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: 探討重癥急性胰腺炎的臨床治療方法。 方法 :回顧性分析我院自19984～20067共收治的各類重癥急性胰腺炎患者56例。 結果 : 治療上采取在內科治療的基礎上,選擇適當手術干預,除2例并發多器官功能衰竭病死外,全部治愈出院。 結論 :重癥急性胰腺炎的處理要根據患者的具體情況,應首先采取非手術治療,并針對不同情況合理選擇外科手術治療。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.
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.
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.
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.
ObjectiveConduct a scoping review of medical student competency assessment research to provide a reference for constructing a scientific, practical, and feasible assessment system. MethodsThe search was conducted in CNKI, SinoMed, WanFang Data, PubMed, Web of Science and Embase databases. The time limit was set from the inception to June 2025. A scope review was conducted based on Arksey and O’Malley’s framework of scope definition review methods. ResultsA total of 31 studies were included, involving 13 theoretical, 6 empirical, and 12 mixed-methods. These studies reported on mainstream competency assessment methods in medical education, such as the objective structured clinical examination, 360-degree evaluation, mini-clinical assessment (MCA), multiple-choice questions (MCQs), and direct observation of procedural skills. Studies on competency model construction primarily used the Miller pyramid, Bloom’s taxonomy of educational objectives, and the current physician competency consensus as core theoretical frameworks. Mixed research methods, such as literature analysis, behavioral event interviews, the Delphi method, and questionnaire surveys, were frequently employed. Domestic competency models primarily focused on "knowledge, skills, and professionalism" as core indicator elements, with the five-point Likert scale being the predominant format for questionnaire items (8 items, 57.1%). Although research reliability validation was relatively well-established, More than half of the studies (7 items, 53.8%) did not report validity metrics. Conclusion While theoretical foundations in competency research are well-established and modeling methodologies are diverse, current assessment methods face limitations, and a lack of uniformity persists in the core elements of competency models. Competency models developed domestically and internationally exhibit significant differences in dimension categorization and item quantity.
ObjectiveTo construct an evaluation index system for the dissemination influence of new media health science popularization, providing a quantitative evaluation tool for comprehensively assessing the dissemination influence of health science communication works. MethodsMeta integration, Delphi method and analytic hierarchy process (AHP) were used to build a preliminary evaluation index system, form a framework of the evaluation index system, and calculate the weight values of the evaluation indexes, respectively. ResultsA total of 18 studies were included through retrieval. On the basis of preliminary evaluation index system, ten experts in related professional fields were invited to participate in two rounds of expert consultation, resulting in an evaluation index system framework that includes 2 first-level indicators, 4 second-level indicators, and 9 third-level indicators. ConclusionA preliminary evaluation index system for the dissemination and influence of new media health science communication works, which is reliable, universally applicable, and has a reasonable structure, is constructed.
