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新医改后我国乡镇卫生院医疗服务量变化趋势及其影响因素:基于29个省际面板数据的实证分析 被引量:6
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作者 袁颖 王伟 +1 位作者 谢学勤 严非 《中国卫生资源》 CSCD 北大核心 2023年第1期111-115,共5页
目的了解我国乡镇卫生院医疗服务量情况,明确不同因素对乡镇卫生院医疗服务量的影响及其程度,为进一步发挥乡镇卫生院功能提供依据。方法数据来自2010—2019年《中国农村统计年鉴》《中国人口和就业统计年鉴》《中国卫生健康统计年鉴》... 目的了解我国乡镇卫生院医疗服务量情况,明确不同因素对乡镇卫生院医疗服务量的影响及其程度,为进一步发挥乡镇卫生院功能提供依据。方法数据来自2010—2019年《中国农村统计年鉴》《中国人口和就业统计年鉴》《中国卫生健康统计年鉴》《中国交通年鉴》,对新一轮医药卫生体制改革后我国29个省(自治区、直辖市)乡镇卫生院医疗服务量情况进行描述性分析。利用面板数据分析乡镇卫生院医疗服务量的影响因素,包括乡镇卫生院医疗卫生资源配置,以及农村地区经济、老龄化、教育、社会发展水平。结果2009—2018年我国乡镇卫生院医疗服务量整体呈上升趋势。卫生资源配置是影响乡镇卫生院医疗服务量的重要因素;农村道路密度对医疗服务量有显著正向影响,即农村道路密度越高,医疗服务量越多;农村地区老龄化水平、居民教育水平对出院人数具有负向影响。结论我国仍需重视乡镇卫生院卫生资源配置,关注卫生资源配置数量、质量与效率;提高乡镇卫生院服务能力,拓展服务内涵,持续推进强基层建设。 展开更多
关键词 基层医疗卫生机构primary medical institution 乡镇卫生院township hospital 医疗服务量medical service volume 影响因素influencing factor
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Efficacy of Bushenjianpi prescription on autoimmune premature ovarian failure in mice 被引量:7
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作者 Feng Guilin Lin Meijiao +3 位作者 Zhou Xiaolin Zhang Lihong Li Jing Ouyang Jingfeng 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2017年第5期667-674,共8页
OBJECTIVE: To assess the efficacy of Bushenjianpi prescription(BSJPP), a formula from Traditional Chinese Medicine, on a mouse model of autoimmune premature ovarian failure(POF) induced by mouse zona pellucida(ZP3) an... OBJECTIVE: To assess the efficacy of Bushenjianpi prescription(BSJPP), a formula from Traditional Chinese Medicine, on a mouse model of autoimmune premature ovarian failure(POF) induced by mouse zona pellucida(ZP3) and to investigate the mechanisms underlying the action.METHODS: After randomization, POF was induced in the model mice by immunization with ZP3. One week later, mice received low(8.1 mg/kg), moderate(16.2 mg/kg) and high(32.4 mg/kg) doses of BSJPP by gastrogavage once daily for 90 days. Premarin(0.03 mg/kg) served as the positive group. Serum samples were collected 1 week after the last dose and stored at-20 ℃ for analysis. After cervical dislocation, the uterus and ovaries were collected aseptically for evaluation by histological assessment, scanning electron microscopy, immunohistochemical staining, and Western blot and reverse transcription-polymerase chain reaction analyses.RESULTS: Serum E2 levels in POF model mice were decreased, whereas follicle-stimulating hormone(FSH) and luteinizing hormone(LH) levels were dramatically increased. Serum levels of E2,LH and FSH were reduced in POF model mice treated with BSJPP(moderate and high doses) and premarin. Anti-bone morphogenetic protein 15(BMP-15) and connexin 43(Cx43) were repressed in autoimmune POF model mice, whereas high expression was observed in control mice and those treated with BSJPP(moderate and high doses)and premarin.CONCLUSION: BSJPP is effective in treating ZP3-induced POF in mice and the increase in the expression of BMP-15 and Cx43 may be implicated in the mechanism underpinning the action. 展开更多
关键词 Chinese medical formula primary ovarian Insufficiency Zona pellucida Follicle-stimulating hormone Luteinizing hormone Connexin 43
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