Objective To explore the factors which influence the doctor-patient relationship and to provide evidence to help decision makers improve hospital management and construct a harmonious doctor-patient relationship. Methods Discharged patients of West China Hospital from 2003-2006 were randomly selected and asked to complete a specially designed questionnaire. Results In total, 8 000 questionnaires were distributed and 2 526 were returned. The retrieval rate was 31.57%. The responses showed that non-medical factors have became the main factors affecting the doctor-patient relationship (91.8%). Other important factors included medical cost (21.5%) and doctor-patient communication (11.51%). Conclusion We should boost hospital management level, train non-medical staff, save costs and improve doctor-patient communication.
摘要:目的: 探讨重症急性胰腺炎的临床治疗方法。 方法 :回顾性分析我院自19984～20067共收治的各类重症急性胰腺炎患者56例。 结果 : 治疗上采取在内科治疗的基础上,选择适当手术干预,除2例并发多器官功能衰竭病死外,全部治愈出院。 结论 :重症急性胰腺炎的处理要根据患者的具体情况,应首先采取非手术治疗,并针对不同情况合理选择外科手术治疗。Abstract: Objective: To discussion the clinical treatments of the severe acute pancreatitis. Methods : Retrospective analysis all kinds of the severe acute pancreatitis from 1998420067 in our hospital. Results : The treatments are based on nonsurgical treatment and with the selection of appropriate surgical intervention, all patients have cured except tow cases who died in multiple organ failure. Conclusion : According to the specific circumstances of the patients, The treatments of severe acute pancreatitis should be adopted first nonsurgical treatment, and with a reasonable choice of the surgery for different circumstances.
Objective To provide evidence for the construction of a hospital emergency mechanism for internal supervision, based on and analysis of demands and the identification of effective measures. Methods The concepts of evidence-based health care and management methods were applied. Through the systematic collection of relevant information from CNKI and other sources, and in the light of empirical evidence following the Wenchuan earthquake, suggestions were presented. Results We identified 182 studies. The hospital emergency mechanism for internal supervision is very important in dealing with unexpected incidents. The implementation, funding and material support are the focus of supervision. Cooperation, discipline, and standardized procedures are the key to an effective mechanism. Conclusions It is suggested that the construction of a hospital emergency mechanism for internal supervision should involve prevention, response and recovery.
ObjectiveTo explore the relationship between the pressure level within the scope of promoting proliferation and cell injury of human bladder smooth muscle cells (HBSMCs). MethodHBSMCs in vitro were divided into the experimental group and control group. The cells in the experimental group were exposed to 40 cm H2O (1 cm H2O=0.098 kPa) pressure and those in the control group were cultured in normal condition for 24 hours. We investigated the cell morphology and cytoskeleton with indirect immunofluorescence staining for α-actin. Propidium iodide (PI) staining was applied to evaluate the level of cell apoptosis. ResultsThere was no significant difference in the cell morphology between the two groups. However, the expression of α-actin in the experimental group[(50.93±1.99)%] was significantly reduced comparing with that in the control group[(24.70±1.61)%] (t=32.404, P<0.001). The results of PI staining showed that compared with the control group[(3.50±2.12)%], the number of PI staining positive cells in the experimental group [(9.00±1.41)%] was significantly higher (t=6.110, P<0.001). ConclusionsPressure condition can promotes cell proliferation, but at the same time, it can also lead to cell injury of HBSMCs.
Objectives To survey the training needs of the management reserve talents in West China Hospital of Sichuan University, so as to provide evidence for improving the pertinence and effectiveness of the training system. Methods A survey of training needs in terms of training contents and methods was performed on 181 management reserve talents in our hospital by self-designed questionnaire. The survey results were descriptively analyzed based on rate and percentage. Results Among the 181 questionnaires issued, 148 (81.8%) were recovered. For the training contents, 59.5% of them concerned more about enhancement of management ability, with the top three most preferred training contents as personnel management, systematic management thinking, and work management. For the training methods, internal training, external communication, and external teachers were the three most preferred. Conclusions To enable the management reserve talents transit from medical to management positions, the hospital should classify them according to the needs and requirements of the organization, the position and the talent him/herself. Based on such classification, customized training can be carried out with innovative training modules.
In the era of we-media, the external publicity work of hospitals has some problems, such as the content deviating from the needs of the audience, the internal and external publicity platforms being not separate, the synchronized operation of diversified platforms being difficult, and the stereotyped expression mode affecting the communication effect. Based on the practical experience and remarkable achievements of West China Hospital of Sichuan University in we-media construction, this paper puts forward that public hospitals should choose suitable content, channels, and ways of expression in order to give full play to we-media in their external publicity work.
ObjectiveTo study status-quo of humanity quality education of clinical medical postgraduates in China, provide ideas and suggestion for humanity quality education of medical postgraduates. MethodsGeneral evidence-based concepts and management research methods were applied. CNKI as well as other main official websites in China were searched to collect Chinese literature about humanity quality education of medical postgraduates. Then descriptive analysis was performed. ResultsA total of 62 studies were included. The results of qualitative analysis showed that, humanity quality education was not enough in class hours, category setting, demanding satisfaction, and actual effects. The effects of tutors did not effectively play in humanity quality education. General contents of humanity quality education were not the focus of education for clinical medical graduates. We should not easily replace humanity quality education evaluation with education assessment. ConclusionWe should improve humanity quality course setting, models and construction in humanity quality education of clinical medical postgraduates; take values, ideas, innovation and thinking capacity as content focus; consistently develop the style of humanity quality education; improve the effects of tutors on humanity quality education; and establish relevant complete effect evaluation system.
ObjectiveTo summarize the clinical features of pulmonary mucoepidermoid carcinoma (PMEC) and improve the level of the diagnosis and therapy.MethodsA case of PMEC was reported and related literatures were reviewed in PubMed, WanFang data and China National Knowledge Infrastructure.ResultsA 21-year-old female patient, complaining of cough and expectoration for 5 months, intermittent hemoptysis for 3 months and repeated fever more than 4 days, was hospitalized in March 2017. After admission, the patient was diagnosed as low-grade PMEC and received anti-infection, fibrobronchoscope sputum aspiration and alveolar lavage therapy. During the hospitalization, the anti-infection of the patients was not much effective, and the chest CT examination suggested space-occupying lesions in the middle lobe of the right lung. After the surgical removal of the right lung, the syndrome of the patient was improved. A total of 13 patients were reviewed, there was no obvious gender difference, and the median age was about 40 years old (most frequently occurred in younger adults with an average age less than 50 years). Frequent clinical manifestations were cough, fever and hemoptysis, which were often accompanied with atelectasis. Most of the patients could be improved after surgical resection, and a few need comprehensive treatment including radiotherapy, chemotherapy and targeted treatment, etc.ConclusionsPMEC is rare and the etiology is still unclear. The pathology is mainly low-grade. Majority of patients with PMEC could be cured after surgical resection.