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find Author "黄应德" 4 results
  • Exploration of Medical Quality Management in a Newly Established Hospital under Comprehensive Trusteeship Model

    Hospital trusteeship means that the property owners of the hospital, through the form of contract and for the purpose of value preservation and proliferation, authorize a corporation or human being with strong administrative management capabilities and risk-bearing abilities to manage the hospital. With the deepening medical reform, the model has been gradually widely used. In this context, a well-known public hospital became the trustee of a newly established comprehensive private hospital. Taking the greatest advantage of its medical quality management, the trustee used SWOT (strengths, weaknesses, opportunities, and threats) analysis to develop efficient decision-making mechanism, strengthened the process optimization transformation, and improved the innovative means of information technology for the development of the new hospital, which has achieved very good results.

    Release date:2016-10-02 04:54 Export PDF Favorites Scan
  • 某院实施甲状腺癌临床路径基本情况及效果评价

    目的探讨甲状腺癌临床路径的实施对患者住院时间指标及在医疗费用降低方面的作用。 方法选择 2013 年 1 月-12 月在某院符合甲状腺癌治疗临床路径纳入标准的患者,共 254 例,将患者随机分为入径组(n=123)与对照组(n=131),对两组患者的住院费用、住院时间、术前住院时间等卫生经济指标进行分析比较。 结果入径组患者平均住院时间为(11.02±0.52)d,对照组患者平均住院时间为(14.61±0.73)d,入径组较对照组患者住院时间缩短(P<0.05);入径组患者术前平均住院时间(4.16±0.32)d,对照组术前平均住院时间为(6.67±0.46)d,入径组较对照组患者术前住院时间缩短(P<0.05)。在费用方面入径组平均医疗费用明显低于对照组(P<0.05),但患者的住院总费用并未因是否为医疗保险患者而有较大改变,同时患者医疗费用的个人和医疗保险支付比例也未因是否纳入路径产生较大影响(P>0.05)。 结论临床路径管理在提高病床周转率、降低医疗费用、提升医疗质量方面有较大促进作用。

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  • Association between Interleukin-33 Expression and Coronary Heart Disease: A Meta-analysis

    ObjectiveTo systematically review the association of interleukin-33 (IL-33) expression and coronary heart disease (CHD). MethodsWe searched The Cochrane Library, PubMed, EMbase, CBM, VIP, CNKI and WanFang Data up to June 30th, 2014, to collect case-control studies concerning the association of IL-33 expression with CHD. Two reviewers independently screened literature according the inclusion and exclusion criteria, extracted data and assessed the methodological quality of included studies; and then, meta-analysis was performed using the RevMan 5.2 software. ResultsSix case-control studies were included. The results of meta-analysis showed that:there were no significant differences in the levels of IL-33 between stable angina pectoris or ST-elevation myocardial infarction patients and healthy population (MD=-25.15, 95%CI -51.08 to 0.77, P=0.06; MD=-28.97, 95%CI -62.89 to 4.95, P=0.09). However, there were significant differences in the levels of IL-33 between unstable angina pectoris or non-ST-elevation myocardial infarction patients and healthy population (MD=-24.79, 95%CI -50.00 to 0.42, P=0.05; MD=-14.60, 95%CI -20.09 to -9.12, P<0.000 01). ConclusionIL-33 expression may be associated with unstable angina pectoris and non-ST-elevation myocardial infarction patients.

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  • Emergency management strategy for medical record quality management during the outbreak of coronavirus disease 2019

    Medical records play an important role in medical treatment, prevention, teaching, scientific research and hospital management. The epidemic situation of coronavirus disease 2019 is very serious. How to complete the writing of medical records with high quality and high efficiency under the high-intensity, high-pressure environment of the prevention, diagnosis, and treatment of coronavirus disease 2019 is an important issue for medical quality control management departments. West China Hospital of Sichuan University has adopted various measures to continuously improve the quality management of medical records, including optimizing the medical records of fever clinics and isolation wards, and using various methods of medical record quality management under the support of electronic medical record information systems, so as to improve the writing quality and efficiency of medical records during the diagnosis and treatment of coronavirus disease 2019.

    Release date:2020-05-26 02:34 Export PDF Favorites Scan
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