Sexually transmitted infection (STI) management is considered rudimentary among rural medical practitioners (RMPs) in Bangladesh. We sought to understand the level of knowledge and skills in STI management and to asse...Sexually transmitted infection (STI) management is considered rudimentary among rural medical practitioners (RMPs) in Bangladesh. We sought to understand the level of knowledge and skills in STI management and to assess the impact of a two-day training orientation among RMPs in Tangail district. Data were collected through a baseline survey of 225 practicing RMPs in the study area and a three-month follow-up survey of 99 RMPs who participated in a two-day STI/HIV orientation training. The level of formal training among RMPs ranged from none (22.7%), to paramedical training (14.7%) and local medical assistant training (62.6%). The baseline survey revealed a low level of STI/HIV knowledge and misconceptions about the transmission of STI/HIV among RMPs. RMPs mostly prescribed first line antibiotics for treatment of common reproductive tract infections (RTIs) including STIs, but they rarely prescribed the correct dosages according to the national RTI/STI management guidelines. Only 3% of RMPs were able to correctly answer all four HIV transmission (unprotected sexual intercourse, blood transfusion, needle sharing and mother to child transmission) questions at baseline, while 94.9% of RMPs answered all four correctly at three months following the training (p = 0.001). Only 10% of RMPs reported suggesting the recommended drug (azithromycin) and only 2% mentioned about the recommended dosage (2 gm single dose) for the treatment of urethritis/cervicitis;compared to 49.5% suggested azithromycin at follow-up with 39.4% mentioned the recommended 2 gm single dose (p = 0.001). Our study found low level of knowledge and poor practices related RTI/STI management among RMPs. Short orientation training and education intervention shown promise to increase knowledge and management skills for RTIs/STIs.展开更多
Information technology have changed information media by networking and internet using technology in health as same as another part improve efficiency and effectiveness. Currently, the medical document is reality-base...Information technology have changed information media by networking and internet using technology in health as same as another part improve efficiency and effectiveness. Currently, the medical document is reality-based medicine, so that is the most important, richest and the most realistic source of medical and health information. Health information management systems that require systems to the storage, retrieval, storage and elimination of health records (by law), and adjust to the rules of professional. These processes are difficult and time consuming for human. In the meantime semantic HIM seem best solution.展开更多
With the gradual development of social economy,the social function of medical institutions is becoming more and more important.Strengthening the efficiency and quality of medical management can alleviate the contradic...With the gradual development of social economy,the social function of medical institutions is becoming more and more important.Strengthening the efficiency and quality of medical management can alleviate the contradiction between doctors and patients and improve the level of medical service.Promoting the sustainable development of medical institutions plays a key role.Under the background of the development of science and technology,the theoretical research and practical application of block chain technology are becoming more and more mature,which can not only store and transmit information effectively,but also strengthen the security of information storage.The effective combination of block chain technology and medical management can create a new operation mode and train of thought for medical management and promote the overall improvement of medical management quality and efficiency.It is very helpful to optimize the social service function in medical field.This paper mainly expounds and probes into the concept characteristics of block chain technology,its concrete application in medical management,application effect control strategy and so on.It aims to further strengthen the depth and breadth of application of block chain technology in medical management,provide strong power support for the improvement of medical management service level and promote the sustainable development of medical and health industry.展开更多
随着医疗信息化的快速发展,疾病诊断相关分组(Diagnosis Related Groups,DRGs)管理信息系统在医疗行业中的应用愈发重要。文章对DRGs管理信息系统的建设与应用进行深入研究,旨在探讨该系统在医疗服务质量、成本控制和医疗机构管理等方...随着医疗信息化的快速发展,疾病诊断相关分组(Diagnosis Related Groups,DRGs)管理信息系统在医疗行业中的应用愈发重要。文章对DRGs管理信息系统的建设与应用进行深入研究,旨在探讨该系统在医疗服务质量、成本控制和医疗机构管理等方面发挥的重要作用。展开更多
文摘Sexually transmitted infection (STI) management is considered rudimentary among rural medical practitioners (RMPs) in Bangladesh. We sought to understand the level of knowledge and skills in STI management and to assess the impact of a two-day training orientation among RMPs in Tangail district. Data were collected through a baseline survey of 225 practicing RMPs in the study area and a three-month follow-up survey of 99 RMPs who participated in a two-day STI/HIV orientation training. The level of formal training among RMPs ranged from none (22.7%), to paramedical training (14.7%) and local medical assistant training (62.6%). The baseline survey revealed a low level of STI/HIV knowledge and misconceptions about the transmission of STI/HIV among RMPs. RMPs mostly prescribed first line antibiotics for treatment of common reproductive tract infections (RTIs) including STIs, but they rarely prescribed the correct dosages according to the national RTI/STI management guidelines. Only 3% of RMPs were able to correctly answer all four HIV transmission (unprotected sexual intercourse, blood transfusion, needle sharing and mother to child transmission) questions at baseline, while 94.9% of RMPs answered all four correctly at three months following the training (p = 0.001). Only 10% of RMPs reported suggesting the recommended drug (azithromycin) and only 2% mentioned about the recommended dosage (2 gm single dose) for the treatment of urethritis/cervicitis;compared to 49.5% suggested azithromycin at follow-up with 39.4% mentioned the recommended 2 gm single dose (p = 0.001). Our study found low level of knowledge and poor practices related RTI/STI management among RMPs. Short orientation training and education intervention shown promise to increase knowledge and management skills for RTIs/STIs.
文摘Information technology have changed information media by networking and internet using technology in health as same as another part improve efficiency and effectiveness. Currently, the medical document is reality-based medicine, so that is the most important, richest and the most realistic source of medical and health information. Health information management systems that require systems to the storage, retrieval, storage and elimination of health records (by law), and adjust to the rules of professional. These processes are difficult and time consuming for human. In the meantime semantic HIM seem best solution.
文摘With the gradual development of social economy,the social function of medical institutions is becoming more and more important.Strengthening the efficiency and quality of medical management can alleviate the contradiction between doctors and patients and improve the level of medical service.Promoting the sustainable development of medical institutions plays a key role.Under the background of the development of science and technology,the theoretical research and practical application of block chain technology are becoming more and more mature,which can not only store and transmit information effectively,but also strengthen the security of information storage.The effective combination of block chain technology and medical management can create a new operation mode and train of thought for medical management and promote the overall improvement of medical management quality and efficiency.It is very helpful to optimize the social service function in medical field.This paper mainly expounds and probes into the concept characteristics of block chain technology,its concrete application in medical management,application effect control strategy and so on.It aims to further strengthen the depth and breadth of application of block chain technology in medical management,provide strong power support for the improvement of medical management service level and promote the sustainable development of medical and health industry.
