Against the backdrop of the accelerated aging of the population,the elderly care model integrating medical and elderly care services has become a crucial approach to addressing the challenges of elderly care.As direct...Against the backdrop of the accelerated aging of the population,the elderly care model integrating medical and elderly care services has become a crucial approach to addressing the challenges of elderly care.As direct providers of integrated medical and elderly care services,the professional competence of elderly caregivers directly affects the quality of services and the quality of life of the elderly.This paper aims to conduct an in-depth study on the professional competence of elderly caregivers under the integrated medical and elderly care model.Firstly,it clarifies the components of elderly caregivers’professional competence,analyzes the existing problems in their current professional competence,and proposes targeted improvement strategies.The purpose is to build a high-quality and professional team of elderly caregivers,provide strong support for the development of the integrated medical and elderly care cause,and promote the professionalization of integrated medical and elderly care services.展开更多
At present,China has entered an aging society,and there is an urgent need for a large number of high-quality geriatric nursing professionals.However,the existing geriatric nursing team is difficult to meet the actual ...At present,China has entered an aging society,and there is an urgent need for a large number of high-quality geriatric nursing professionals.However,the existing geriatric nursing team is difficult to meet the actual needs both in terms of quality and quantity.In this regard,under the background of the integration of medical and elderly care services,colleges and universities should strengthen the training of geriatric nursing talents.This paper conducts an in-depth analysis on the training of geriatric nursing teams under the background of the integration of medical and elderly care services,aiming to provide some references for promoting the reform of geriatric nursing talent training in colleges and universities and improving the level of geriatric nursing services in China.展开更多
Objective To explore the different modes and approaches of medical and preventive integration in current primary health care institutions in China.Methods Through literature analysis,field research,telephone interview...Objective To explore the different modes and approaches of medical and preventive integration in current primary health care institutions in China.Methods Through literature analysis,field research,telephone interviews,and other methods the implementation status was evaluated to systematically study the main experience and effect of implementing medical and preventive integration services in pilot areas.Results and Conclusion At present,there are three implementation modes of medical-prevention integration,namely,vertical mode based on the medical community,internal mode with optimized service process,and internal mode with great service capabilities.The three medical-prevention integration modes have their respective focuses,but they need to be further improved in terms of policy support,technical staffing,information system construction,and drug use.展开更多
High-quality public health service of medical and prevention integration is the premise of people's healthy life, and general hospital is an important link. This paper expounds the current situation of public heal...High-quality public health service of medical and prevention integration is the premise of people's healthy life, and general hospital is an important link. This paper expounds the current situation of public health service of general hospital, analyzes the difficulties and solutions, and provides reference for promoting the reform of public health service system of medical and prevention integration.展开更多
This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated ins...This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated institutions.The research employed a self-designed questionnaire titled“Humanistic Care Experience and Demand Influencing Factors”to collect subjective perceptions regarding basic care,psychological support,health education,and social interaction using a Likert five-point scale.Descriptive statistics,one-way ANOVA,and multiple regression modeling were conducted with SPSS 25.0 software.Results indicated that overall humanistic care experience scores were moderately high,with the“caregiving”dimension scoring highest and“psychological/social support”the lowest.Analysis revealed significant correlations between educational attainment,income,self-reported health status,and family support frequency(P<0.001),particularly among seniors with higher education,better health,and stronger family support.While integrated care facilities provide relatively comprehensive basic care,they should focus on addressing gaps in humanistic services,especially providing targeted support for groups with“low education,low income,poor health,and lack of family support.”展开更多
Objective:To investigate the effectiveness of a competency-oriented TCM workshop teaching model for integrated medical and elderly care in geriatric nursing positions.Methods:A stratified sampling method was employed ...Objective:To investigate the effectiveness of a competency-oriented TCM workshop teaching model for integrated medical and elderly care in geriatric nursing positions.Methods:A stratified sampling method was employed to select 100 nurses from three integrated medical-care institutions in Guangyuan City.Using digital randomization,they were divided into a control group(conventional teaching model)and an educational reform group(competency-oriented TCM workshop model).The two groups were compared in training performance,evaluation of teaching models,job competency,and TCM nursing service quality.Results:The educational reform group demonstrated statistically significant higher scores(P<0.05),better evaluations of teaching models,enhanced job competencies,and improved TCM nursing service quality compared to the control group.Conclusion:This competency-oriented TCM workshop teaching model effectively enhances nursing competencies in geriatric care,fully leverages TCM’s unique advantages,better meets elderly patients’medical and care needs,and improves the elderly experience in integrated medical-care institutions.展开更多
Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with prim...Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with primary health services.This study aimed to evaluate the performance of the urban medical group using the triangular value chain framework.Methods:The evaluation was conducted using the Donabedian model,focusing on three key dimensions:safety and quality,accessibility,and affordability.Longitudinal data were collected from 2016 to 2022 through government annual reports,the medical insurance bureau,and hospital information systems.Preprogram and postprogram outcome measurements were compared to assess differences and trends,providing a clear picture of the program's effectiveness.Results:Accessibility improved significantly,with the number of hospital beds per 1000 residents increasing from 2.62 in 2017 to 3.76 in 2022.The availability of general practitioners(GPs)also rose markedly,from 0 per 10,000 residents in 2017 to 6.27 in 2022.Regarding safety and quality,the proportion of complex medical procedures conducted within the New District expanded substantially,from 7.35%in 2017 to 38.11%in 2021.Additionally,there was an enhancement in the standardized management rate of chronic diseases.Affordability assessments showed that the proportion of medical income derived from the medical insurance fund increased by nearly 22.81 percentage points between 2012 and 2021.By 2021,75.02%of medical patients were covered by medical insurance,representing an increase of approximately 44 percentage points from 31.19%in 2012.Conclusions:The implementation of the urban medical group in Dapeng New District has led to substantial improvements in healthcare accessibility,safety and quality,and affordability.Future initiatives will focus on advancing the“Dapeng Mode”to generate exemplary healthcare outcomes and minimize disparities in basic health services and health status between urban and rural populations.The reform agenda includes piloting payment reforms and innovative payment models within the Dapeng group,complemented by a health assessment and performance incentive system aimed at encouraging healthcare institutions to prioritize health management.展开更多
Medical laboratory science is an essential component of healthcare services.The quality of laboratory services is not only highly correlated with doctors’theoretical knowledge and practical skills but is also greatly...Medical laboratory science is an essential component of healthcare services.The quality of laboratory services is not only highly correlated with doctors’theoretical knowledge and practical skills but is also greatly influenced by their professional ethics and ideological standards.Therefore,it is necessary to implement ideological and political education in the curriculum for medical laboratory students,aiming to elevate their ideological and moral standards,enhance their work enthusiasm,and alleviate job burnout.This article explores the positive impact of ideological and political education on cultivating professionalism in medical laboratory students and discusses its application in this context,considering the current situation of professional ethics training for these students.展开更多
Objective: to compare the safety and effectiveness of different chest physiotherapy in ICU. Methods: using random digital table method, in Yancheng, a tertiary a hospital in ICU2020 years to January 2021 ICU admitted ...Objective: to compare the safety and effectiveness of different chest physiotherapy in ICU. Methods: using random digital table method, in Yancheng, a tertiary a hospital in ICU2020 years to January 2021 ICU admitted mechanical ventilation patients into control 1, 2 and test groups, three groups using traditional artificial back (control 1), mechanical sputum (control 2) and medical integrated management mode (group) for chest physical therapy, record patients arterial blood gas analysis index value (PaO2, SaO2, PaCO2), heart rate, respiratory rate and mechanical ventilation time. Results: the PaO2 and PaCO2 values varied between test group and control group 1 (P <0.05);no difference in SaO2 values (P> 0.05);and heart rate, respiratory rate and mechanical ventilation time were differences between test group and control group 1 (P <0.05). Conclusion: the integrated medical management mode of ICU mechanical ventilation patients is not only simple and convenient to avoid cross-infection, but also conducive to the medical staff to understand the condition changes and sputum discharge in each shift in the process of shift, which reflects the humanization and personalization of nursing, and achieves the purpose of promoting the rehabilitation of ICU patients.展开更多
The present study examines the various techniques being used to maintain the integrity of the medical devices,and develops a quantitative framework to list these in the sequence of priority.To achieve the intended obj...The present study examines the various techniques being used to maintain the integrity of the medical devices,and develops a quantitative framework to list these in the sequence of priority.To achieve the intended objective,the study employs the combined procedure of Fuzzy Analytic Network Process(ANP)and Fuzzy Technical for Order Preference by Similarities to Ideal Solution(TOPSIS).We selected fuzzy based decision making techniques for assessing the integrity of medical devices.The suggested methodology was then used for classifying the suitable techniques used to evaluate the integrity of medical devices.Different techniques or the procedures of integrity assessment were ranked according to their satisfaction weights.The rating of the options determined the order of priority for the procedures.As per the findings of the study,among all the options,A1 was assessed to be the most likely option.This means that the integrity of medical devices of A2 is the highest amongst all the chosen alternatives.This analysis will be a corroborative guideline for manufacturers and developers to quantitatively test the integrity of medical devices in order to engineer efficacious devices.The evaluations undertaken with the assistance of the planned procedure are accurate and conclusive.Hence instead of conducting a manual valuation,this experimental study is a better and reliable option for assessing the integrity of the medical devices.展开更多
Reproductive immunology is a crossed subject of reproductive biology and immunobiology. Great progresses have been achieved in the subject along with the deep development in life science. Modern reproductive immunolog...Reproductive immunology is a crossed subject of reproductive biology and immunobiology. Great progresses have been achieved in the subject along with the deep development in life science. Modern reproductive immunology includes immunological regulation of fertility, materno-fetal immuno-regu-lation, and neuro-reproductive endocrino-immune network. With the integrated traditional Chinese and western medicine (ICWM) applied to reproductive immunology it has been greatly enriched in research contents and depth. The present review is to introduce the recent progresses in research of integrated medicine on reproductive immunology.展开更多
With the gradual intensification of aging in China,the issue of elderly care has become the primary issue that needs to be urgently solved in society.The construction of a reasonable and scientific integrated medical ...With the gradual intensification of aging in China,the issue of elderly care has become the primary issue that needs to be urgently solved in society.The construction of a reasonable and scientific integrated medical and care service system can not only efficiently allocate medical resources and services,but also better meet the needs of the elderly.Due to the involvement of multiple disciplines such as architecture,sociology,psychology,and behavioral science in the construction of the system,as well as the restriction of various objective factors such as medical capacity,spatial scale,and operating costs,the government and elderly care institutions have always been unable to find the best solution for how to scientifically and reasonably construct an integrated medical and care service system.This paper is based on Anshan City,Liaoning Province,which has prominent aging issues and distinct characteristics of the elderly population.Through extensive field research in elderly care institutions,and face-to-face communication with personnel from relevant government departments such as the Municipal Commission on Aging,the Civil Affairs Bureau,the Health Commission,the Medical Insurance Bureau,and the Human Resources and Social Security Bureau,it truly understands the problems that arise in the construction of the urban integrated medical and care service system.From three aspects:urban situation,institutional situation and the needs of the elderly,it is proposed to establish a clear departmental linkage mechanism with clear rights and responsibilities,a policy guarantee mechanism tailored to local conditions,a multi-measure operation mechanism,a technology first intelligent response mechanism,a warm and efficient service mechanism for the people,an overall layout mechanism,an evaluation and supervision mechanism for full process control,and a talent supply mechanism of external introduction and internal training.It aims to provide reference for the construction of an integrated medical and care service system in similar cities.展开更多
Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,...Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the application effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PG),glycated hemoglobin(Hb Alc),and self-care ability were compared between the two groups before and after intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P<0.05).The LVEDD and LVESD in Group A were lower than in Group B after intervention,while LVEF was higher than in Group B(P<0.05).After intervention,the levels of FBG,2h PG,Hb Alc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFSc B-9)in both groups decreased,with Group A being lower than Group B(P<0.05).Conclusions Integrated medical and nursing rehabilitation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients’condition,and enhance their quality of life and self-care ability.[S Chin J Cardiol 2024;25(1):44-49]展开更多
Objective:To explore the clinical efficacy of the integrated medical care model combined with psychological intervention in pulmonary tuberculosis patients with lung cancer.Methods:From January to December 2022,60 pul...Objective:To explore the clinical efficacy of the integrated medical care model combined with psychological intervention in pulmonary tuberculosis patients with lung cancer.Methods:From January to December 2022,60 pulmonary tuberculosis patients with lung cancer admitted to our hospital were selected as the research subjects.Using the random number table method,the patients were divided into two groups,a control group and a study group,with 30 cases in each group.The chest computed tomography(CT)examination results,mental state assessment(including depression scale and anxiety scale)scores,incidence of adverse reactions,treatment effect,and length of hospital stay were compared between the two groups.Results:The treatment effect of the patients in the study group was better than that of the patients in the control group(P<0.05);the duration of hospitalization,chest CT examination results,mental state assessment scores,and incidence of adverse reactions of the study group and the control group,were significantly different(P<0.05).Conclusion:The integrated medical care model combined with psychological intervention can effectively improve the treatment effect of pulmonary tuberculosis patients with lung cancer and prevent the occurrence of adverse reactions;thus,it should be promoted in clinical practice.展开更多
Objective:To explore the effect of integrated medical and nursing care in patients with pulmonary tuberculosis combined with lung cancer.Methods:From August 2021 to August 2022,60 patients with pulmonary tuberculosis ...Objective:To explore the effect of integrated medical and nursing care in patients with pulmonary tuberculosis combined with lung cancer.Methods:From August 2021 to August 2022,60 patients with pulmonary tuberculosis combined with lung cancer were admitted.All patients were diagnosed with pulmonary tuberculosis according to the Guidelines for the Diagnosis and Treatment of Pulmonary Tuberculosis and with lung cancer by pathology.The patients were randomly divided into two groups,with 30 cases in each group.The control group received daily nursing care,whereas the study group received integrated medical and nursing care.The sputum conversion rate,tumor remission rate,and quality of life of patients were observed and analyzed.Results:The item function score and symptom function score of the observation group were higher than those of the control group(P<0.05);the total effective rate of the observation group was significantly higher than that of the control group(P<0.05);the sputum conversion rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:For patients with pulmonary tuberculosis combined with lung cancer,the application of integrated medical and nursing care can help consolidate the treatment effect and improve the quality of life of patients;thus,it is worthy of promotion and application.展开更多
Objective: To evaluate the effect of comprehensive care on glioma patients and on their quality of life and surgical effect. Methods: 60 hospitalized glioma patients were selected as the main body (2019.11-2021). All ...Objective: To evaluate the effect of comprehensive care on glioma patients and on their quality of life and surgical effect. Methods: 60 hospitalized glioma patients were selected as the main body (2019.11-2021). All patients were surgically treated and divided into two groups by type. This group was designated as the study group (30 cases) and the control group (30 cases). The control group used usual care and integrated care. To compare surgical efficacy, quality of life, pain, satisfaction with care, and mood state. Results: High quality, surgical efficacy of life, nursing satisfaction, low pain score and emotional status in the control group (P <0.05). Conclusion: Comprehensive nursing is ideal for glioma patients, which can reduce pain and bad mood, and improve nursing satisfaction and quality of life.展开更多
The Chinese government has issued a series of policies to promote the development of community medical and nursing integrated services.Since the development of these services involves the transition of medical and hea...The Chinese government has issued a series of policies to promote the development of community medical and nursing integrated services.Since the development of these services involves the transition of medical and health services from public spaces to private spaces,the home has become a critical factor in service provision.It is therefore essential to consider the concept of home and the sense of at-homeness in the research and practice of community medical and nursing integrated services in China to avoid prioritizing"others"over"self-being."Through an analysis of three cases from Britain,the United States,and the Netherlands,this article demonstrates that a sense of control and social connection are key components of the elderly’s sense of at-homeness.Community medical and nursing integrated services should not only enable the elderly to maintain their sense of self-control but also assist in building a supportive social network.展开更多
Traditional Chinese medicine(TCM)is a treasure of the Chinese culture,with a long history of use,while Western medicine,characterized by empirical evidence and linear methods,is an established global medical system.Th...Traditional Chinese medicine(TCM)is a treasure of the Chinese culture,with a long history of use,while Western medicine,characterized by empirical evidence and linear methods,is an established global medical system.The integration of these two systems provides a synergistic strategy capable of tackling medical issues inadequately treated by each system independently.The history of integrated Chinese and Western medicine in China dates back to the 19th century and has evolved significantly,particularly with support from the Chinese government in recent decades.This commentary outlines the necessary conditions for successful integration of the two systems,including mutual respect,collaboration,and innovation within TCM,while also accessing modern information technologies such as artificial intelligence and high-throughput-omics techniques.Meanwhile,flexible hospital management systems and guidelines for evaluating quality of service are needed to support integrative work and need attention.The ultimate goal of constructing top-tier public medical institutions in China that integrate TCM and Western medicine will lead to more capable and accessible clinical services and improved healthcare outcomes.展开更多
With the gradual deepening of aging,the barrier-free design of outdoor spaces in healthcare and wellness buildings is crucial to the quality of life for the elderly in their later years.The mountainous terrain of Chon...With the gradual deepening of aging,the barrier-free design of outdoor spaces in healthcare and wellness buildings is crucial to the quality of life for the elderly in their later years.The mountainous terrain of Chongqing poses higher requirements for barrier-free design.This paper analyzes the barrier-free needs of the elderly,systematically reviews the current status of barrier-free design in Chongqing’s healthcare and wellness buildings,and proposes targeted smart strategy suggestions from four aspects:barrier-free transportation space,activity space,landscape sketches,and place spirit,combining regional characteristics.These suggestions aim to improve and enhance the quality of the elderly care environment in Chongqing.展开更多
In recent years,with the accelerating aging process of the population,China has entered an aging society,and the number of elderly patients with chronic diseases has been increasing.The traditional medical and elderly...In recent years,with the accelerating aging process of the population,China has entered an aging society,and the number of elderly patients with chronic diseases has been increasing.The traditional medical and elderly care service models can no longer fully meet their needs.The integrated medical and elderly care model has emerged as the times require.It organically combines medical resources with elderly care resources to provide comprehensive and continuous health management services for the elderly,becoming an important approach to solving the problems of chronic disease management among the elderly.In this regard,this paper first elaborates on the role of integrated medical and elderly care in the management of chronic diseases among the elderly,and then puts forward application strategies of integrated medical and elderly care in the management of chronic diseases among the elderly,in order to provide certain reference for relevant researchers.展开更多
文摘Against the backdrop of the accelerated aging of the population,the elderly care model integrating medical and elderly care services has become a crucial approach to addressing the challenges of elderly care.As direct providers of integrated medical and elderly care services,the professional competence of elderly caregivers directly affects the quality of services and the quality of life of the elderly.This paper aims to conduct an in-depth study on the professional competence of elderly caregivers under the integrated medical and elderly care model.Firstly,it clarifies the components of elderly caregivers’professional competence,analyzes the existing problems in their current professional competence,and proposes targeted improvement strategies.The purpose is to build a high-quality and professional team of elderly caregivers,provide strong support for the development of the integrated medical and elderly care cause,and promote the professionalization of integrated medical and elderly care services.
文摘At present,China has entered an aging society,and there is an urgent need for a large number of high-quality geriatric nursing professionals.However,the existing geriatric nursing team is difficult to meet the actual needs both in terms of quality and quantity.In this regard,under the background of the integration of medical and elderly care services,colleges and universities should strengthen the training of geriatric nursing talents.This paper conducts an in-depth analysis on the training of geriatric nursing teams under the background of the integration of medical and elderly care services,aiming to provide some references for promoting the reform of geriatric nursing talent training in colleges and universities and improving the level of geriatric nursing services in China.
基金Source of the project:the Social Science Planning Fund Project of Liaoning Province(L19BG034)the Philosophy and Social Science Planning Key Project of Shenyang City(SZ202001L)the Key Project of Shenyang Social Science Funding(SYSK2020-04-01).
文摘Objective To explore the different modes and approaches of medical and preventive integration in current primary health care institutions in China.Methods Through literature analysis,field research,telephone interviews,and other methods the implementation status was evaluated to systematically study the main experience and effect of implementing medical and preventive integration services in pilot areas.Results and Conclusion At present,there are three implementation modes of medical-prevention integration,namely,vertical mode based on the medical community,internal mode with optimized service process,and internal mode with great service capabilities.The three medical-prevention integration modes have their respective focuses,but they need to be further improved in terms of policy support,technical staffing,information system construction,and drug use.
文摘High-quality public health service of medical and prevention integration is the premise of people's healthy life, and general hospital is an important link. This paper expounds the current situation of public health service of general hospital, analyzes the difficulties and solutions, and provides reference for promoting the reform of public health service system of medical and prevention integration.
基金Survey and Analysis on Humanistic Care Experience and Influencing Factors of Elderly Residents in 3 Integrated Medical and Nursing Institutions in Guangyuan City(Project No.:24SCLN055)。
文摘This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated institutions.The research employed a self-designed questionnaire titled“Humanistic Care Experience and Demand Influencing Factors”to collect subjective perceptions regarding basic care,psychological support,health education,and social interaction using a Likert five-point scale.Descriptive statistics,one-way ANOVA,and multiple regression modeling were conducted with SPSS 25.0 software.Results indicated that overall humanistic care experience scores were moderately high,with the“caregiving”dimension scoring highest and“psychological/social support”the lowest.Analysis revealed significant correlations between educational attainment,income,self-reported health status,and family support frequency(P<0.001),particularly among seniors with higher education,better health,and stronger family support.While integrated care facilities provide relatively comprehensive basic care,they should focus on addressing gaps in humanistic services,especially providing targeted support for groups with“low education,low income,poor health,and lack of family support.”
基金Application Research on the Competency-Oriented Integrated Medical and Elderly Care Workshop Teaching Model with Traditional Chinese Medicine Characteristics for Elderly Care Positions(Project No.:JGJD202328)。
文摘Objective:To investigate the effectiveness of a competency-oriented TCM workshop teaching model for integrated medical and elderly care in geriatric nursing positions.Methods:A stratified sampling method was employed to select 100 nurses from three integrated medical-care institutions in Guangyuan City.Using digital randomization,they were divided into a control group(conventional teaching model)and an educational reform group(competency-oriented TCM workshop model).The two groups were compared in training performance,evaluation of teaching models,job competency,and TCM nursing service quality.Results:The educational reform group demonstrated statistically significant higher scores(P<0.05),better evaluations of teaching models,enhanced job competencies,and improved TCM nursing service quality compared to the control group.Conclusion:This competency-oriented TCM workshop teaching model effectively enhances nursing competencies in geriatric care,fully leverages TCM’s unique advantages,better meets elderly patients’medical and care needs,and improves the elderly experience in integrated medical-care institutions.
文摘Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with primary health services.This study aimed to evaluate the performance of the urban medical group using the triangular value chain framework.Methods:The evaluation was conducted using the Donabedian model,focusing on three key dimensions:safety and quality,accessibility,and affordability.Longitudinal data were collected from 2016 to 2022 through government annual reports,the medical insurance bureau,and hospital information systems.Preprogram and postprogram outcome measurements were compared to assess differences and trends,providing a clear picture of the program's effectiveness.Results:Accessibility improved significantly,with the number of hospital beds per 1000 residents increasing from 2.62 in 2017 to 3.76 in 2022.The availability of general practitioners(GPs)also rose markedly,from 0 per 10,000 residents in 2017 to 6.27 in 2022.Regarding safety and quality,the proportion of complex medical procedures conducted within the New District expanded substantially,from 7.35%in 2017 to 38.11%in 2021.Additionally,there was an enhancement in the standardized management rate of chronic diseases.Affordability assessments showed that the proportion of medical income derived from the medical insurance fund increased by nearly 22.81 percentage points between 2012 and 2021.By 2021,75.02%of medical patients were covered by medical insurance,representing an increase of approximately 44 percentage points from 31.19%in 2012.Conclusions:The implementation of the urban medical group in Dapeng New District has led to substantial improvements in healthcare accessibility,safety and quality,and affordability.Future initiatives will focus on advancing the“Dapeng Mode”to generate exemplary healthcare outcomes and minimize disparities in basic health services and health status between urban and rural populations.The reform agenda includes piloting payment reforms and innovative payment models within the Dapeng group,complemented by a health assessment and performance incentive system aimed at encouraging healthcare institutions to prioritize health management.
文摘Medical laboratory science is an essential component of healthcare services.The quality of laboratory services is not only highly correlated with doctors’theoretical knowledge and practical skills but is also greatly influenced by their professional ethics and ideological standards.Therefore,it is necessary to implement ideological and political education in the curriculum for medical laboratory students,aiming to elevate their ideological and moral standards,enhance their work enthusiasm,and alleviate job burnout.This article explores the positive impact of ideological and political education on cultivating professionalism in medical laboratory students and discusses its application in this context,considering the current situation of professional ethics training for these students.
文摘Objective: to compare the safety and effectiveness of different chest physiotherapy in ICU. Methods: using random digital table method, in Yancheng, a tertiary a hospital in ICU2020 years to January 2021 ICU admitted mechanical ventilation patients into control 1, 2 and test groups, three groups using traditional artificial back (control 1), mechanical sputum (control 2) and medical integrated management mode (group) for chest physical therapy, record patients arterial blood gas analysis index value (PaO2, SaO2, PaCO2), heart rate, respiratory rate and mechanical ventilation time. Results: the PaO2 and PaCO2 values varied between test group and control group 1 (P <0.05);no difference in SaO2 values (P> 0.05);and heart rate, respiratory rate and mechanical ventilation time were differences between test group and control group 1 (P <0.05). Conclusion: the integrated medical management mode of ICU mechanical ventilation patients is not only simple and convenient to avoid cross-infection, but also conducive to the medical staff to understand the condition changes and sputum discharge in each shift in the process of shift, which reflects the humanization and personalization of nursing, and achieves the purpose of promoting the rehabilitation of ICU patients.
基金Funding for this study was granted by the King Abdul-Aziz City for Science and Technology(KACST),Kingdom of Saudi Arabia under the Grant Number:12-INF2970-10.
文摘The present study examines the various techniques being used to maintain the integrity of the medical devices,and develops a quantitative framework to list these in the sequence of priority.To achieve the intended objective,the study employs the combined procedure of Fuzzy Analytic Network Process(ANP)and Fuzzy Technical for Order Preference by Similarities to Ideal Solution(TOPSIS).We selected fuzzy based decision making techniques for assessing the integrity of medical devices.The suggested methodology was then used for classifying the suitable techniques used to evaluate the integrity of medical devices.Different techniques or the procedures of integrity assessment were ranked according to their satisfaction weights.The rating of the options determined the order of priority for the procedures.As per the findings of the study,among all the options,A1 was assessed to be the most likely option.This means that the integrity of medical devices of A2 is the highest amongst all the chosen alternatives.This analysis will be a corroborative guideline for manufacturers and developers to quantitatively test the integrity of medical devices in order to engineer efficacious devices.The evaluations undertaken with the assistance of the planned procedure are accurate and conclusive.Hence instead of conducting a manual valuation,this experimental study is a better and reliable option for assessing the integrity of the medical devices.
文摘Reproductive immunology is a crossed subject of reproductive biology and immunobiology. Great progresses have been achieved in the subject along with the deep development in life science. Modern reproductive immunology includes immunological regulation of fertility, materno-fetal immuno-regu-lation, and neuro-reproductive endocrino-immune network. With the integrated traditional Chinese and western medicine (ICWM) applied to reproductive immunology it has been greatly enriched in research contents and depth. The present review is to introduce the recent progresses in research of integrated medicine on reproductive immunology.
基金the 2021 General Project of Liaoning Department of Education(LJKR0125)the 2021 General Project of National Natural Science Foundation of China(52178011)+1 种基金the 2021 Liaoning Provincial Social Science Planning Fund Project(L21BRK003)the 2023 Research Topic on the Economic and Social Development of Liaoning Province(2023lslybkt-076).
文摘With the gradual intensification of aging in China,the issue of elderly care has become the primary issue that needs to be urgently solved in society.The construction of a reasonable and scientific integrated medical and care service system can not only efficiently allocate medical resources and services,but also better meet the needs of the elderly.Due to the involvement of multiple disciplines such as architecture,sociology,psychology,and behavioral science in the construction of the system,as well as the restriction of various objective factors such as medical capacity,spatial scale,and operating costs,the government and elderly care institutions have always been unable to find the best solution for how to scientifically and reasonably construct an integrated medical and care service system.This paper is based on Anshan City,Liaoning Province,which has prominent aging issues and distinct characteristics of the elderly population.Through extensive field research in elderly care institutions,and face-to-face communication with personnel from relevant government departments such as the Municipal Commission on Aging,the Civil Affairs Bureau,the Health Commission,the Medical Insurance Bureau,and the Human Resources and Social Security Bureau,it truly understands the problems that arise in the construction of the urban integrated medical and care service system.From three aspects:urban situation,institutional situation and the needs of the elderly,it is proposed to establish a clear departmental linkage mechanism with clear rights and responsibilities,a policy guarantee mechanism tailored to local conditions,a multi-measure operation mechanism,a technology first intelligent response mechanism,a warm and efficient service mechanism for the people,an overall layout mechanism,an evaluation and supervision mechanism for full process control,and a talent supply mechanism of external introduction and internal training.It aims to provide reference for the construction of an integrated medical and care service system in similar cities.
基金supported by the Natural Science Foundation of Hunan Province(No.2021JJ40505)。
文摘Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the application effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PG),glycated hemoglobin(Hb Alc),and self-care ability were compared between the two groups before and after intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P<0.05).The LVEDD and LVESD in Group A were lower than in Group B after intervention,while LVEF was higher than in Group B(P<0.05).After intervention,the levels of FBG,2h PG,Hb Alc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFSc B-9)in both groups decreased,with Group A being lower than Group B(P<0.05).Conclusions Integrated medical and nursing rehabilitation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients’condition,and enhance their quality of life and self-care ability.[S Chin J Cardiol 2024;25(1):44-49]
文摘Objective:To explore the clinical efficacy of the integrated medical care model combined with psychological intervention in pulmonary tuberculosis patients with lung cancer.Methods:From January to December 2022,60 pulmonary tuberculosis patients with lung cancer admitted to our hospital were selected as the research subjects.Using the random number table method,the patients were divided into two groups,a control group and a study group,with 30 cases in each group.The chest computed tomography(CT)examination results,mental state assessment(including depression scale and anxiety scale)scores,incidence of adverse reactions,treatment effect,and length of hospital stay were compared between the two groups.Results:The treatment effect of the patients in the study group was better than that of the patients in the control group(P<0.05);the duration of hospitalization,chest CT examination results,mental state assessment scores,and incidence of adverse reactions of the study group and the control group,were significantly different(P<0.05).Conclusion:The integrated medical care model combined with psychological intervention can effectively improve the treatment effect of pulmonary tuberculosis patients with lung cancer and prevent the occurrence of adverse reactions;thus,it should be promoted in clinical practice.
基金Baoding Science and Technology Plan Project“The Effect of Medical-Nurse Integrated Nursing Model Combined with Psychological Intervention on the Clinical Curative Effect of Tuberculosis and Lung Cancer Patients”(Project number:2141ZF318).
文摘Objective:To explore the effect of integrated medical and nursing care in patients with pulmonary tuberculosis combined with lung cancer.Methods:From August 2021 to August 2022,60 patients with pulmonary tuberculosis combined with lung cancer were admitted.All patients were diagnosed with pulmonary tuberculosis according to the Guidelines for the Diagnosis and Treatment of Pulmonary Tuberculosis and with lung cancer by pathology.The patients were randomly divided into two groups,with 30 cases in each group.The control group received daily nursing care,whereas the study group received integrated medical and nursing care.The sputum conversion rate,tumor remission rate,and quality of life of patients were observed and analyzed.Results:The item function score and symptom function score of the observation group were higher than those of the control group(P<0.05);the total effective rate of the observation group was significantly higher than that of the control group(P<0.05);the sputum conversion rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:For patients with pulmonary tuberculosis combined with lung cancer,the application of integrated medical and nursing care can help consolidate the treatment effect and improve the quality of life of patients;thus,it is worthy of promotion and application.
文摘Objective: To evaluate the effect of comprehensive care on glioma patients and on their quality of life and surgical effect. Methods: 60 hospitalized glioma patients were selected as the main body (2019.11-2021). All patients were surgically treated and divided into two groups by type. This group was designated as the study group (30 cases) and the control group (30 cases). The control group used usual care and integrated care. To compare surgical efficacy, quality of life, pain, satisfaction with care, and mood state. Results: High quality, surgical efficacy of life, nursing satisfaction, low pain score and emotional status in the control group (P <0.05). Conclusion: Comprehensive nursing is ideal for glioma patients, which can reduce pain and bad mood, and improve nursing satisfaction and quality of life.
基金Project of Zhejiang Modern Service Industry Research Center(Project No.SXFJ202203)High-End Pre-Research Project of Zhejiang Shuren University(Project No.2023XZ028)。
文摘The Chinese government has issued a series of policies to promote the development of community medical and nursing integrated services.Since the development of these services involves the transition of medical and health services from public spaces to private spaces,the home has become a critical factor in service provision.It is therefore essential to consider the concept of home and the sense of at-homeness in the research and practice of community medical and nursing integrated services in China to avoid prioritizing"others"over"self-being."Through an analysis of three cases from Britain,the United States,and the Netherlands,this article demonstrates that a sense of control and social connection are key components of the elderly’s sense of at-homeness.Community medical and nursing integrated services should not only enable the elderly to maintain their sense of self-control but also assist in building a supportive social network.
文摘Traditional Chinese medicine(TCM)is a treasure of the Chinese culture,with a long history of use,while Western medicine,characterized by empirical evidence and linear methods,is an established global medical system.The integration of these two systems provides a synergistic strategy capable of tackling medical issues inadequately treated by each system independently.The history of integrated Chinese and Western medicine in China dates back to the 19th century and has evolved significantly,particularly with support from the Chinese government in recent decades.This commentary outlines the necessary conditions for successful integration of the two systems,including mutual respect,collaboration,and innovation within TCM,while also accessing modern information technologies such as artificial intelligence and high-throughput-omics techniques.Meanwhile,flexible hospital management systems and guidelines for evaluating quality of service are needed to support integrative work and need attention.The ultimate goal of constructing top-tier public medical institutions in China that integrate TCM and Western medicine will lead to more capable and accessible clinical services and improved healthcare outcomes.
基金Research Fund Projects of Chongqing Institute of Engineering:Research on the Intelligent Design of Indoor and Outdoor Spaces for Chongqing’s“Integrated Medical and Elderly Care”Health and Wellness Buildings in the Context of Digitization(2023xsky01)Research on Spatial Syntax Parameters and Combination Patterns of Urban and Rural Community Elderly Care Centers from a Multi-Dimensional Perspective(2024XZKY003)Funding support:2024 Curriculum Ideological and Political Demonstration Course Construction Project of Chongqing Institute of Engineering,“Residential Landscape Design”(Project Number:KC20240006)。
文摘With the gradual deepening of aging,the barrier-free design of outdoor spaces in healthcare and wellness buildings is crucial to the quality of life for the elderly in their later years.The mountainous terrain of Chongqing poses higher requirements for barrier-free design.This paper analyzes the barrier-free needs of the elderly,systematically reviews the current status of barrier-free design in Chongqing’s healthcare and wellness buildings,and proposes targeted smart strategy suggestions from four aspects:barrier-free transportation space,activity space,landscape sketches,and place spirit,combining regional characteristics.These suggestions aim to improve and enhance the quality of the elderly care environment in Chongqing.
文摘In recent years,with the accelerating aging process of the population,China has entered an aging society,and the number of elderly patients with chronic diseases has been increasing.The traditional medical and elderly care service models can no longer fully meet their needs.The integrated medical and elderly care model has emerged as the times require.It organically combines medical resources with elderly care resources to provide comprehensive and continuous health management services for the elderly,becoming an important approach to solving the problems of chronic disease management among the elderly.In this regard,this paper first elaborates on the role of integrated medical and elderly care in the management of chronic diseases among the elderly,and then puts forward application strategies of integrated medical and elderly care in the management of chronic diseases among the elderly,in order to provide certain reference for relevant researchers.
