2."Practice and enlightenment of""Smart Healthcare""mode in Hangzhou"
Wei HE ; Jianrong TENG ; Zhilin ZHOU ; Wei JIN
Chinese Journal of Hospital Administration 2017;33(2):125-127
This article systematically introduced the development of Smart Healthcare mode in Hangzhou. From the aspects of connotation, pattern, characteristics and the change of medical treatment mode, the authors pointed out that the development of Smart Healthcare must follow such principles as satisfaction of the people, enhanced inter-departmental synergy, government-guided social participation, and full involvement of medical workers.
3.Efects of fennel extracts on gastrointestinal movement of atropine-induced gastrointestinal motility disorder in mice
Guangshou TENG ; Ming QIN ; Fengfeng MAO ; Yan ZHANG ; Xingyou LIU ; Jianrong HE ; Peng YANG ; Manling LIU
International Journal of Traditional Chinese Medicine 2011;33(8):695-697
Objective To observe the effects of fennel essential oil and water extracts (distilled oil is not included) on gastrointestinal motility disorder caused by atropine in mice.Methods Kunming mice were randomly divided into blank control group, model group atropine, water extracts group, fennel essential oil group, mosapride group. Blank control group and model group atropine were orally administered with normal saline of 0.2 ml/10 g. Water extracts group was orally administered with Water extracts (75 mg/ml) of 0.2 ml/10 g. Fennel essential oil group was orally administered with Essential oil of 300 mg/kg. Mosapride group was orally administered with mosapride(15 mg/ml). Subjects were orally treated for 3 d. After fasting for 18 h, blank control group was intraperitoneally injected saline on the fourth day, and other groups were injected atropine sulfate injection to induce animal model of gastrointestinal motility disorder. Blue dextran(BD)2000 was used to observe the gastric emptying rate and rate of intestinal propulsion. Results Gastric emptying rates of fennel essential oil group, mosapride group, water extracts group and model group atropine were respectively(91.97±4.42)%, (90.26±5.81)%, (80.01±6.27)%,(72.88±9.13)%,and intestinal pushing rates were respectively(53.32±7.49)%,(53.02±9.13)%,(44.16±7.68)%,(37.52±6.19)%.Fennel essential oil, mosapride and water extracts enhanced the gastric emptying and intestinal propulsion in gastrointestinal motility disorder animal caused by atropine(P values were 0.004、0.001、0.004、0.003、0.025、0.015),where Fennel essential oil and mosapride were superior to the water,extracts(P values were 0.000、0.002、0.001、0.001).Conclusion Fennel extracts may promote gastrointestinal movement of atropine-induced gastrointestinal motility disorder in mice and fennel essential oil is the main active ingredient.
4.Setting up medical support clinics during the G20 summit in Hangzhou
Chinese Journal of Epidemiology 2017;38(4):553-555
This paper described the principles and the arrangements on setting-up new clinics in the venues and designated hotels during the G20 Summit of Hangzhou.Personnel allocation,combination of equipment,disposal process and supporting tasks of the clinics were introduced to provide reference for setting similar medically supporting-clinics during the international conference activities.
5.Design and practice of deepening the healthcare system reform in Hangzhou
Xiaohe WANG ; Yu QIAN ; Jianrong TENG ; Xingwei ZHANG ; Weiwu CUI ; Shixue CHEN ; Hao ZHANG ; Shangren QIN
Chinese Journal of Hospital Administration 2019;35(6):452-456
Further healthcare system reform calls for desirable pathway design. This paper introduced the logical framework of the new healthcare system reform pathway design and typical practical experience in Hangzhou.Known for " Internet+Smart healthcare" forerunner, Hangzhou has pioneered the reform of public hospitals and the construction of smart handy service for the public.With the aim of fully protecting the health rights and interests of urban and rural residents, comprehensive policy has been taken to deepen the reform of public hospitals; with the comprehensive promotion of contracted services and the primary level sharing of resources as a carrier, we will build a hierarchical medical service system of vertical linkage.We will also innovate and practice the governing philosophy of " Medicine has its limitations but we have the courage to overcome, service is boundaryless and we must pursue excellence".Promotion of party building in the industry also ranks high.Deepening the reform of " one visit for all" in the field of medical and health services as a measure to enhance people′s sense of gain; The " public-private partnership" to encourage the development of the social governance system and legalization in healthcare proves successful at this stage. However, there are still many challenges in the information security maintenance of smart healthcare, the balance of stakeholder interests in public hospitals, the all-round advancement of hierarchical medical service, standardizing and streamlining the reform of " one visit for all".
6.Study on the framework design and practice of Hangzhou′s public hospital reform
Xiaohe WANG ; Hao ZHANG ; Xianhong HUANG ; Jianrong TENG ; Zhonghua ZHAO ; Weiwu CUI ; Jundong SUN ; Beifang YUAN
Chinese Journal of Hospital Administration 2019;35(6):457-461
Reform of public hospitals is key to the healthcare system reform.This article introduced how Hangzhou implemented such a reform of " Hangzhou characteristics" by referring to the hospital reform framework of the World Bank, and the theoretical achievements and practical experiences of domestic public hospitals′reform.Led by the service concept of " Medicine has its limitations but we have the courage to overcome, service is boundaryless and we must pursue excellence" , Hangzhou has established a public hospital value system of " reorientation to public welfare".The smart healthcare system serves as a focus, to support the delicacy management of the hospitals. The construction of hierarchical medical care system functions as the pillar, to support the coordinated development of hospitals, primary health institutions and public health institutions.This way a public hospital comprehensive reform mode is established featuring " one value system, 2 levels of organization structure, 6 mechanisms, and 19 supporting measures ". Its experiences may serve as reference to streamline hospital internal operation and external cooperation mechanism.
7.Experience and enlightenment of countywide medical alliances construction in Hangzhou
Hao ZHANG ; Xiaohe WANG ; Meng ZHANG ; Shangren QIN ; Yanxiang ZHANG ; Jianrong TENG ; Beifang YUAN ; Hua ZHOU
Chinese Journal of Hospital Administration 2019;35(6):462-467
Based on a sufficient analysis of the theoretical framework of " transformation learning collaboration" ( TLC ) and " people-centered and integrated health care " ( PCIC ) mode, this article introduced the main practices and achievements of " Hangzhou characteristics" countywide medical alliances, centering on TLC mode.Hangzhou takes the countywide medical alliance construction as a pilot, refers to the TLC model, and takes growth-oriented collaboration as the guidance, to promote responsibility sharing, benefit sharing, service integration and management collaboration.Guided by the PCIC model proposed by the World Health Organization, the city has established an integrated service model of hierarchical medical system-prevention-rehabilitation-aging care.The countywide medical alliance system framework features " 5 fields, unified leadership, unified culture, 6 supports, 3 tasks and TLC teams " , which may provide references for the coordinated and integrated development of such alliances.
8.Supporting effects of digital healthcare on the construction of hierarchical medical system in Hangzhou
Hao ZHANG ; Xianhong HUANG ; Chang LIU ; Xiaohe WANG ; Wei HE ; Weiwu CUI ; Jianrong TENG ; Beifang YUAN
Chinese Journal of Hospital Administration 2019;35(6):468-472
Digital healthcare empowers optimization of medical services.This article introduced the practices and achievements of Hangzhou in the following aspects: the construction of a hierarchical medical system guided by " people-oriented integrated service" ; development of the five digital platforms, namely regional health information platform, integrated medical care platform, remote consultation platform, intelligent supervision platform and doctor-patient remote interaction platform; development of " Smart Medicine" to promote institutional cooperation, service integration, management coordination, quality improvement and doctor-patient interaction.The paper also analyzed the supporting role of digital healthcare construction in promoting the hierarchical medical system, and put forward corresponding countermeasures and suggestions.
9.Practice and effect of improving the efficiency of medical services in Hangzhou
Jing ZHANG ; Xiaohe WANG ; Yu QIAN ; Fujie WANG ; Jianrong TENG ; Yanxiang ZHANG ; Beifang YUAN ; Wei HE
Chinese Journal of Hospital Administration 2019;35(6):473-478
Higher service efficiency and better medical experience are main goals of the healthcare system reform.The article explained the logical framework, main actions, initial results of the " one visit for all" reform, which aims at promoting the efficiency of medical services and management in Hangzhou.Policy suggestions are raised, namely involving more people into the governance mechanism, collaboratively optimizing the working process of medical staff, improving the information security mechanism, and perfecting the effectiveness evaluation system.These measures are designed to accelerate the construction of modern hospital management system, and to build a scientific and orderly hierarchical medical system.