1.Hospital management of human capital
Jiabin LIN ; Yao WANG ; Juncai LIN
Chinese Journal of Hospital Administration 1996;0(07):-
The paper briefly discusses the theories of human capital and related concepts, analyzes the interaction between human resources and human capital, and gives an account of the formation and forms of investment of human capital. The paper lays special emphasis on expounding the five basic features of human capital, viz. private ownership, dependence, changeability of added value, stratification and risk of investment. It stresses full understanding and scientific utilization of these features in hospital administration so as to properly manage human capital.
2.Management of salaries and human resources in the hospital
Jiabin LIN ; Yao WANG ; Juncai LIN
Chinese Journal of Hospital Administration 1996;0(07):-
Management of salaries is one of the key integrants of the reform of the human resources management system and the running of the modern hospital. By giving an account of the concept, composition, connotation and chief functions of salaries in the hospital, the paper underlines a number of issues that ought to be stressed in the management of salaries, viz. external competitiveness or impartiality with regard to salaries, internal impartiality or u-niformity with regard to salaries, impartiality of increased salaries by performance, and salaries of special groups of people. The paper also offers a brief account of the relationships between salaries in the hospital and such functions as the design of human resources management posts, the recruitment of talented personnel, training and development, and management by performance.
3.Problems confronting hospitals under the new circumstances and ways out
Jiabin LIN ; Yuzhen QI ; Dezhang GENG
Chinese Journal of Hospital Administration 2001;17(2):69-71
Hospitals are currently confronted with many problems, including distribution according to the division of administrative areas and jurisdiction; construction with complete sets of facilities on the part of all hospitals,big or small; and worsening of the unbalanced allocation of health resources due to the to assumption by big hospitals of many tasks of bssic-level hospitals. Besides, the excessively speedy incresse of expenses for outpatient and inpatient services as a result of hospitals' introduction of high technologies has inhibited some people's demands for medical services and competition among hospitals will become particularly fierce. Thus, ways out for hospitals lie in clarifion of their respective functions and development according to regional planning; regrouping of health resources by the government through measures of shutting down,stopping down, sopping production, merging, changing products or moving to other sites; structural readjustment and implementation of the system of responsibility by hospital directors within hospitals;bringing into play the initiatives of middle-level cadres; establishment of a scientific mechanism for personnel employmennt and selection; giving priority to efficiency and consideration to fairness in distribution; improvement of service quality; and making a good job of rational charging.
4.Surveys into the medical needs of outpatients
Yuantai DU ; Chunqi LIANG ; Jiabin LIN
Chinese Journal of Hospital Administration 1996;0(10):-
Objective To improve outpatient medical care. Methods A sample survey was conducted into 1716 outpatients during 6 days in October of 2004 using questionnaires that covered such items as the patients' choice of hospitals, their choice of doctors, their medical needs and their needs for continuous services. Results The medical needs of the patients, regardless of gender, age, and form of payment (personal payment, medical insurance or treatment at public expenses), are, in terms of urgency, disease relief, safety, respect, service, and the right to be informed. Ranking first in the needs for continuous medical services is medical appointments, with telephone follow-ups coming next. Conclusion Outpatients have diversified medical needs and hospitals ought to attach importance to relieving patients from disease, ensuring medical safety, respecting patients, improving services, bettering continuous medical services, and satisfying the needs of patients at different levels.
5.Using Warming and Heat-clearing Simultaneously in Treating Constipation and Diarrhea Alternating Bowel Dysfunction
Lili LIN ; Jiabin CHEN ; Weihua ZHANG
Journal of Zhejiang Chinese Medical University 2013;(9):1089-1090,1093
[Objective]We summarized Professor Zhang Weihua’s clinical experience in treating constipation and diarrhea alternating bowel dysfunction by Chinese medicine. [Method] This paper revealed the professor Zhang Weihua ’s experience of curing constipation and diarrhea alternating bowel dysfunc-tion by analyzing the etiology and pathology ,therapeutic principles and relevant cases .[Results] The etiology and pathology of constipation and diarrhea alternating bowel dysfunction is root deficiency and tip excess ,and cold-heat complex ,the disorders of E. conduction,and the treatment should focus on using warming and heat-clearing simultaneously, tonifying spleen and kidney. [Conclusions] The experience of Professor Zhang Weihua in treating con-stipation and diarrhea alternating bowel dysfunction is effective and thought-provoking in treatment.
6.Etiology analysis of 165 infant patients with viral pneumonia
Jiabin LIN ; Kai ZHU ; Yuelin XIANG ; Deting ZHANG
Chinese Journal of Primary Medicine and Pharmacy 2010;17(11):1466-1467
Objective To comprehend etiology and clinical manifestation changes of infant pneumonia in this locality.Methods Indirect immunofluorescence (IIF) assay was applied in children with acute pneumonia to detect serum 11 kinds of viruses[respiratory syncytial virus (RSV),adenovirus (ADV),influenza virus (IFV-A+B),parain fluenza virus(PIV14) ,coxsackie B,virus(CB1V),Coxsackie A7 virus (CA7V) ,ECHO virus]specific antibody IgM,according to the serum virus-specific IgM positive,C-reactive protein(CRP)<8mg/L and no other pathogenic infection and laboratory evidence for the conditions of 436 cases detected in children with pneumonia.Results Detected a total 125 cases of antibody-positive,the positive detection rate is 37.99%.Of which 103 cases of single virus infection .accounting for 82.4% ,22 cases of mixed infection,accounting for 17.6%.RSV infection on top of the list followed by the rest of IFV,ADV and PIV.Infants of different ages,different seasons of the different types of virus susceptibility.Conclusion Pneumonia in infants were caused by pathogenic bacteria in addition to the virus of a wide range,and the incidence of age,the peak seasons and the clinical manifestations were vary.From an early stage of infection pathogen detection,clearing pathogen type,making the correct diagnosis of pneumonia in the treatment of infants had an important guiding significance.
7.Experimental Studies on Zhuye Shigao Decoction for the Treatment of Deep Candidiasis in Mice
Jiabin TAI ; Lin LI ; Jingdong GAO ; Qingzeng GUAN
Journal of Guangzhou University of Traditional Chinese Medicine 2001;0(01):-
[Objective] To observe the therapeutic effect of Zhuye Shigao Decoction (ZSD) for the treatment of deep candidiasis in mice. [Methods] One hundred and sixty mice were randomized into immunosuppressive (IS) group and non-immunosuppressive (NIS) group, 80 in each group. The IS mice were given with intraperitoneal injection of cyclophosphamide 200mg/kg and the NIS mice were given with normal saline 0.2mL. Five days later, both groups were vaccinated with Candida albicans solution 0.2 mL through the caudal veins (8 ? 109/L for the NIS mice and 3 ? 109/L for the IS mice). Three hours after vaccination, 20 of the two groups were treated with ZSD 30g/kg, 20 with fluconazole (Img/kg for IS mice and 0.5mg/kg for NIS mice), 20 with ZSD and fluconazole (the medication interval being one hour) and other 20 with same volume of distilled water. The treatment lasted 7 days and the mean survival time and survival colony in the kidney were observed. [Results] ZSD prolonged the survival time (P
8.Relationship between occupational stress, job burnout, and depressive symptoms among workers in an automobile manufacturing enterprise in Guangzhou
Weiyu MA ; Xiayou TAN ; Yinan HE ; Lin CHEN ; Jinwei ZHANG ; Yimin LIU ; Jiabin LIANG ; Zhi WANG
Journal of Environmental and Occupational Medicine 2022;39(12):1359-1365
Background The operation mode of automobile manufacturing industry (AMI) makes workers have different degrees of occupational stress and burnout, which may lead to negative emotions and depressive symptoms. Objective To study the relationship between occupational stress, job burnout, and depressive symptoms in AMI workers. Methods In this study, 1300 workers from a Guangzhou AMI company were selected as subjects by cluster random sampling method. Occupational stress, job burnout, and depressive symptoms of the workers were assessed by using the Effort-Reward Imbalance (ERI) questionnaire, the Maslach Burnout Inventory general survey questionnaire, and the Patient Health Questionnaire-9, respectively. Hierarchical regression was used to analyze the effects of occupational stress and job burnout on depressive symptoms in AMI workers. Mediating effect model was used to analyze the mediating effect of job burnout on the relationship between occupational stress and depressive symptoms. Results There were 1300 questionnaires distributed, 1228 valid questionnaires collected, with a 94.5% recovery rate. The ERI ratio of 1228 AMI workers was 1.06±0.72, and the positive rate of occupational stress was 37.3% (458/1228). The score of job burnout was 2.18±1.37, and the positive rate of job burnout was 62.6% (769/1228). The score of depressive symptoms was 10.27±6.42, and the positive rate of depressive symptoms was 47.1% (578/1228). The dimensional scores of effort and over-commitment in occupational stress as well as emotional exhaustion and depersonalization in job burnout of AMI workers were positively correlated with the depressive symptom scores (rs=0.415, 0.571, 0.573, 0.593, P<0.05). The dimensional scores of reward and personal achievement were negatively correlated (rs=−0.454, −0.339, P<0.05). The percentages of variance in depressive symptoms score explained by occupational stress and job burnout were 26.7% and 16.6%, respectively. Job burnout had a partial mediating effect between the three dimensions of occupational stress and depressive symptoms, and the mediating effect values were −0.2832 (95%CI: −0.3250– −0.2434), 0.3553 (95%CI: 0.3071–0.4041), and 0.4193 (95%CI: 0.3681–0.4725), respectively. Conclusion AMI workers' occupational stress affects job burnout, but also indirectly affects depressive symptoms. Job burnout partially mediates the association between occupational stress and depressive symptoms. Reducing occupational stress and burnout levels of AMI workers may alleviate depressive symptoms.
9.Discussion of some problems in studying relationship between sphygmo-diagram and syndrome types or diseases
Jiabin TAI ; Xubo SHEN ; Lin LI ; Wenqi LIU ; Dezeng ZHU ; Changquan LING
Journal of Integrative Medicine 2005;3(1):10-3
In contemporary studies of pulse and of the relationship between sphygmo-diagram and syndrome types or diseases, pulse instrument is usually applied to trace the sphygmo-diagram. A comparatively systemic theory about pulse diagnosis has been formed, and it promotes the pulse researching process. But the mechanism of pulse is complicated and the expressive information of pulse is diversity. So it is difficult to record the complicated information of pulse by applying the instrument. In addition, the simplicity in methods of tracing and analyzing sphygmo-diagram and the lack of criterion for syndrome differentiation make it difficult to study the relationship between the sphygmo-diagram and the syndrome types. It's important to lay stress on clinical applying, to promote communication among researchers, to unify the standards of pulse instrument and syndrome differentiation, and to reinforce the research on the relationship between sphygmo-diagram and the syndrome types. The government's support is also needed to promote multi-science cooperation at the same time.
10.One center's experience: survival analysis of 194 cases of liver transplantation for primary hepatocellular carcinoma
Jiabin ZHANG ; Hui REN ; Xu JI ; Lin WANG ; Min ZHANG ; Hongbo WANG ; Zhenwen LIU
Chinese Journal of Organ Transplantation 2014;35(6):337-340
Objective To investigate the significance of orthotopic liver transplantation in the management of primary hepatocellular carcinoma (PHC) ; To evaluate the survival and prognostic factors of liver transplantation for PHC.Method The clinical data from 194 consecutive PHC patients who underwent OLT were retrospectively analyzed.Result The 1-,3-and 5-year cumulative survival rate of the 194 patients was 92.78%,78.07% and 76.80% respectively.There were 37 cases of recurrence or metastasis of the tumor with the incidence rate being 19.1% (37/194).The tumor TNM stage (P=0.026 667),tumor diameter (P =0.0045),tumor number (P =0.0318),vascular invasion (P =0.006 059),and AFP level before transplantation (P =0.003 426) were significantly related with tumor recurrence.Multivariate analysis revealed that tumor diameter (P =0.0081,OR =0.789,95% CI:2.1233-6.124),vascular invasion (P<0.001,OR =5.928,95 % CI:1.173-86.789),and AFP level before transplantation (P =0.019,OR =2.601,95% CI:2.196-5.658) were independent risk factors for tumor recurrence.There was statistically significant difference in survival rate and tumor-free survival rate between Milan criteria group and beyond-UCSF criteria group (P<0.01),and between UCSF criteria group and beyond-UCSF criteria group (P<0.01).There was no significant difference in survival rate and tumor-free survival rate between Milan criteria group and UCSF criteria group (P >0.05).Conclusion Liver transplantation is an effective treatment for PHC.The tumor diameter >8 cm,vascular invasion and AFP level significantly affect the survival of PHC patients.