Objective To study the construction of training bases for three tumor therapies. Methods Eight training bases in six third-level first-class hospitals with score of technology assessment higher than 90 were investigated. Results There were good hardware in all training bases and qualified teaching staff in six of them. Annual operative quantity of hyperthermia and radioactive particles implantation technology of all training bases were up to the standard , while the coincidence rate of ablation technology was 80%. Besides , quantity of ablation technology and radioactive particles implantation technology trainees participated in during training met the standard, but that of hyperthermia not. There were significant difference in theory and operational test results before and after training (P < 0.01). Conclusions Management system, operative quantity and teaching staff construction need to be improved. Clinical skills training and standardized training assessment should be strengthened in base construction.

In this study, we explored the establishment of the database of Chinese medicine and minimally invasive surgery (MIS) for tumor based on the internet, thus to promote the application of Chinese medicine in the comprehensive treatment for tumor. The database was composed of general information database, Chinese medicine database, MIS database, which was characterized by the internet-based information system structure. Data exchange between net server and remote terminal can be achieved through the firewall. The results of testing performance showed that the established database can realize the real-time share of case report, and is convenient in basic retrieve and information analysis function, indicating the feasibility and stability of the database.

Objective To improve the phacoemulsification (PHACO) technical level and management level for hospitals and to support the health decisions of health administration departments , we establish an index system of PHACO quality control of Guangdong province. Methods We determined the critical value , screened indicators and calculated the weight value with a method of literature analysis , Dephi method , percentile method, correlation coefficient and so on. At last, we tested the content validity through literature research and expert opinions and tested construct validity of the indicator system using factor analysis. Results An index system of PHACO assessment of 5 first grade indicators , 11 second grade indicators and 20 third grade indicators was established. Reliability analysis showed that three rounds of positive coefficient were 80.00%, 90.00% and 92.59%. Experts' authority coefficient was ranged from 0.710 to 0.921. Coefficient of concordance were 0.400 , 0.395 and 0.278 (P < 0.01). The standardized Cronbach α was 0.837 and the construct validity was good. The corresponding rate between simulation results and expert assessment was 94.55%. Conclusions It is reasonable and practical to use Delphi method to construct the index system of PHACO assessment. Reliability and validity of the index system and empirical application indicate the feasibility of its practical application.

Objective To review and evaluate clinical ability and degrading of hyperbaric oxygen (HBO) treatment in 95 hospitals of Guangdong Province.Methods Retrospective survey and expert review methods were used in the study.Results With regard to clinical treatment capacity,the 95 hospitals could be divided into four grades:i.e.grade A (3 hospitals),grade B (37 hospitals),grade C (52 hospitals),grade D (3 hospitals).Current problems existed are:incomplete medical documentation,application of different editions,submission of incomplete materials,irregular training of professional workers,imperfect equipment and technology management,lower capability of basic hospitals in clinical application of HBO therapy.Conclusions The perfection of safety system for the management of HBO techniques and facilities is a fundamental guarantee for the conduction of HBO therapy.The development of guidelines for clinical application of HBO therapy and the unification of operating procedures and editions of medical documentation are key to the assurance of medical treatment quality.Regular technical training of medical professionals,passing on experience,rendering help and setting examples in the training of new hands are effective measures for the improvement of the technique clinically.Complete filling of forms and submission of application forms are indispensable stand-ground for technical reviews and grade/performance assessment.

Objective To review and evaluate clinical ability and degrading of hyperbaric oxygen (HBO) treatment in 95 hospitals of Guangdong Province.Methods Retrospective survey and expert review methods were used in the study.Results With regard to clinical treatment capacity,the 95 hospitals could be divided into four grades:i.e.grade A (3 hospitals),grade B (37 hospitals),grade C (52 hospitals),grade D (3 hospitals).Current problems existed are:incomplete medical documentation,application of different editions,submission of incomplete materials,irregular training of professional workers,imperfect equipment and technology management,lower capability of basic hospitals in clinical application of HBO therapy.Conclusions The perfection of safety system for the management of HBO techniques and facilities is a fundamental guarantee for the conduction of HBO therapy.The development of guidelines for clinical application of HBO therapy and the unification of operating procedures and editions of medical documentation are key to the assurance of medical treatment quality.Regular technical training of medical professionals,passing on experience,rendering help and setting examples in the training of new hands are effective measures for the improvement of the technique clinically.Complete filling of forms and submission of application forms are indispensable stand-ground for technical reviews and grade/performance assessment.