Objective To enhance the standardization rate of anticancer drug treatment records.Methods Based on the PDCA cycle quality management tool,C hospital developed and implemented the expert consensus on the Writing Standards for Medical Records of Anticancer Drug Treatment,and continuously monitored the record standard rate.x2 test,Fisher exact probability method and Mann-Kendall trend test were used to analyze the monitoring data.Results After publicity,training,quality control and inclusion in performance assessment,C hospital record standard rate improved rapidly,surpassed 99％in April 2023 and remaining stable thereafter.Before and after the dissemination of the management experience in District H of Beijing,the standardization rate of anticancer drug treatment records increased from 56.99％in the first quarter of 2023 to 72.82％in the first quarter of 2024.An upward trend was observed in the standardization rate of whether there is an evaluation of adverse reactions.Conclusion The standardization rate of anticancer drug treatment records based on PDCA cycle has improved.However,continuous monitoring and improvement of the standardization rate within the region are still required in the future.

Objective To enhance the standardization rate of anticancer drug treatment records.Methods Based on the PDCA cycle quality management tool,C hospital developed and implemented the expert consensus on the Writing Standards for Medical Records of Anticancer Drug Treatment,and continuously monitored the record standard rate.x2 test,Fisher exact probability method and Mann-Kendall trend test were used to analyze the monitoring data.Results After publicity,training,quality control and inclusion in performance assessment,C hospital record standard rate improved rapidly,surpassed 99％in April 2023 and remaining stable thereafter.Before and after the dissemination of the management experience in District H of Beijing,the standardization rate of anticancer drug treatment records increased from 56.99％in the first quarter of 2023 to 72.82％in the first quarter of 2024.An upward trend was observed in the standardization rate of whether there is an evaluation of adverse reactions.Conclusion The standardization rate of anticancer drug treatment records based on PDCA cycle has improved.However,continuous monitoring and improvement of the standardization rate within the region are still required in the future.

Objective:To understand the status of outpatients′medical care and their impact on the doctor -pa-tient trust in Beijing .Methods:Three tertiary hospitals were selected due to most concentrated high -quality medi-cal resources , the largest number of patient visits , universalism and particularism trust could be compared , taking field observations , personal interviews and questionnaires methods .Results:The main factors affecting clinical doctor-patient trust are time, the doctor skills, medical ethics, medical and prescription drug division , etc.are appropriate and effective .Conclusion:Play the role of pyramidmedical system′s overall effectiveness , and es-tablish a patient-centered system for outpatient care as soon as possible a comprehensive grasp of the overall con -struction team doctor , continue to strengthen the standardized management of medication .

As a heteronomy,the code of medical ethics plays an important role in sustaining the trust between physicians and patients.Based on a comparative analysis of the domestic and foreign codes of medical ethics,and field survey on such trust at tertiary hospitals in Beijing,as well as medical providers’moral characteristics,this article analyzed the causes that “goodwill”is insufficient in the trust in terms of internal and external factors;and then,in respect of heteronomy as a basis,it put forward suggestions to improve code of medical ethics in order to rebuild such trust.

Physician-patient trust is the basis of informed consent,and the informed consent institution is supposed to strengthen the trust.However,it affects trust in an opposite way in practice. This research aimed to analyze the relationship between informed consent and physician-patient trust,and provide with the advice,recommending on such rebuilding.

The study found that the physician-patient trust crisis results from overreliance on technology trust instead of interpersonal trust and institutional trust. The alleged “Paternalistic government innovation”in healthcare service has caused wastes of healthcare resources and gap below public expectancy due to its incompetence in resolving social problems,further eroding institutional legality and intensifying such crisis.This research aimed to identify government accountabilities in building such trust from three aspects.