Objective Analyzing the distribution of policy attention in policy documents concerning county-level medical community at the provincial level in China,provides insights for enhancing the governance effectiveness and service capacity of these consortiums.Methods Guided by policy instrument theory,it conducted coding and quantitative analysis of county-level medical community policy documents from all provinces(autonomous regions and municipalities)in China using NVivo 11 software.Results The policy instrument structure showed imbalance:environmental,supply-side,and demand-side instruments accounted for 42.2%,36.4%,and 21.2%respectively.Organizational management and human resource support received the highest attention,while innovation environment optimization and performance evaluation mechanisms were significantly inadequate.Pilot regions achieved progress through resource integration and institutional innovation,the overall development trend is positive.Conclusion Optimizing policy attention allocation is key to enhancing county-level medical community effectiveness.Recommendations include strengthening systemic synergy among policy instruments,increasing application of demand-side tools,and formulating differentiated policies based on regional heterogeneity to improve governance capacity and service delivery.

Objective Analyzing the distribution of policy attention in policy documents concerning county-level medical community at the provincial level in China,provides insights for enhancing the governance effectiveness and service capacity of these consortiums.Methods Guided by policy instrument theory,it conducted coding and quantitative analysis of county-level medical community policy documents from all provinces(autonomous regions and municipalities)in China using NVivo 11 software.Results The policy instrument structure showed imbalance:environmental,supply-side,and demand-side instruments accounted for 42.2%,36.4%,and 21.2%respectively.Organizational management and human resource support received the highest attention,while innovation environment optimization and performance evaluation mechanisms were significantly inadequate.Pilot regions achieved progress through resource integration and institutional innovation,the overall development trend is positive.Conclusion Optimizing policy attention allocation is key to enhancing county-level medical community effectiveness.Recommendations include strengthening systemic synergy among policy instruments,increasing application of demand-side tools,and formulating differentiated policies based on regional heterogeneity to improve governance capacity and service delivery.

Objective To explore the influencing factors for usage of the official App of a hospital, based on Unified Theory of Acceptance and Use of Technology (UTAUT).Methods 616 outpatients were randomly sampled from outpatient clinics of three tertiary hospitals in Hangzhou for questionnaire survey, to learn the usage and intention for hospital′s official App.Results It was found that women (0.134), high performance expectancy (0.321), facilitating conditions (0.256), high effort expectancy (0.224), and desirable social influence (0.100) all contributed positive influence (P<0.05) to usage of such App.Conclusions It is recommended to enhance service functions of such App and simplify its usage, in addition to better promotion and online security measures.

Objective · To observe the change of serum complement C1q tumor necrosis factor-related protein1 (CTRP1) level and explore its relationship with serum adiponectin (APN) level in elderly male metabolic syndrome (MS) patients. Methods · Clinical data of 279 male objects (60-90 years old) were analyzed retrospectively, serum CTRP1 and APN levels of all objects were tested by enzyme-linked immuno sorbent assay (ELISA). The patients were divided into three groups, i.e. 105 MS patients (MS group), 90 MS patients combined with hypertension (HMS group), and 84 non-MS patients (control group). All general information, including height, body weight, systolic blood pressure (SBP), diastolic blood pressure, fasting blood glucose, fasting insulin and serum three acyl glycerin (TAG) were recorded, in order to calculate body mass index (BMI) and homeostasis model assessment of insulin resistance (HOMA-IR). Results · Compared with the control group, serum CTRP1 levels of patients in MS group and HMS group both increased, and the latter was more obviously. Serum APN levels of patients decreased obviously in HMS group and MS group. The level of serum CTRP1 was negatively related with the level of serum APN. Conversely, serum CTRP1 level was positively related with blood glucose, BMI, SBP, TAG and HOMA-IR. Conclusion · The level of serum CTRP1 is elevated, while the level of serum APN declines in elderly male MS patients. The serum level of CTRP1 is even higher in HMS patients. Serum CTRP1 level is related to many risk factors of atherosclerosis.