Objective:It aims to measure and analyze the spatial and temporal characteristics of the new quality productivity in China's healthcare service system,in order to reveal the current situation and existing problems of China's medical and health service system,and provide decision-making reference for further optimizing healthcare resource allocation,improving service efficiency and quality,and promoting the deep implementation of the"Healthy China"strategy.Methods:The new quality of productivity in China's healthcare service system from 2010 to 2019 was measured using the entropy weighted TOPSIS method,and the degree of association between each indicator and the new quality of productivity was explored using grey correlation analysis.The dynamic evolution of the new quality productivity in China's healthcare service system was explored using kernel density estimation,and the regional disparities were studied using the Dagum Gini coefficient.Results:The new quality productivity in China's healthcare service system showed an overall upward trend during the sample observation period.The efficiency of medical services,resource utilization level,human resource allocation,and financial input had a significant impact on the improvement of the new quality productivity in the healthcare service system.However,regional disparities constrain the overall development of China's healthcare service system.Conclusion:To further enhance the new quality productivity in China's healthcare service system and promote the equity,efficiency,and sustainable development of healthcare services,efforts should be made to strengthen talent training and recruitment,strengthen investment and upgrading of medical equipment;promote innovation in the medical and health service system;and enhance policy support and regulatory oversight.

Objective:It aims to measure and analyze the spatial and temporal characteristics of the new quality productivity in China's healthcare service system,in order to reveal the current situation and existing problems of China's medical and health service system,and provide decision-making reference for further optimizing healthcare resource allocation,improving service efficiency and quality,and promoting the deep implementation of the"Healthy China"strategy.Methods:The new quality of productivity in China's healthcare service system from 2010 to 2019 was measured using the entropy weighted TOPSIS method,and the degree of association between each indicator and the new quality of productivity was explored using grey correlation analysis.The dynamic evolution of the new quality productivity in China's healthcare service system was explored using kernel density estimation,and the regional disparities were studied using the Dagum Gini coefficient.Results:The new quality productivity in China's healthcare service system showed an overall upward trend during the sample observation period.The efficiency of medical services,resource utilization level,human resource allocation,and financial input had a significant impact on the improvement of the new quality productivity in the healthcare service system.However,regional disparities constrain the overall development of China's healthcare service system.Conclusion:To further enhance the new quality productivity in China's healthcare service system and promote the equity,efficiency,and sustainable development of healthcare services,efforts should be made to strengthen talent training and recruitment,strengthen investment and upgrading of medical equipment;promote innovation in the medical and health service system;and enhance policy support and regulatory oversight.

BACKGROUND: Ureteral obstruction is mainly caused by surgical technic, ischemic, and peripheral lesion compression as well as rejection; in particular, the surgical technic factor is the most important. How to effectively reduce ureteral complications following renal transplantation is significant for prompt diagnosis and clinical treatment.OBJECTIVE: To retrospectively analyze the diagnosis of 23 cases with ureteral complications following renal transplantation, and to summarize pathogeny and preventing management.METHODS: The retrospective analysis was conducted on 23 (1.98%) out of 1 160 cases with ureteral complications following renal transplantation who were selected from General Hospital of Jinan Military Area Command of Chinese PLA from January 1998 to December 2008. In 924 cases of renal transplantation with cadaver kidneys, ureteral stenosis occurred in 18 cases (1.95%), while in 236 cases with relative kidneys, ureteral stenosis occurred in 5 cases (2.12%). A total of 17 cases were performed with ureterovesicostomy; 2 with uretero-autoallergic anastomosis of ureter; 1 with cutaneous ureterostomy; 1 with ureteral liberation, resetting ureteric branch stand; 1 with saccule dilation; 1 with retrograde ureteric branch stand under cystoscope. Type-B ultrasonic examination was re-checked to determine pyeloureterectasis following treating ureteral complications.RESULTS AND CONCLUSION: Of the 23 cases, stenosis of ureterovesical junction occurred in 19 cases, necrosis of the ureter on 2 cases, and twisting of ureter graft on 2 cases. Following up was performed after treatment for 3-98 months. In 20 cases, renal pelvis and urinary bladder of transplanted kidney were smooth, and function was recovered remarkably. At 4 days after surgery, serum creatinine level was decreased, and no recurrence was rechecked postoperatively. One patient had skin stoma for 8 years at least postoperatively, and the renal function was still normal. The skin stoma was replaced regularly. Therapeutic effect was poor in a patient with distension and 1 with detaining ureteric branch stand, and patients still had stricture of ureter,which was treated by a surgery. The results demonstrated that the etiology of ureteral obstruction after kidney transplantation was complex, and stenosis of ureterovesical junction was most common. Most of obstruction request surgical management. The graft function and the long-term graft survival were not affected by a correctly treated ureteral obstruction.