Objective:To construct an evaluation index system for the operational management capability in tertiary public hospitals and validate its feasibility,providing a reference for accurately assessing the operational management capability of public hospitals.Methods:A literature review and Delphi method were employed to construct the index system.The Analytic Hierarchy Process was used to calculate weights,and a weighted comprehensive index method was applied to evaluate the operational management capability of sample hospitals.Results:A hierarchical indicator system was established,comprising 6 first-level indicators,16 second-level indicators,and 40 third-level indicators,covering the dimensions of resource allocation,service efficiency,economic operation,risk prevention and control,development capacity,and social benefits.Empirical results indicated that the composite score of the sample hospital decreased from 71.5 in 2019 to 53.8 in 2020 and rebounded to 57.9 by 2023.Conclusions:The empirical outcomes align well with the operational capacity as understood by the operational management personnel of the sample hospital,demonstrating that the indicator system is scientifically sound and rational,possessing a high evaluative capability.

Objective:To analyze the disease burden of liver cancer and its changing trends in China from 1990 to 2021,so as to provide support for optimizing policies related to the prevention,control and treatment of liver cancer.Methods:Using the data from the Global Burden of Disease Study 2021,a descriptive analysis was conducted on the mortality and disease burden of liver cancer among different genders and age groups in China from 1990 to 2021.Joinpoint Software was used to estimate the average annual changes in the incidence rate,prevalence rate,mortality rate and DALY rate of liver cancer,as well as the annual percentage changes of each index in different time periods,so as to analyze the changing trends of the disease burden of liver cancer in China.Results:In 2021,the prevalence rate of liver cancer in China was 13.29 per 100 000,the incidence rate was 9.52 per 100 000,the mortality rate was 8.53 per 100 000,and the DALY rate was 239.91 per 100 000.From 1990 to 2021,the age-standardized prevalence rate of liver cancer in China increased by an average of 0.02％per year,while the incidence rate,mortality rate and DALY rate decreased by an average of 0.31％,0.79％and 1.03％per year respectively.The incidence rate,prevalence rate,mortality rate and DALY rate of males were all higher than those of females.Conclusion:From 1990 to 2021,the age-standardized DALY rate of liver cancer in China showed a downward trend,and the decline rate was faster than the global level.Interventions on excessive alcohol consumption,smoking and drug abuse should be further strengthened.

Objective:To construct an evaluation index system for the operational management capability in tertiary public hospitals and validate its feasibility,providing a reference for accurately assessing the operational management capability of public hospitals.Methods:A literature review and Delphi method were employed to construct the index system.The Analytic Hierarchy Process was used to calculate weights,and a weighted comprehensive index method was applied to evaluate the operational management capability of sample hospitals.Results:A hierarchical indicator system was established,comprising 6 first-level indicators,16 second-level indicators,and 40 third-level indicators,covering the dimensions of resource allocation,service efficiency,economic operation,risk prevention and control,development capacity,and social benefits.Empirical results indicated that the composite score of the sample hospital decreased from 71.5 in 2019 to 53.8 in 2020 and rebounded to 57.9 by 2023.Conclusions:The empirical outcomes align well with the operational capacity as understood by the operational management personnel of the sample hospital,demonstrating that the indicator system is scientifically sound and rational,possessing a high evaluative capability.

Objective:To analyze the disease burden of liver cancer and its changing trends in China from 1990 to 2021,so as to provide support for optimizing policies related to the prevention,control and treatment of liver cancer.Methods:Using the data from the Global Burden of Disease Study 2021,a descriptive analysis was conducted on the mortality and disease burden of liver cancer among different genders and age groups in China from 1990 to 2021.Joinpoint Software was used to estimate the average annual changes in the incidence rate,prevalence rate,mortality rate and DALY rate of liver cancer,as well as the annual percentage changes of each index in different time periods,so as to analyze the changing trends of the disease burden of liver cancer in China.Results:In 2021,the prevalence rate of liver cancer in China was 13.29 per 100 000,the incidence rate was 9.52 per 100 000,the mortality rate was 8.53 per 100 000,and the DALY rate was 239.91 per 100 000.From 1990 to 2021,the age-standardized prevalence rate of liver cancer in China increased by an average of 0.02％per year,while the incidence rate,mortality rate and DALY rate decreased by an average of 0.31％,0.79％and 1.03％per year respectively.The incidence rate,prevalence rate,mortality rate and DALY rate of males were all higher than those of females.Conclusion:From 1990 to 2021,the age-standardized DALY rate of liver cancer in China showed a downward trend,and the decline rate was faster than the global level.Interventions on excessive alcohol consumption,smoking and drug abuse should be further strengthened.

Objective: To understand the potential categories of health risk behaviors among adolescents in the Wuling Mountain Area and their association with school connectedness, so as to provide reference for formulating classified and effective intervention measures. Methods: From March to June 2023, 3 386 middle and high school students from eight schools in the Wuling Mountain Area were selected using the multistage stratified cluster random sampling method. A basic information questionnaire, health risk behaviors questionnaire, and school connectedness scale were utilized for the survey. The latent classes of adolescent health risk behaviors in the Wuling Mountain Area were investigated by using latent class analysis, while an multinomial Logistic regression model was employed to analyze the association between latent classes and school connectedness. Results: Adolescent health risk behaviors in the Wuling Mountains Area were classified into three latent classes: high risk class of episodic behaviors ( 5.64 %), high risk class of implicit behaviors (26.90%), and low risk class of implicit behaviors (67.45%). Gender, ethnicity, and family type revealed significant differences in the distribution of the three latent classes ( χ 2=117.91, 22.55, 21.51, P <0.05). The results of the regression model analysis showed that, with the low risk class as the reference category, high school connectedness scores were associated with the high risk class of episodic behaviors ( OR=0.89, 95%CI = 0.88- 0.91) and the high risk class of implicit behaviors ( OR=0.90, 95%CI =0.89-0.91)( P <0.05). Conclusions The characteristics of adolescent health risk behavior classes in the Wuling Mountain Area are obvious. The high risk class of episodic behaviors and the high risk class of implicit behaviors are negatively correlated with school connectedness. Corresponding measures should be taken to enhance adolescents sense of belonging in school and reduce the aggregation and co occurrence of health risk behaviors.

Objective: To understand the potential categories of harmful behaviors of college students in Wuling Mountain Area and its relationship with campus bullying, so as to provide a theoretical basis for promoting the development of college students physical and mental health. Methods: The stratified random cluster sampling method was used to select 3 042 college students from six universities in Wuling Mountain Area from October to December, 2022. The "Chinese Youth Health Related/Risk Behaviors Questionnaire" (University Edition) compiled by the National Youth Health Related/Risk Behaviors Survey Group was used to investigate the health risk behaviors. The potential category analysis method was used to analyze the food preference, insecurity, fighting, loneliness, depression, insomnia, heartbreak, suicidal ideation, smoking, drinking, game addiction, Internet addiction of health risk behaviors were used to further analyze the relationship between different categories and campus bullying by using multi category Logistic regression method. Results: College students in Wuling Mountain Area were classified into low risk group of category 1 (44.2%), category 2 (5.4%) substance dependent group, category 3(50.4%) emotional disorder group. The distribution of potential categories of health risk behaviors among college students was statistically significant by gender( χ 2=31.44, 11.69， P < 0.05 ). Logistic regression analysis showed that after controlling demographic variables, campus bullying was the risk factor of category 3 emotional disorder group( OR =1.88, P <0.01). Conclusion bullying. Colleges and universities should attach great importance to the occurrence of campus bullying, formulate intervention programs for different categories of health hazard behaviors, and promote the healthy development of college students physical and mental health.