective instruments,untimely or incorrect delivery,and overweight instrument packages)with an incidence rate of 3%,demonstrating statistically significant differences between groups(P<0.05).Conclusion:Applying the PDCA cycle combined with instrument mapping for surgical instrument management in hospital sterilization supply centers significantly improves management quality and reduces adverse events.Its application is recommended for wider adoption in hospital sterilization supply centers.展开更多
目的探讨医学生-病友参与式健康管理对合并2型糖尿病的脑梗死患者生活质量的影响。方法选取首次发作、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分为1~4分且合并2型糖尿病的脑梗死患者随机分为...目的探讨医学生-病友参与式健康管理对合并2型糖尿病的脑梗死患者生活质量的影响。方法选取首次发作、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分为1~4分且合并2型糖尿病的脑梗死患者随机分为对照组(49例)和研究组(47例),对照组行常规健康管理,研究组在此基础上,结合Learns模式,引入医学生和病友参与。对比管理前后2组患者血糖水平、生活质量、Barthel指数(Barthel Index,BI)等变化。采用Spearman相关性分析探讨SF-36评分与BI评分的相关性。结果干预前,2组FBG、2 h PG、HbA1c、BI评分比较差异无统计学意义(P>0.05);干预后,研究组FBG、2 h PG、HbA1c、BI评分均优于对照组(P<0.05)。研究组SF-36评分的8个维度评分均优于对照组(P<0.05)。Spearman相关性分析结果显示:干预后研究组精力、社会活动、情感职能与BI正相关(r分别为0.469、0.758、0.453,P<0.01)。结论医学生-病友参与式健康管理能够改善合并2型糖尿病的脑梗死患者的血糖水平、改善生活质量、日常生活活动能力;关注患者的精力、社会活动、情感职能有助于提高其生活质量。展开更多
Objective:The Accountable Care Organization(ACO)model of health care delivery is based on new payment models for general practice to reward improved quality and decreased cost of care.Methods:Banner Health Network(BHN...Objective:The Accountable Care Organization(ACO)model of health care delivery is based on new payment models for general practice to reward improved quality and decreased cost of care.Methods:Banner Health Network(BHN)is one of the original CMS Pioneer ACO programs and implemented a comprehensive disease management program based on the collaborative care model.Key performance indicators for CMS reflected quality and cost of care.Results:BHN has demonstrated both improved quality and cost savings in the first two years of the pilot program.The disease management program based on the collaborative care model appears to have improved patient health outcomes based on quality improvement measures.In addition the program has reduced emergency department and hospital utilization,resulting in cost savings.Conclusions:The BHN quality improvement program is the platform for analyzing and improving on the BHN ACO model.This model appears to have excellent application to the China health care system that is also focused on prevention and improvement of chronic disease and cost-effectiveness.展开更多
文摘With the expansion of medical graduate enrollment, there are some problems in graduate teaching management, such as shortage of faculty, insufficient funding, and single assessment management. This can be solved by improving the quality of enrollment, strengthening process management and quality monitoring, enhancing the quality of mentors, and building a management team. This provides theoretical support and practical guidance for the management of graduate education in medical colleges, which helps to improve the quality of graduate education and cultivate more high-quality medical talents for the national healthcare industry.
基金Medical science research key project plan of Hebei health and Family Planning Commission in 2018.Subject name:Evaluation of application effect of case management model in newly treated smear positive pulmonary tuberculosis patients,Question number:20180720.
文摘Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.
文摘Objective:To explore the effect of applying the Plan-Do-Check-Act(PDCA)cycle combined with instrument mapping to manage surgical instruments in a hospital sterilization supply center.Methods:A total of 600 surgical instruments in a hospital’s surgical instrument sterilization and supply management center were sampled and grouped based on the introduction of the PDCA cycle combined with instrument mapping.The control group included 300 surgical instruments subject to routine sterilization management from November 2023 to January 2024.The observation group included 300 surgical instruments managed with the PDCA cycle combined with instrument mapping from February 2024 to April 2024.The quality of surgical instrument management,incidence of adverse events,and other indicators were compared between the two groups.Results:The observation group demonstrated significantly higher scores in management quality indices compared to the control group,with scores for disassembly and assembly(93.28±1.57 vs.87.41±1.48),cleaning(95.04±2.08 vs.90.23±2.12),disinfection and sterilization(95.33±1.27 vs.91.95±1.39),waste disposal(93.26±1.24 vs.89.65±1.18),packaging and traceability(94.35±1.74 vs.92.23±1.65),and issuance and recycling(95.79±1.72 vs.90.22±1.81)(all P<0.05).The observation group reported two adverse events(one incomplete instrument specification and one case of instrument package overweight)with an incidence rate of 0.67%.Conversely,the control group reported six adverse events(including shortages,incomplete specifications,unqualified sterilization,defective instruments,untimely or incorrect delivery,and overweight instrument packages)with an incidence rate of 3%,demonstrating statistically significant differences between groups(P<0.05).Conclusion:Applying the PDCA cycle combined with instrument mapping for surgical instrument management in hospital sterilization supply centers significantly improves management quality and reduces adverse events.Its application is recommended for wider adoption in hospital sterilization supply centers.
文摘目的探讨医学生-病友参与式健康管理对合并2型糖尿病的脑梗死患者生活质量的影响。方法选取首次发作、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分为1~4分且合并2型糖尿病的脑梗死患者随机分为对照组(49例)和研究组(47例),对照组行常规健康管理,研究组在此基础上,结合Learns模式,引入医学生和病友参与。对比管理前后2组患者血糖水平、生活质量、Barthel指数(Barthel Index,BI)等变化。采用Spearman相关性分析探讨SF-36评分与BI评分的相关性。结果干预前,2组FBG、2 h PG、HbA1c、BI评分比较差异无统计学意义(P>0.05);干预后,研究组FBG、2 h PG、HbA1c、BI评分均优于对照组(P<0.05)。研究组SF-36评分的8个维度评分均优于对照组(P<0.05)。Spearman相关性分析结果显示:干预后研究组精力、社会活动、情感职能与BI正相关(r分别为0.469、0.758、0.453,P<0.01)。结论医学生-病友参与式健康管理能够改善合并2型糖尿病的脑梗死患者的血糖水平、改善生活质量、日常生活活动能力;关注患者的精力、社会活动、情感职能有助于提高其生活质量。
文摘Objective:The Accountable Care Organization(ACO)model of health care delivery is based on new payment models for general practice to reward improved quality and decreased cost of care.Methods:Banner Health Network(BHN)is one of the original CMS Pioneer ACO programs and implemented a comprehensive disease management program based on the collaborative care model.Key performance indicators for CMS reflected quality and cost of care.Results:BHN has demonstrated both improved quality and cost savings in the first two years of the pilot program.The disease management program based on the collaborative care model appears to have improved patient health outcomes based on quality improvement measures.In addition the program has reduced emergency department and hospital utilization,resulting in cost savings.Conclusions:The BHN quality improvement program is the platform for analyzing and improving on the BHN ACO model.This model appears to have excellent application to the China health care system that is also focused on prevention and improvement of chronic disease and cost-effectiveness.
