Analysis and Related Suggestions on the Whole Process Engineering Consulting Service Mode at Home and Abroad

This paper first introduces the basic connotation of China’s whole-process engineering consulting.Immediately,analyze the organization model,service procurement model and charging standards of foreign whole-process engineering consulting(international terminology full-life cycle engineering consultant).Second,discuss the government’s role in the development of engineering consulting from two aspects:service management and market access.Finally,combined with the above analysis,the specific problems faced in the implementation process of the whole process engineering consulting are compared.Provide relevant suggestions on how companies and individuals respond to industry development trends.

Cultivating global health professionals: evaluation of a training course to develop international consulting service competence in China

Background:China’s accelerating development and increasingly important role in global health engagement create a great demand for global health professionals including international consulting experts.This study reported the detailed development and evaluation of an international consulting training for global health workforce.Methods:Based on Kirkpatrick’s model,a mixed-methods approach was used to evaluate the effectiveness of the training.Quantitative and qualitative data on participants’reaction,learning,and application of the learned knowledge and skills were collected by a training evaluation survey at the ending of training and a follow-up interview in three months after the training.Results:Thirty-six participants attended the training and 34 of them completed quantitative investigation.The training satisfaction evaluations were positive,for which participants rated the training program highly and over 90%of them agreed with the usefulness of the training.About knowledge and skills change,participants showed improved consulting knowledge and skills from pre-to post-training(P<0.001).A total of 23 participants accepted follow-up interview,and most participants applied knowledge and skills learned from the training in their daily work or study.However,only 30.4%of participants applied their learning in the consulting program.The largest barrier of application was the lack of consulting opportunities.In addition,almost all the participants reported that they would be glad to attend more training courses in the future.Conclusion:The international consulting training program was well-received,and was feasible to improve the consulting service competence of global health professionals.According to participants’feedback,it is essential to develop and expand consulting training in the field of global health.

Intelligent Mobile Platform for Patent Consulting Service

Intelligent patent consulting service platform is an integrated service platform based on Android and IOS operating system. It can achieve the customized service at the mobile end and can provide intelligent search service, intelligent service delivery, interactive learning and collaborative consulting and other multi-dimensional services, to meet the needs of a large number of users. This paper provides a mobile platform for the applicant side of the functional modules of the design.

Physicians’Perception of Palliative Care Consultation Service in a Major General Hospital in China

Objectives The in-hosptial palliative care consultation(PCC) is emerging as a routine service in some medical center in China. The current study evaluated how physicians in primary care team and consultation team perceive the PCC service for the purpose of investigating the effectiveness of this consultation model in a general hospital.Methods In-hosptial palliative care consultations have been carried out at Peking Union Medical College Hosptial by a dedicated consultation team, and 37 consultations were completed in 2016. A questionnaire was designed for physicians in terms of its benefits to patients,their family as well as the primary care team. Physicians who applied for consultation in 2016 formally(requested from the department other than the Geriatrics) and informally(by rotating residents and unemployed visiting doctors in geriatric department) were invited to participate in the survey by scanning a two dimentional code on social networking platform.Results There were 103 physicians participated in the survey, including primary care physicians from the department of Internal Medicine(n=8), Gynaecology(n=16) and Surgery(n=13), rotating residents(n=30), visiting doctors(n=16) in Geriatric department, and PCC team members(n=20). 94.0% of the non-PCC physicians agreed that PCC relieved the suffering of patients; 89.2% thought PCC improved the quality of patients' life; there were 91.6%, 95.2%, 90.4% physicians who felt it relieved the anxiety of patients, of family members and of care providers, respectively. There were 96.4% physicians who felt it could ease the tension in physician-patient relationship; 97.6% felt it lower the risk for medical negligence, and 96.4% of doctors who applied for PPC felt satisfied with PCC service in terms of process and achieving objectives of consultation. More primary-team physician agree "PCC service helps the physicians better understand palliative care" than PCC members(97.6% vs. 80%, P<0.05), while both were interested in learning more on palliative medicine(100% vs. 96.4%, P>0.05).Conclusion Palliative care consultation service in a general hospital is efficacious and acclaimed.The primary care physicians and the PCC members hold positive attitudes to the benefits that the PCC services bring to patients, family members, and physicians themselves. PCC for terminal patients in a general hospital may serve as a good modle for promotion of palliative care in China.

Impact of Tools and Techniques for Securing Consultancy Services

In a digital world moving at a breakneck speed,consultancy services have emerged as one of the prominent resources for seeking effective,sustainable and economically viable solutions to a given crisis.The present day consultancy services are aided by the use of multiple tools and techniques.However,ensuring the security of these tools and techniques is an important concern for the consultants because even a slight malfunction of any tool could alter the results drastically.Consultants usually tackle these functions after establishing the clients’needs and developing the appropriate strategy.Nevertheless,most of the consultants tend to focus more on the intended outcomes only and often ignore the security-specific issues.Our research study is an initiative to recommend the use of a hybrid computational technique based on fuzzy Analytical Hierarchy Process(AHP)and fuzzy Technique for Order Preference by Similarity to Ideal Solutions(TOPSIS)for prioritizing the tools and techniques that are used in consultancy services on the basis of their security features and efficacy.The empirical analysis conducted in this context shows that after implementing the assessment process,the rank of the tools and techniques obtained is:A7>A1>A4>A2>A3>A5>A6>A7,and General Electric McKinsey(GE-McKinsey)Nine-box Matrix(A7)obtained the highest rank.Thus,the outcomes show that this order of selection of the tools and techniques will give the most effective and secure services.The awareness about using the best tools and techniques in consultancy services is as important as selecting the most secure tool for solving a given problem.In this league,the results obtained in this study would be a conclusive and a reliable reference for the consultants.

China's Information Consultancy Services

China’s opening,reform and economicdevelopment,as well as the worldinformation technology revolution,hasenhanced China’s information consultancyservice.Before 1978,China’s economy wasa product economy governed by a highly-centralized planning system with economicinformation basically based on statisticscollected from lower levels and planningcommands to lower levels.The annual productexchange meetings sponsored by specialeconomic departments became the mainchannels for information exchange,soinformation services basically failed to meetneeds.In 1979,China’s economy began itstransfer from a planned to a market one。

Continuously Performing the Consultation and Social Service Roles of Human Rights Bases

The Ministry of Education and the State Council Information Office have named Renmin University of China as one of the human rights national education and training bases. This shows the full affirmation and trust in the university＇s education, research and training work and also represents encouragement for its future work.

The impact of a computerized care records service (CRS) on doctors’ work patterns in urological outpatient clinics

Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread press coverage of ensuing chaos in clinical administration. We wanted to know how this new electronic system impacted on our working patterns in outpatient clinics and – more specifically – on the time actually spent with the patients. Material & methods: This study was performed 4 and 12 months after implementation of CRS to assess its impact on the time distribution in clinic. Senior doctors were monitored with a stop clock during consultations. Timings for pre- and post-consultation administration, and the actual consultation with the patient were recorded. A total of 170 consultations were evaluated in this way. Results: The key findings were that the total time needed to spend on a urological outpatient of 16 minutes remains unchanged from the pre-CRS era, but a majority (57%) of this time is spent in administration on the computer without the patient involved. Conclusion: No more than 15 patients should be seen in a 4 hour outpatient clinic per doctor. This recommendation drawn up by BAUS before CRS remains still valid. Patient administration related to the consultation that has previously been done by administrative aides is now to be done by the doctors on the computer in the same consultation session. Intended to streamline patient pathways, this does reduce the quality interaction-time between doctor and patients significantly.

基于WebServices的多代理自动协商系统设计

协商系统是人们借助计算机技术和网络技术在internet上实现自动的协商过程。阐述了web services的设计思想、实现框架、功能和特点,并结合具体项目实现了基于web sercics的多代理自动协商系统,从而为企业简化了商品流通环节,提高了交易效率。

Project management maturity in construction consulting services: Case of Expo in China

For many years,project management maturity models(PMMM)derived from the software industry have brought immeasurable benefits.However,the adoption and investigation of PMMM in the construction field have been weak and insufficient,particularly in construction consulting services(CCS).Moreover,professionals have gradually realized the importance of non-process factors(e.g.,teamwork,culture,leadership)in the evaluation of PMMM.This study describes the construction of PMMM for CCS that considers non-process factors and combines them with CCS-specific process factors.To verify the effectiveness of the proposed model,we conduct a case study on the overall project management consultancy for China’s 2010 Winter Expo.The results would fill in the PMMM research gap in CCS and provide practitioners with ideas to improve their performance.

Evaluation of the Quality of Prenatal Consultation in Rural Area of Mali, Case of Kadiolo Health District

Every woman has the right to receive satisfactory quality prenatal care in reproductive health. Giving a life while remaining alive and without sequelae must be the slogan of any gynecologist - obstetrician and midwife, as well as any health worker. It was a descriptive cross-sectional study dealing with the evaluation of the quality of prenatal consultations at the Kadiolo referral health center (or RHC). Adevis Donabedian’s model for assessing the quality of care and services served as a benchmark. According to Donabedian quality means good technical care, with good interpersonal relationships, and adequate and comfortable premises. This study took place from April 24 to December 04, 2017 and aimed to assess the current level of the quality of prenatal consultations at the Kadiolo referral health center, to study the structures in place including infrastructure and personnel, to specify the procedures and to determine their results. This work has permitted us to classify the RHC of Kadiolo at level III with 85%, which means that the references evaluated were satisfactory, with the level of 75% to 94%. In terms of structure, a pricing system was deemed affordable by the opinion of pregnant women. The analysis of the level of the human dimension revealed that the health center was level III. The pregnant women were satisfied with the reception which was good in 76% of the cases, as well as with the quality of the respect of the privacy in 96% and confidentiality in 95%. Despite the satisfaction of pregnant women, gaps remain to be filled in concerning the quality of the services received at the Kadiolo referral health center so as to reach level IV.

学科采访视域下的大型图书资源建设研究——以北京大学图书馆为例

大型图书作为图书馆文献资源的重要组成部分,因其内容的系统性、结构的完整性等,在学术研究、学科建设等方面发挥着重要作用。受多方面因素影响,大型图书的采访和管理目前面临着诸多挑战,然而大型图书资源建设的研究却相对较少,在实践中缺乏参考。文章首先回顾了北京大学图书馆大型图书采访工作实践与演变发展,对其中遇到的困难与问题进行了梳理,并提出了大型图书的采购策略与建议,以期为高校图书馆大型图书资源建设提供参考。

全程管理模式对临床药师抗感染会诊效果影响的前后对照单臂观察性研究

目的 探讨全程管理模式对医院临床药师抗感染会诊的影响效果。方法 对长沙市第四医院临床药师抗感染会诊实施全程管理模式前(2021年2—7月)的592例会诊病例和实施全程管理模式后(2022年2—7月)的688例会诊病例的抗菌药物使用疗程、抗菌药物使用品种数、抗菌药物使用费用、抗菌药物使用累计DDD(限定日剂量)数、抗菌药物使用强度、病人住院天数、病人住院费用和病人住院药品费用等指标进行对比和分析。结果 实施全程管理模式后,临床药师参与管理的抗感染会诊病例的抗菌药物使用累计DDD数减少3.31(实施前21.16±19.65,实施后17.85±16.09)、抗菌药物使用强度减少6.79(实施前103.22±58.37,实施后96.43±48.80)、病人住院天数减少2.26 d[实施前(20.59±13.13)d,实施后(18.33±11.71)d],抗菌药物使用天数、抗菌药物使用品种数、抗菌药物使用费用、病人住院费用以及病人住院药品费用等指标差异无统计学意义。结论 全程管理模式对临床药师抗感染会诊效果影响显著,对降低临床药师参与抗感染会诊病例的抗菌药物使用强度及减轻病人疾病负担具有重要意义,值得推广应用。

内蒙古自治区社区5类精神障碍患者精神卫生服务利用现状

目的:描述内蒙古自治区社区5类精神障碍终生患者精神卫生服务利用现况,为健康教育和制定相关政策提供参考。方法:采用分层多阶段不等概率抽样方法抽取内蒙古自治区18岁及以上常住居民共12 315名,采用复合性国际诊断交谈表调查心境障碍、焦虑障碍、物质使用障碍、间歇爆发性障碍、进食障碍等5类精神障碍及精神卫生服务利用现况,以单因素分析方法进行描述性统计。结果:5类精神障碍中,任何一种精神障碍终生患者咨询率为18.7%,治疗率为10.2%,患者接受非医务工作者治疗的比例最高(31.4%),其次是接受精神科或心理科医生治疗;患者中有1.1%的患者接受药物治疗,有2.5%的患者接受心理治疗。结论:内蒙古自治区精神障碍患者精神卫生服务利用率较低,要广泛开展正确求医的健康教育。

融合词性与语义相关性的图书馆智能咨询系统问句相似性计算方法研究

[目的/意义]提高问句相似性计算的准确性,对改善图书馆智能咨询的实际效果具有重要作用。[方法/过程]引入特征词在问句之间的语义相关性指标,提出了融合词性与语义相关性的问句相似性计算方法。首先构建咨询领域专业词典以增强问句处理的业务针对性,然后提出特征词词性权重和语义相关性权重度量方法,并融合两者度量词语在问句中的作用以构建问句语义表征向量,最后采用余弦函数计算问句相似度。[结果/结论]实验表明综合词性与语义相关性特征能有效识别问句中的核心特征词,本文提出的问句相似性计算方法比传统方法具有更高的ACC@1和ACC@3准确率。

基于第三方工作任务的紧密型校企合作探索

良好的校企合作关系需要校、企双方共同维护,其中学校应该起主导作用。南京铁道职业技术学院城轨运营管理专业利用第三方工作任务,在查找安全隐患、解决安全难题、提升职工心理素质等方面为南京地铁运营公司提供了全面的运营安全咨询服务;南京地铁运营公司在获得专业服务的同时,也对学校的学生实习、教师实践、科研立项等工作给予有力支持。校企双方紧密合作,各取所需、互惠互利、相互促进,共同推进校企合作深入发展。

基于文本挖掘的患者反馈对医生服务行为的影响研究

[目的/意义]随着互联网医疗平台的发展,医患关系逐渐向“以患者为中心”转变,研究患者反馈如何影响医生的服务行为,有助于医患双方更好参与在线医疗服务。[方法/过程]根据好大夫平台的在线评论数据,利用基于情感词典的方面级情感分析方法获得多维度评论文本特征,建立评论信息量、评论文本特征与医生服务行为的研究模型并进行回归分析。[结果/结论]评论数量比评论丰富多样性更能促进医生服务行为;专业评价强度比软实力评价强度更能促进亲社会服务行为,而软实力评价强度比专业评价强度更能促进付费咨询服务行为。研究结论对改善医患关系和医疗平台发展具有参考意义。

医学工作者对医学统计学的认知态度和咨询服务需求现状调查

目的了解医学工作者对医学统计学的认知态度和咨询服务需求现状,为提高医学统计学咨询服务质量提供依据。方法于2021年12月使用自制问卷对不同专业的502名医学工作者进行在线调查。结果认知态度方面,93.63%的人认为医学统计学很重要,92.63%的认为学习难度大,仅4.98%的“总是能独立处理”统计相关问题。咨询服务需求方面,90.64%的人愿意接受医学统计学咨询服务,咨询需求最大的内容是研究设计,57.44%的咨询者需要经历至少3次沟通过程。结论医学工作者充分认识到医学统计学的重要性,但应用能力普遍较低,咨询服务需求大,现有咨询服务质量有待提高。

服务主导下智库型知识库模型构建与服务研究

为推进机构知识库的发展,提升服务质量和水平,提供服务创新理论支持与保障,构建高校智库型机构知识库服务模式,寻找服务创新的具体流程。在服务主导逻辑视角下,从用户层、需求层、服务层3个层次构建服务创新模型,对咨询服务流程进行具体分析。阐述了高校智库型机构知识库的服务理念,展现服务主导逻辑在咨询服务中的应用过程,推动平台的多样化建设。结果表明:在高校智库型机构知识库的服务过程中,要以用户需求为出发点,以海量资源为基础,以合理制度为保障,实现用户与平台的知识交流与价值共创。

基于妊娠用药登记平台的父方药物暴露临床药学服务

目的交流国内围孕期父方用药行为及模式,探讨临床药师在父方药物暴露方面可提供的药学服务类型及作用。方法以围孕期父方药物暴露患者为服务对象,介绍临床药师基于妊娠/哺乳期药学门诊开展父方药物暴露咨询的临床实践工作模式。对咨询病例信息进行回顾性调查,分析人群药物暴露特征,并与国外致畸信息服务中心数据进行比较。结果2017年10月—2022年9月,共为门诊404例父方暴露患者提供药学咨询服务,建立标准化接诊流程。父方药物暴露咨询占比3.6%,以非计划妊娠用药最为常见(79.2%),人均暴露药品(2.6±1.7)种。咨询排名前5位药物类型为抗微生物药、中成药、心血管系统药物、消化系统药物及内分泌系统药物;使用频率最高5种药物为头孢菌素、沙坦类药物、恩替卡韦、左氧氟沙星、二甲双胍。开展妊娠结局有效随访261例,随访率81.6%,现有随访结果未提示父方药物暴露后的先天性异常信号。结论国内父方药物暴露很少受到关注,研究证据十分有限。由临床药师向公众和医疗保健人员提供基于循证证据的药物风险评估与药物治疗建议,并基于病例开展观察性研究,对促进备孕期父方用药安全具有重要意义。