This article focuses on the leadership of Party building and the collaborative innovation of volunteer service,based on the advantages of Party building leading medical volunteer service,discusses the dilemma faced by the brand construc-tion of medical volunteer service,and constructs the four-in-one construction path model of"value leadership-organizational em-powerment-brand building-guarantee system"through the case study of the excellent youth volunteer service project in the national health system,and takes the First Affiliated Hospital of Guangdong Pharmaceutical University as an example to illustrate the im-plementation effect of the four-in-one model.The in-depth integration of Party building leadership and volunteer service highlights the governance efficiency of the integration and transformation of the advantages of Party building and the kinetic energy of medical volunteer service,and helps the sustainable and high-quality development of volunteer service.

Objective To explore the mediating effect of patient trust between outpatient appointment and medical expe-rience,and to provide academic reference for improving patients' medical experience.Methods Using 1 200 samples of ques-tionnaire survey conducted in the outpatient department of Tianjin First Central Hospital from December 2024 to March 2025,the correlation among outpatient appointment,medical experience and patient trust was analyzed,and the mediation effect model was constructed by using the Model 4 module in the SPSS 27.0 Process plug-in to test the mediation effect of patient trust.Results The study found that patients' trust plays a completely mediating role in the model(95％CI:0.044 6-0.180 5,P＜0.05),and outpatient appointment can improve patients' medical experience by improving patients' trust.Conclusion Outpatient appoint-ment can not only directly affect patients' medical experience,but also indirectly affect patients' medical experience through the intermediary trusted by patients.A perfect outpatient appointment system is helpful to guide patients to build trust in the hospital and promote the improvement of patients' medical experience.

Objective To explore the effectiveness of the OKR method in improving the efficiency of the whole process of critical value management,and to provide new ideas for the implementation of medical quality improvement in other medical insti-tutions.Methods A hospital in Tianjin was selected as the study object,which used the OKR method to reform the management of critical value since January 2024.The core goal of"improving the effectiveness of critical value management"was set,and the goal was broken down into quantitative key results such as"the rate of receiving the critical value system is over 95％"and"the rate of completing the standardised writing of medical records is up to 85％".Results After the reform,several quantitative key results,such as the completion rate of critical care medical record writing,the rate of standardised medical record writing,and the rate of overtime acceptance,were all better than before.Conclusion Through the OKR method to unify the whole hospital's strategic objectives,and the dynamic adjustment of the program based on data review,the hospital's critical value management efficiency has been significantly improved,effectively guaranteeing the safety of patients,and providing new perspectives and methods for the management of critical value in other medical institutions.

Objective To analyze current status of scientific paper publication in a prefecture-level tertiary hospital over the period from 2018 to 2023 to provide a theoretical basis for the hospital to strengthen scientific research management.Methods A database was established using Excel 2013.Statistical analyses were performed using SAS 9.4 to describe and analyze the volume of publications,their distribution across journals,and the relevant professional disciplines.Chi-square test was utilized for inter-group comparisons,while multiple logistic regression analysis was employed to assess the impact of variables such as au-thor gender,age,educational attainment,and professional title on the likelihood of publishing in high-quality journals.Results Between 2018 and 2023,the hospital staff published a total of 1 019 papers,averaging 170 papers annually.Among these,441 were classified as high-quality papers,which included 144 indexed in SCI,with an average journal impact factor of 4.49 and an average citation count of 6.84 per paper.The Surgery and Anesthesia Center,Oncology Center,and Clinical Medical Research Center,among other key professional disciplines,published the most high-quality journal papers,accounting for 22.68％,while 41 general disciplines accounted for only 46.94％.Multiple logistic regression analysis showed that authors with as-sociate senior professional titles(OR=2.013,95％CI=1.456～2.782),full senior professional titles(OR=2.003,95％CI=1.002～4.004),master's degrees(OR=5.039,95％CI=2.046～12.406),and doctoral degrees(OR=28.242,95％CI=8.201～97.257)had a higher proportion of publications in high-quality journals.An active group of authors initially formed with-in the hospital.Conclusion The proportion of high-quality journal publications from the hospital has shown a consistent annual increase,largely attributed to the contributions of highly educated authors.Nevertheless,the overall volume of publications re-mains relatively low,with disparities evident across various professional disciplines and a low conversion rate of scientific and technological achievements.Furthermore,the quality of SCI papers needs improvement.Continued policy support and institution-al safeguards are required to promote discipline development and talent cultivation,thereby facilitating the sustainable develop-ment of scientific research in the hospital.

Objective To analyze the current status of health resources and medical service utilization in children's hos-pitals in China in 2022,explore existing challenges,and propose targeted solutions.Methods This study evaluated the develop-ment of health resources and service utilization patterns in children's hospitals based on 2022 data.Results Children's hospi-tals exhibited a"dumbbell-shaped"structure in bed capacity distribution,with severe polarization between small-scale and large-scale facilities.Insufficient human resources and excessive workloads were prominent,particularly for physicians.Additionally,outpatient services faced high pressure,while inpatient resources were underutilized.Conclusion To address these issues,we recommend optimizing the hierarchical diagnosis and treatment system by leveraging medical consortiums for resource allocation,enhancing pediatric physician training and adopting technology to alleviate workloads,and improving inpatient service models with dynamic resource allocation to address seasonal demand fluctuations.

Objective To analyze the research hotspots and evolution trends in the field of data sharing of primary medi-cal resources in China,and provides theoretical guidance for promoting data sharing of primary medical resources.Methods CiteSpace software was used to search Chinese literature in CNKI,VIP and Wanfang Data from 2015 to 2024,and knowledge graph analysis was carried out on the number of publications,author cooperation,institutional network and keywords.Results A total of 917 literatures meeting the criteria were included.In the time series,the research scale of primary medical resource da-ta sharing showed a trend of first increase and then decrease,and the number of published papers reached a peak of 120 in 2019,which entered a period of adjustment after 2020 due to data security governance issues driven by both policy and technology.The research body formed a multi-team cooperation network,but the participation of young scholars was insufficient.In terms of re-search content,it focuses on the topics of"hierarchical diagnosis and treatment","medical association"and"information plat-form".In the early stage,it focuses on the technical basis,and in recent years,it has turned to the mechanism optimization of"data sharing"and"tight medical community",but the research on privacy protection,regional differences and the application of blockchain technology is still weak.Conclusion The research on medical data sharing at the third level needs to strengthen the collaborative innovation of technology and policy,attach importance to the construction of privacy security and standardization,and promote practice-oriented interdisciplinary exploration.

Objective To analyze the geographic distribution and allocation equity of licensed(assistant)physicians in Chinese medicine in Guangdong Province(2015-2024),providing an evidence base for human resource allocation.Methods Dynamic trends were assessed using growth rate and average annual growth rate.Allocation equity was evaluated through the Theil index and Gini coefficient,with within-group and between-group contribution rates identifying primary sources of variation.Results The number of licensed(assistant)physicians in Chinese medicine increased steadily from 34 thousand in 2015 to 67 thousand in 2024,with an average annual growth rate of 8.1％.The density per 10 000 population rose from 2.87 to 5.28 during this period.The population-based Gini coefficient exhibited a declining trend(all values＜0.16),while the geographical area-based Gini coefficient showed an upward trajectory(all values＞0.5).The overall Theil index demonstrated a fluctuating decline during 2015-2024,with within-group contribution rates consistently exceeding 70％.Conclusions Significant improvements were observed in both the total number and per capita availability of Chinese medicine practitioners.While population-based allo-cation equity remains favorable,geographical distribution equity requires urgent enhancement.Targeted interventions are needed to further promote coordinated development of traditional Chinese medicine human resources.

Objective Summarize and analyze the core issues in the process of the"three medics"linkage reform in China,and provide optimized paths and countermeasure suggestions for the coordinated development and governance of the"three medics".Methods The problem list of the"three medics"linkage reform in China was summarized through literature analysis and boundary analysis method.The problem system was constructed based on the macro model of the health system,and the prob-lem evaluation was conducted by using the social network analysis method and the entropy weight Topsis method.Results The problem list can be summarized into 4 major categories,with a total of 45 problem topics.Among them,there are 5 items in the external submodule category,18 items in the structure category,17 items in the process category,and 5 items in the result cate-gory.The total frequency proportions are 16.22％,27.15％,43.68％,and 12.95％ respectively.Among the process-related problem themes,"excessive medical treatment"has the highest attention,the entropy weight Topsis comprehensive evaluation value of"lagging information system construction"is the highest,and"insufficient cross-departmental collaboration"is closest to the centrality value and has the greatest correlation.Conclusion Guided by the framework of the theory of holistic governance,it is urgently necessary to construct an information system for the coordinated development of the"three medics",reshape the mechanisms of leadership decision-making,data linkage and information collaboration,and enhance the synergy among depart-ments.Taking the reform of medical service prices as the starting point,by improving the value-oriented medical insurance pay-ment mechanism,the compensation mechanism of public hospitals,the salary system,etc.,we promote the compatibility of in-centives among multiple subjects and form a closed loop of coordinated development of the"three medics"sectors.

Objective Quantitatively evaluate the policies for high-quality development of public hospitals in China,an-alyze the strengths and weaknesses of policies in different provinces,and provide theoretical support and decision-making basis for further optimizing relevant policies for high-quality development of public hospitals.Methods Based on text mining and quanti-tative analysis,combined with existing research,a PMC index model is constructed to analyze the relevant policies for high-quali-ty development of public hospitals in China.Results Among the 32 policy texts included,11 are excellent policies and 21 are good policies.The average PMC index of the 32 policies is 6.66,indicating overall good performance.However,some policies have some problems in terms of reference basis,task list,and monitoring indicators.Conclusion The policy for high-quality de-velopment of public hospitals in our country is basically complete.The formulation of relevant policies in the future should consider further improvement of policy objectives,incentive measures,and rich content,in order to achieve alignment with national policies at the macro level and optimization and improvement based on the actual situation of each province and city at the micro level.

Objective To analyze the relationship between article content and user feedback on WeChat public numbers in hospitals,and to provide data support and theoretical basis for optimizing public number content and health communication strategy.Methods 1 279 tweets of WeChat public number of a tertiary public hospital from 2023 to 2024 were selected to ana-lyze the relationship between article categories and user feedback behavior,interactive behavior and article dissemination effect,and to assess the important influencing factors of user attention conversion behavior.Results The articles in the health science popularization category show significant advantages in the indicators of users' reading and sharing behaviors;the interactive indica-tors of users' liking and commenting have a significant positive effect on the dissemination effect of the articles,while the number of"watching"hurts the number of readings;the assessment of the random forest model shows that the number of readings genera-ted by sharing and the number of readings brought by each sharing are the most important factors influencing the users' attention.The random forest model assessment showed that the number of reads generated by sharing and the number of reads per share were the most important factors influencing users' attention.Conclusion Health science articles dominate users' reading and sharing behaviors,user interaction significantly improves the dissemination effect and attention conversion of the articles,and the number of reads generated by sharing is the key factor determining users' attention.This suggests that content dissemination strategies need to be combined with the content characteristics of the article,focusing on improving the interaction and sharing guidance of con-tent with high dissemination potential.