Strengthening the management of large-scale medical equipment records is of great significance for optimizing the allocation of medical equipment resources,enhancing the social and economic benefits of medical equipment,and effectively promoting the high-quality development of public hospitals.This paper systematically analyzes the current status of record man-agement in public hospitals,focusing on the problems in the construction of medical equipment records management,including insufficient attention,inadequate implementation of systems,low level of informatization,and underutilization of record functions.To address these issues,the authors propose improving institutional construction,establishing evaluation mechanisms,promoting information construction,fully realizing the value of records,and strengthening talent training to assist in the management of med-ical equipment records.This will effectively prevent and control risks related to medical quality,integrity,and economic opera-tion of large-scale medical equipment,enhance the service efficiency of public hospitals,and promote their high-quality develop-ment.

This paper starts with an analysis of the types of risks in the procurement of public hospitals,explores the weak links in internal control,identifies problems in risk management,and proposes improvement suggestions to promote stand-ardized and refined management of hospital procurement.

Objective This study aims to explore the collaborative governance model of medical and elderly care integra-tion to promote the participation of medical institutions in integrated services and provide policy recommendations.Methods Based on the perspective of welfare pluralism,combined with the practical experience of an A hospital-managed nursing home in Guangzhou,the roles of different welfare subjects such as the government,market,community,and family in the medical and elderly care integration service system were discussed.Results The integration of medical and elderly care faces issues such as inadequate government guarantees in terms of space and medical insurance,insufficient vitality of social capital participating in medical and elderly care integration in the market,weak linkage between integrated care institutions and community organizations,and heavy burden on elderly families in accessing integrated services.Conclusion The government should improve top-level insti-tutional design,the market needs to optimize the supply of medical and elderly care integration services,the community should play a pivotal role as a platform,and families should create a supportive environment for respecting and caring for the elderly.

Orphan drugs face the challenge of being unavailable for a long time due to their high investment and low re-turn.In response,the United States,European Union,and some countries and regions in Asia have implemented various incen-tive measures(including financial and non-financial incentives)for the supply of orphan drugs,achieving significant results.China has also introduced corresponding measures for the supply of orphan drugs,but compared to countries and regions such as Europe and the United States,the incentives are insufficient.China should further learn from international experiences,define criteria for identifying orphan drugs,adopt"dual-track"incentive measures to promote the supply of orphan drugs,and also take preventive measures in price regulation and risk control to mitigate any negative effects associated with the supply of orphan drugs.

Objective This study aims to explore the characteristics and weight loss motivations of patients in the medi-cal nutrition weight loss clinic of a hospital in Ningxia.Methods This study is a cross-sectional study.Patients who visited the medical weight loss clinic at Ningxia Hui Autonomous Region People's Hospital from April to September 2023 were selected as the study subjects.A self-designed questionnaire was used to collect patients'demographic information,lifestyle,weight loss ex-periences,and motivations.The characteristics of weight loss patients were analyzed.Furthermore,the patients were divided into two groups,improvement of health group and improvement of body shape group,based on their weight loss motivations,in order to study the characteristics of different motivational groups.Results A total of 160 subjects were included in the study,with 97 females(60.6％)and 63 males(39.4％).The average age was 29.66±11.89 years,weight was 89.11±16.54 kg,and BM1 was 31.15±4.44 kg/m2.Most patients had comorbidities,with fatty liver being the most common(57.5％),followed by hype-ruricemia(30.6％)and hyperlipidemia(23.8％).Common problems among patients included unhealthy dietary habits,lack of physical activity,and irregular sleep patterns.72.5％of patients had attempted weight loss multiple times,and among different weight loss methods,combined interventions had a higher effectiveness rate,but rebound rates were generally high.In terms of weight loss motivations,81 patients aimed to improve health,while 79 aimed to improve body shape.There were statistically sig-nificant differences(P＜0.05)between the two groups in terms of age,education level,occupation,duration of obesity,and medical history.Conclusion Patients in the medical nutrition weight loss clinic often have comorbidities and have experienced multiple weight loss attempts and weight rebounds.Motivational interviews help patients recognize the dangers of obesity,estab-lish a belief in health,and promote the formation of a healthy lifestyle.

Objective This study aimed to analyze the current status of depressive symptoms among middle school students in Jingzhou City in 2023 and the influence of daily lifestyle on these symptoms.Methods A convenience cluster sam-pling method was used to conduct a questionnaire survey among students in 25 middle schools in Jingzhou City from September 2023 to November 2023.The questionnaire included demographic information and standardized questionnaires.Chi-square test was used for univariate analysis,and binary logistic regression model was used for analysis of influencing factors.Results A-mong the 17,499 valid questionnaires,the prevalence of depressive symptoms among middle school students in Jingzhou City was 32.60％.Univariate analysis revealed that students with unhealthy lifestyles(including internet addiction,insomnia,lack of si-esta,frequent late-night activities,less participation in physical exercise,passive participation in group activities,and unbal-anced dietary habits)had a higher prevalence of depressive symptoms.Moreover,high school students(40.95％)had a higher prevalence than middle school students(27.57％),and females(37.43％)had a higher prevalence than males(27.96％);all differences were statistically significant(P＜0.001).Binary logistic regression analysis showed that being female,being a high school student,internet addiction,insomnia,lack of siesta,frequent late-night activities,less participation in physical exercise,passive participation in group activities,and unbalanced dietary habits were risk factors for depressive symptoms among middle school students in Jingzhou City.Conclusion This study revealed the association between depressive symptoms and daily lifes-tyle among middle school students in Jingzhou City.The prevalence of depressive symptoms was related to factors including being female,being a high school student,internet addiction,insomnia,lack of siesta,unbalanced dietary habits,less participation in physical exercise,and passive participation in group activities.It is recommended to focus on cultivating good daily behavioral habits among students in both school and family environments to improve their mental health.

Objective This study aims to analyze the application and effect of a competency-based blended teaching model in obstetrics and gynecology education.Methods The study included 90 interns undergoing training in the Department of Obstetrics and Gynecology at Zhongshan Torch Development Zone People's Hospital from March 2023 to July 2024.The partici-pants were randomly divided into two groups using a random number table method.The control group received traditional teaching methods,while the observation group received a competency-based blended teaching model.The teaching effects were compared between the two groups.Results At the end of the rotation,both groups showed varying degrees of improvement in theoretical examination scores,practical skills scores,and CTDI-CV scores.The observation group showed significantly greater improvement compared to the control group(P＜0.05).At the end of the rotation,the scores of clinical basic competency,teamwork ability,and other dimensions of the Student Job Competency Evaluation Scale were significantly higher in the observation group compared to the control group(P＜0.05).The differences were statistically significant.Conclusion The application of a competency-based blended teaching model in obstetrics and gynecology education has significant effects,improving teaching quality and enab-ling medical students to achieve better assessment results.It also enhances critical thinking skills and job competency.This mod-el has high value for promotion and application.

Objective To understand the talent needs in public hospitals and provide a scientific theoretical basis for the development and implementation of talent introduction plans.Methods A self-designed questionnaire on talent needs in public hospitals and an outline for expert interviews were used in this study,employing a combination of questionnaire surveys and expert interviews.Results The demand for full-time research personnel accounted for 78.1％,and 83.6％of departments preferred full-time recruitment.Approximately 50％of talents were expected to be recruited from both domestic and overseas sources,with 65.3％being under the age of 45.The top three support expectations from hospitals were salary benefits,mentor qualifications,and senior professional titles.In terms of talent needs for key construction projects in hospitals,44.4％were for leading talents,27.8％for platform leaders,and 55.6％for full-time overseas talents.There were significant differences in talent categories,po-sitions,and recruitment methods for key construction projects(P＜0.001).Differences were also observed in the types of posi-tions,recruitment methods,and recruitment channels among different departments in hospitals(P＜0.05).There were signifi-cant differences in recruitment channels(P＜0.001).Conclusion The pattern of global high-level talent aggregation has not yet formed,and talent recruitment should be implemented with the help of the"Two Plans and One Platform"initiative.The role of national platform bases in talent attraction should be strengthened,and talent recruitment channels should be expanded to create a conducive environment for talent attraction.The support system for talent recruitment should be improved to increase the success rate of talent introduction.It is necessary to innovate and optimize the long-term talent introduction mechanism and improve the talent evaluation system.

Objective This study aims to introduce and explore the application of the medical service price online audit system,which enables pre-positioning,informatization,intelligence,and refinement of price management,ensuring the safety of medical insurance funds and protecting the legitimate rights and interests of patients.Methods Taking a tertiary hospital in Guangdong Province as an example,the application practice of the medical institution's online audit system for price management is thoroughly introduced.Results Through the real-time monitoring of charge data by the online audit system,full-process man-agement is carried out,including pre-warning,mid-intervention,and post-analysis of medical billing behavior,in order to stand-ardize clinical diagnosis and treatment practices.Conclusion By utilizing information technology and continuously improving in-telligent audit rules,the standardization of hospital charge management can be promoted,internal control construction can be strengthened,and the hospital's refinement development can be facilitated.

Objective This study aims to summarize the situation,development experiences,and existing problems in the development of Hospital S,and provide relevant suggestions as a reference for the high-quality development path of public hospitals.Methods Thirteen managers of Hospital S(including hospital leaders,functional departments,and clinical depart-ment heads)and eight experts in the field of hospital management were selected as research subjects.The phenomenological re-search method of qualitative research was used,and semi-structured interviews were conducted to collect relevant data.The Co-laizzi phenomenological data analysis method was used to analyze the interview data.Results Through the analysis of the inter-view data,four themes related to high-quality development were identified:medical care,scientific research and teaching,tal-ents,and disciplines.Each theme has specific areas that need priority and focused attention.Under the theme of medical care,there are four sub-themes:medical quality,medical safety,medical technology,and medical services.Scientific research and teaching,as a strategic support for promoting the hospital's sustained high-quality development,includes four sub-themes:re-search innovation,achievement transformation,teaching system,and mentor team.Talents,as the core competitiveness of the hospital,include three sub-themes:top-level design,high-level talents,and training system.The discipline theme includes four sub-themes:development ideas,development opportunities,development directions,and discipline leaders.Conclusion Public hospitals are facing new situations in high-quality development,and accelerating the improvement of medical service capabilities is a direct manifestation of high-quality development.It is necessary to promote key work such as research innovation,teaching management,talent team building,and discipline construction in a coordinated manner to achieve synchronous improvement in quality and efficiency.