Objective:To evaluate the strengths and weaknesses of the total payment policy in China′s county medical community (CMC), and to provide decision-making basis for the high-quality development of CMC and its medical security system.Methods:Official websites of China′s provincial and prefectural governments, the Health Commission and the Medical Security Bureau were searched for policies related to total payment in CMC (issued from May 2019 to December 2023), and 10 representative sample policies were selected based on the balance of the temporal and spatial distribution and the completeness of the content. The policy modeling consistency (PMC) index model was used to quantitatively evaluate the sample policies by identifying primary and secondary variables.Results:The PMC index model variables for the total payment policies in CMC included 10 primary variables such as policy nature, policy timeliness, and policy receptors, and 54 secondary variables such as prediction, recommendation, and regulation. The average PMC index score for the 10 sample policies is 6.86, which was generally at a good level, with five policies each of excellent and good grades. In terms of the primary indicators, the policy nature (0.77), policy receptor (0.82) and policy content (0.73) scored highly, while the policy timeliness (0.35), policy synergy (0.54) and guarantee mechanism (0.53) scored lowly. A comparison of the two policies with the highest and lowest scores revealed that the main reasons for the low scores were the single setting of policy objectives, the lack of dynamic monitoring of key indicators and the inadequacy of guarantee mechanisms such as multisectoral collaboration.Conclusions:China′s total payment policy in CMC was generally better, but it still needed to be strengthened in terms of policy timeliness, policy synergy and guarantee mechanism. It was recommended that local governments can optimize policies by comprehensively considering the timeliness of long-medium-and short-term policies, giving full play to the synergistic effects of medical security policies, and improving the multi-dimensional co-management and guarantee mechanism.

Objective:To evaluate the strengths and weaknesses of the total payment policy in China′s county medical community (CMC), and to provide decision-making basis for the high-quality development of CMC and its medical security system.Methods:Official websites of China′s provincial and prefectural governments, the Health Commission and the Medical Security Bureau were searched for policies related to total payment in CMC (issued from May 2019 to December 2023), and 10 representative sample policies were selected based on the balance of the temporal and spatial distribution and the completeness of the content. The policy modeling consistency (PMC) index model was used to quantitatively evaluate the sample policies by identifying primary and secondary variables.Results:The PMC index model variables for the total payment policies in CMC included 10 primary variables such as policy nature, policy timeliness, and policy receptors, and 54 secondary variables such as prediction, recommendation, and regulation. The average PMC index score for the 10 sample policies is 6.86, which was generally at a good level, with five policies each of excellent and good grades. In terms of the primary indicators, the policy nature (0.77), policy receptor (0.82) and policy content (0.73) scored highly, while the policy timeliness (0.35), policy synergy (0.54) and guarantee mechanism (0.53) scored lowly. A comparison of the two policies with the highest and lowest scores revealed that the main reasons for the low scores were the single setting of policy objectives, the lack of dynamic monitoring of key indicators and the inadequacy of guarantee mechanisms such as multisectoral collaboration.Conclusions:China′s total payment policy in CMC was generally better, but it still needed to be strengthened in terms of policy timeliness, policy synergy and guarantee mechanism. It was recommended that local governments can optimize policies by comprehensively considering the timeliness of long-medium-and short-term policies, giving full play to the synergistic effects of medical security policies, and improving the multi-dimensional co-management and guarantee mechanism.

Objective To compare the effects of health education on fat intake behavior and its psychology in students with different BMI,provide evidence for improving individual healthy education.Methods A experimental epidemiology was used,Twenty-nine secondary school classes were randomly selected by multi-stage cluster sampling from two cities in Zhejiang province.Overweight or obesity group included all students who were judged overweight or obesity,normal group included students who were judged normal and basic matched by age,grade,sex and stage of baseline.Intervention based on transtheoretical mode was conducted on two groups and intervention results were measured by the adolescent fat intake behavior of psychological measurement scales (Chinese version).Chi-square tests,T-tests,non-parameters tests and binary logistic regression were performed for data analyses.Results Stage of students with overweight or obesity and with normal BMI all moved forward after intervention,while the proportion of stage advance for students with overweight or obesity was further than students with normal BMI.Change strategy(2.60±0.79),pros(3.58±0.90) and self-efficacy(3.01±0.72) of students with overweight or obesity better than students with normal BMI in baseline((2.34±0.86),(3.08±0.91),(2.79±0.81)) while difference was not significant after intervention.Logistic regression analysis discovered that the promotion of change strategy moved stage forward for students with normal BMI(OR=2.168,95％ CI:1.560-3.014)and promotion of self-efficiency moved stage forward for students with overweight or obesity (OR=1.801,95％ CI:1.026-3.159).Conclusion The intensity and duration of psychological intervention is essential to be reinforced for students with normal BMI,while for students with overweight and obesity,psychological intervention should be promoted in combination with social support.

Fostering students'scientific research ability not only needs the advanced theory,but also needs suitable indicating means. This paper systematicaly analyzed the thinking and behavior pattern of students before,after and during the whole course of research,and mainly summarized about teachers'important role in the fostering students'scientific research ability.

Objective To compare the volatile oil and constituent content in Pog ostemon cablin Benth. propagated by cuttage and tissue culture. Methods The vola tile oil assay of Chinese pharmacopoeia and GC-MS method were used. Results The volatile oil and constituent content of Pogostemon cablin Benth. reproduced by cuttage was 14.2 mL/kg and 81.31 %,respectively. The volatile oil and constituent content of Pogostemon cablin reproduced by tissue culture was 12.2 mL/kg and 82.98 %,respectively. Conclusion The volatile oil content and constituent content of Pogostemon cablin Benth. reproduced by tissue culture are similar to which reproduced by cuttage.