Objective To establish a multidisciplinary diagnosis and treatment quality evaluation index system,provi-ding reference for the evaluation of multidisciplinary diagnosis and treatment work by medical management departments.Methods A framework of evaluation indicators for multidisciplinary diagnosis and treatment was formed through literature research and ex-pert interviews,and the content of the indicators was improved using the Delphi expert consultation method.Results After two rounds of expert consultation,an evaluation index system was constructed with 3 primary indicators,8 secondary indicators,and 29 tertiary indicators.The positive coefficient of the two rounds of consultation was 97.3％and 100％respectively,the authority coefficient was 0.89,and the overall Kendall's harmony coefficient was between 0.3 and 1.Conclusion The index system de-veloped in this study is in line with the practicality of the multidisciplinary diagnosis and treatment model in current tertiary com-prehensive hospitals and specialized hospitals.It has strong operability and can provide reference for the evaluation and improve-ment of multidisciplinary diagnosis and treatment quality.

Objective To establish a multidisciplinary diagnosis and treatment quality evaluation index system,provi-ding reference for the evaluation of multidisciplinary diagnosis and treatment work by medical management departments.Methods A framework of evaluation indicators for multidisciplinary diagnosis and treatment was formed through literature research and ex-pert interviews,and the content of the indicators was improved using the Delphi expert consultation method.Results After two rounds of expert consultation,an evaluation index system was constructed with 3 primary indicators,8 secondary indicators,and 29 tertiary indicators.The positive coefficient of the two rounds of consultation was 97.3％and 100％respectively,the authority coefficient was 0.89,and the overall Kendall's harmony coefficient was between 0.3 and 1.Conclusion The index system de-veloped in this study is in line with the practicality of the multidisciplinary diagnosis and treatment model in current tertiary com-prehensive hospitals and specialized hospitals.It has strong operability and can provide reference for the evaluation and improve-ment of multidisciplinary diagnosis and treatment quality.

In the face of the current fierce and complex competitive environment,the key to the sustainable and stable development of Internet hospitals in public hospitals is whether they can combine their internal and external advantages,find out the right position,clarify their ideas,and formulate scientific development strategies.This paper analyzes the advantages,disad-vantages,opportunities and threats of public hospitals in building Internet hospitals by using SWOT analysis method,so as to put forward development strategies.To provide reference for the development of Internet hospitals in public hospitals in China,with a view to promoting the high-quality development of Internet hospitals.

ObjectiveTo investigate the effects of nasal continuous positive airway pressure (nCPAP) and intubation in very low birth weight preterm infants. Methods One hundred and twenty-three very low birth weight preterm infants with respiratory distress within 60 minutes after birth were randomly assigned to nCPAP (n=63) or intubation group (n=60).Outcomes at 7,28 days and 36 corrected gestational weeks were assessed with x2 or t-test. ResultsThere were no significant difference in fatality rate and incidence of bronchopulmonary dysplasia between nCPAP group and intubation group [7.9％ (5/63) vs 6.6％(4/60),4.8％(3/63) vs 3.3％(2/60),x2 =0.07and 0.16,P＞0.05].In nCPAP group,the use of pulmonary sulfactant was 27.0％ (17/63),lower than that (83.3 ％,50/60) in intubation group (x2 =39.34,OR=0.3,90 ％ CI:0.2-0.6,P＜0.05) ;The nCPAP group had fewer ventilation support in 28 days [17.5％ (11/63) vs 25.0％ (15/60),OR=0.7,90％ CI:0.4-1.4] and 36 weeks [6.3％ (4/63) vs 8.3％ (5/60),OR=0.8,90％ CI:0.2-2.4] than those in intubation group but without statistical difference (x2=1.05 and 0.01,P＞0.05,respectively).The incidence of air leak in nCPAP group were lower than intubation group [11.1％ (7/63) vs 33.3％ (20/60),x2 =8.86,OR=0.3,90％00 CI:0.2-0.7,P＜0.05].There was no significant difference for other complications between two groups. ConclusionsIn very low birth weight preterm infants,early nCPAP dose not significantly reduce the fatality rate and the incidence of bronchopulmonary dysplasia as compared with intubation ventilation,but shorten the time of ventilation and lower the incidence of air leak.