Objective:To explore the evaluation index system of the competency of economic management personnel at different levels in public hospitals,in order to provide a basis for the training and evaluation of economic management personnel in public hospitals.Method:Based on the literature research method,the onion model"outermost layer-middle layer-core layer"is used as the logical framework to preliminarily construct the initial index pool.At the same time,combined with the expert consultation method and hierarchical analysis method,the competence index system of high-level,middle-level economic management personnel is constructed and endowed with weight.The scoring questionnaire was designed,and Xinhua hospital in Shanghai was selected as a case for the empirical study,so as to improve the evaluation index system.Results:The competency index system of grass-roots,middle-level and high-level economic managers in public hospitals is constructed,including 3 first-level indicators,18 second-level indicators and corresponding weights.The economic management personnel of the case hospital have a high competence level,and the positive relationship between rank and competence.Conclusion:The competency index system constructed is characterized by scientificity,practicability and reliability;with the rise in rank,there are obvious differences in the importance and content of the competency elements of economic managers at all levels.Therefore,the training system of economic management personnel at different ranks can be constructed through differentiated strategies to improve the level of competence.

Alzheimer's disease(AD)is an age-related neurodegenerative disease with an increasing incidence worldwide.A large number of studies have shown that the incidence rates of hearing loss is high in patients with mild cognitive impairment and Alzheimer's disease,and may be a risk factor for the occurrence and development of cognitive impairment.There is an interaction between the two,but the causal mechanism is still unclear.Early screening and management of hearing impairment may play an important role in the early diagnosis,symptom im-provement and disease progression of Alzheimer's disease.This paper reviews relevant clinical and basic research to discuss the correlation between hearing loss and Alzheimer's disease,and the possible causal mechanism between them.

Alzheimer's disease(AD)is an age-related neurodegenerative disease with an increasing incidence worldwide.A large number of studies have shown that the incidence rates of hearing loss is high in patients with mild cognitive impairment and Alzheimer's disease,and may be a risk factor for the occurrence and development of cognitive impairment.There is an interaction between the two,but the causal mechanism is still unclear.Early screening and management of hearing impairment may play an important role in the early diagnosis,symptom im-provement and disease progression of Alzheimer's disease.This paper reviews relevant clinical and basic research to discuss the correlation between hearing loss and Alzheimer's disease,and the possible causal mechanism between them.

Objective:To explore the evaluation index system of the competency of economic management personnel at different levels in public hospitals,in order to provide a basis for the training and evaluation of economic management personnel in public hospitals.Method:Based on the literature research method,the onion model"outermost layer-middle layer-core layer"is used as the logical framework to preliminarily construct the initial index pool.At the same time,combined with the expert consultation method and hierarchical analysis method,the competence index system of high-level,middle-level economic management personnel is constructed and endowed with weight.The scoring questionnaire was designed,and Xinhua hospital in Shanghai was selected as a case for the empirical study,so as to improve the evaluation index system.Results:The competency index system of grass-roots,middle-level and high-level economic managers in public hospitals is constructed,including 3 first-level indicators,18 second-level indicators and corresponding weights.The economic management personnel of the case hospital have a high competence level,and the positive relationship between rank and competence.Conclusion:The competency index system constructed is characterized by scientificity,practicability and reliability;with the rise in rank,there are obvious differences in the importance and content of the competency elements of economic managers at all levels.Therefore,the training system of economic management personnel at different ranks can be constructed through differentiated strategies to improve the level of competence.

Driven by the two-wheel wheels of high-quality development of public hospitals and DRG/DIP payment reform,the operation mode of hospitals urgently needs to shift to the intensive mode of"cost reduction and efficiency increase".As the hub of hospital business operation and an important center of resource integration,the lean management of operating room affects the realization of high-quality development goals of"three transformations and three improvements".Based on the perspective of value chain,it discusses the difficult problems of operating room cost management in public hospitals from three aspects:operation cost motivation,execution cost motivation and structural cost motivation.Then,it puts forward corresponding management strategies to promote lean management of operating room,and help public hospitals to strengthen cost control and improve operational efficiency.

New quality productive forces are advanced productive forces in line with the new development concept,with the characteristics of high technology,high efficiency and high quality.It has a guiding role in realizing the high-quality and sustainable development of public hospitals.Starting from the basic connotation of the new quality productivity,it studies the core elements and implementation paths of establishing a lean management system that meets the requirements of high-quality development of public hospitals from the perspective of the leap in the combination of labourers,labour materials,labour objects and their optimisation.Combined with the actual situation of Xinhua Hospital Affiliated To Shanghai Jiao Tong University School of Medicine,the specific application path is discussed,in order to be able to achieve the transformation and upgrading of public hospitals to provide experience to learn from.

Driven by the two-wheel wheels of high-quality development of public hospitals and DRG/DIP payment reform,the operation mode of hospitals urgently needs to shift to the intensive mode of"cost reduction and efficiency increase".As the hub of hospital business operation and an important center of resource integration,the lean management of operating room affects the realization of high-quality development goals of"three transformations and three improvements".Based on the perspective of value chain,it discusses the difficult problems of operating room cost management in public hospitals from three aspects:operation cost motivation,execution cost motivation and structural cost motivation.Then,it puts forward corresponding management strategies to promote lean management of operating room,and help public hospitals to strengthen cost control and improve operational efficiency.

New quality productive forces are advanced productive forces in line with the new development concept,with the characteristics of high technology,high efficiency and high quality.It has a guiding role in realizing the high-quality and sustainable development of public hospitals.Starting from the basic connotation of the new quality productivity,it studies the core elements and implementation paths of establishing a lean management system that meets the requirements of high-quality development of public hospitals from the perspective of the leap in the combination of labourers,labour materials,labour objects and their optimisation.Combined with the actual situation of Xinhua Hospital Affiliated To Shanghai Jiao Tong University School of Medicine,the specific application path is discussed,in order to be able to achieve the transformation and upgrading of public hospitals to provide experience to learn from.

Driven by the two-wheel wheels of high-quality development of public hospitals and DRG/DIP payment reform,the operation mode of hospitals urgently needs to shift to the intensive mode of"cost reduction and efficiency increase".As the hub of hospital business operation and an important center of resource integration,the lean management of operating room affects the realization of high-quality development goals of"three transformations and three improvements".Based on the perspective of value chain,it discusses the difficult problems of operating room cost management in public hospitals from three aspects:operation cost motivation,execution cost motivation and structural cost motivation.Then,it puts forward corresponding management strategies to promote lean management of operating room,and help public hospitals to strengthen cost control and improve operational efficiency.

New quality productive forces are advanced productive forces in line with the new development concept,with the characteristics of high technology,high efficiency and high quality.It has a guiding role in realizing the high-quality and sustainable development of public hospitals.Starting from the basic connotation of the new quality productivity,it studies the core elements and implementation paths of establishing a lean management system that meets the requirements of high-quality development of public hospitals from the perspective of the leap in the combination of labourers,labour materials,labour objects and their optimisation.Combined with the actual situation of Xinhua Hospital Affiliated To Shanghai Jiao Tong University School of Medicine,the specific application path is discussed,in order to be able to achieve the transformation and upgrading of public hospitals to provide experience to learn from.