Objective To explore ways to make public hospitals more economically efficient in compliant with existing health economic policies.Methods The concept Medicare Value Added(MVA)is proposed,and used as a benchmark in summarizing the economic management mechanism reforms in Dongyang People's Hospital during the past five years.Centering on MVA,this mechanism consists of the framework assurance,economic management organizational structure,management tools,ways of business growth,cost control,and financial management.Results During the past five years,the net state-owned assets of the hospital increased 100%,out-patients and emergency patients increased by 129 percent in number,in-patients,by 100%,while the average per capita payment of out-patients hasdropped from 1 57.86 yuan to 1 30.23 yuan,and that of in-patients has been kept as unchanged.Ratio of drugs to total income is maintained below 42%.Conclusions The management approach emphasizing MVA is effective in improving economic efficiency of public hospitals

Objective: To evaluate psychometric properties of a Chinese version of Adult Attachment Questionnaire (AAQ3.1). Methods: Score s on the AAQ3.1 were c ompared among 152 students,114 students' parents and 37 patients. Results: In ternal consistency in terms of item-total correlations was found to be high, but somewhat lower than what was found in the West. High discriminative power was f ound for differentiating between clinical and non-clinical samples, as well as b etween adult and adolescent samples. Significant correlation was found between husbands and wives. Conclusion: AAQ3.1 have acceptable re liability and validity for evaluating attachment of Chinese adults.

The paper explored the online real-time system built at the hospital to monitor clinical care quality using EMR.The methodology,procedures and index system were established for real-time clinical care quality control.With the online control in place,significant improvements were found in such care indexes as implementation of essential healthcare regulations,EMR quality,rational drug use and rational blood use,making quality control much efficient than before.EMR-based online clinical care quality control can improve quality of care,make it efficient and guide clinical care and quality control as well.

Objective To investigate the key words related with the growth of psychological rehabilitation literature of psychological rehabilitation in China. Methods The journal articles associated with psychological rehabilitation in CNKI were analyzed with key word frequency.The relationship between the cumulative frequency of key words and the growth of literature were analyzed with Linear Regression Analysis. Result Based on the cumulative frequency of 340 key words frequencies more than 4 in each year, Linear Regression Analysis extracted 10 words that correlated with the literature growth, which were Psychological Nursing, Psychological Problem, Psychological Response,Psychotics, Emotional Disorder, Type A Behavior, Social Psychology, SCL-90, Prosthesis, and Psychiatry. Conclusion The major objects of the researches of psychological rehabilitation in China were psychological problem, psychological response, psychotics, emotional disorder, type A behavior; the major tools were social psychology, SCL-90; the researchers mainly come from the nurse, and the professionals of prosthesis and psychiatry.