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find Keyword "社区医疗" 2 results
  • Impact of Community Healthcare Workers’ Knowledge, Attitude and Practice on the Influenza Vaccination among Elderly People

    Objective To explore the impact of community healthcare workers’ (CHWs) knowledge, attitude and practice (KAP) on the influenza vaccination among elderly people. Methods By means of simple random sampling, 1 residential quarter of each communities, 2 communities of each districts, 5 districts of Chengdu city were randomly selected, and the elderly equal to or more than 60-year-old were on-site investigated. Meanwhile, the questionnaire survey was conducted among healthcare workers in the selected communities. Results There were 4 KAP factors played a positive role in influenza vaccination among elderly people: CHWs’ affirmation of the effectiveness of influenza vaccine, explicitly knowing the focus groups for influenza vaccination, recommendation of vaccination in flu season when the elderly visits, and participation in flu-related education activities. When the accuracy rate of each factor got improved by 1%, the influenza vaccination rate would improve by 2.747%, 1.299%, 0.864%, 0.602%, respectively. Conclusion The knowledge, attitude and practice of HCWs have impacts on the influenza vaccination rates of elderly people. They are significant to improve the influenza vaccination rates of the elderly.

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  • 日间手术的术式准入与挑战

    日间手术可以提高医院服务效率,实现优质医疗资源利用的最大化,降低医疗费用和改善看病感受。随着内镜微创技术的进步,国内日间手术发展有星火燎原之势,但仍面对诸多挑战。医院在启动日间手术时,首先建立功能独立的日间手术中心有利于摸索完善的日间手术流程,但需要科学准入与日间手术室条件、手术医师和麻醉师技术能力、患者出院后社区康复可及性等相适应的术式。建立全国或者区域性的日间手术术式准入标准,有利于促进医疗保险支付政策向日间手术倾斜。功能完善的社区医疗和家庭全科医师服务体系将促进国内日间手术的规模化发展。

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