With the improvement of people's living standards and the development of medical and health technologies, the trend of population aging in China has become increasingly severe. The long-term care insurance system is an important strategic measure to address population aging and the long-term care of disabled elderly people. By introducing the current implementation situation of the long-term care insurance system in some provinces and cities, this paper explores and excavates the experience of how to develop and deepen the long-term care insurance, aiming to provide a reference for improving and developing China's long-term care insurance system for the elderly.

Objective:To explore effect of information management mode of full lifecycle for medical equipment on the basis of Service-Oriented Architecture(SOA)on the information management for information management of full lifecycle in hospital.Methods:An information management mode of full lifecycle for medical equipment was adopted to conduct information management for full lifecycle of medical equipment,so as to solve a series of problems included perception for the situation of equipment,and early warning for fault,and so on.A total of 100 medical equipment in clinical use at The First Rongjun Youfu Hospital of Shandong Province from February 2023 to February 2024 were selected for the study.In them,50 equipment were managed under a continuous improvement mode,while the other 50 equipment were managed by using a SOA-based information management mode of full lifecycle(information management mode).The score of management quality for equipment,management standardization and operational quality of the two kinds of management modes were compared.A self-designed satisfaction questionnaire of using and managing equipment was used to survey the satisfactions of medical engineers,operators of equipment,and staffs of equipment department in using and managing equipment,who involved in usage and management for equipment.Results:Under the information management mode,the scores for usage of equipment,the return efficiency,safety performance,maintenance quality,cleaning quality,and overall evaluation were respectively(22.98±2.11),(23.69±1.65),(22.74±1.36),(23.65±1.54),and(93.01±4.65),all of which were significantly higher than those of the continuous improvement mode,with statistically significant differences(t=6.672,11.428,9.256,12.976,13.182,P<0.05).The standardizations of usage operation of equipment,cleaning and disinfection,safety monitoring,and quality control of adopting information management mode were higher than those of adopting continuous improvement mode(x2=13.709,11.679,11.284,15.120,P<0.05).The failure rates of surgical equipment,therapeutic equipment,diagnostic equipment,dialysis equipment,and emergency equipment of adopting information management mode were all lower than those of adopting continuous improvement mode,with statistically significant differences(x2=16.872,13.878,17.156,11.679,12.805,P<0.05).Satisfaction scores of medical engineers,operators for equipment,and staffs of equipment department of adopting information management mode were significantly higher than those of adopting the continuous improvement mode,with statistically significant differences(t=16.872,13.878,17.156,P<0.05).Conclusion:The application of a SOA-based information management mode of full lifecycle for medical equipment in management for medical equipment can enhance management level for equipment,and improve operational quality of equipment,and enhance safety and utilization efficient of using equipment.

With the improvement of people's living standards and the development of medical and health technologies, the trend of population aging in China has become increasingly severe. The long-term care insurance system is an important strategic measure to address population aging and the long-term care of disabled elderly people. By introducing the current implementation situation of the long-term care insurance system in some provinces and cities, this paper explores and excavates the experience of how to develop and deepen the long-term care insurance, aiming to provide a reference for improving and developing China's long-term care insurance system for the elderly.

Objective:To explore effect of information management mode of full lifecycle for medical equipment on the basis of Service-Oriented Architecture(SOA)on the information management for information management of full lifecycle in hospital.Methods:An information management mode of full lifecycle for medical equipment was adopted to conduct information management for full lifecycle of medical equipment,so as to solve a series of problems included perception for the situation of equipment,and early warning for fault,and so on.A total of 100 medical equipment in clinical use at The First Rongjun Youfu Hospital of Shandong Province from February 2023 to February 2024 were selected for the study.In them,50 equipment were managed under a continuous improvement mode,while the other 50 equipment were managed by using a SOA-based information management mode of full lifecycle(information management mode).The score of management quality for equipment,management standardization and operational quality of the two kinds of management modes were compared.A self-designed satisfaction questionnaire of using and managing equipment was used to survey the satisfactions of medical engineers,operators of equipment,and staffs of equipment department in using and managing equipment,who involved in usage and management for equipment.Results:Under the information management mode,the scores for usage of equipment,the return efficiency,safety performance,maintenance quality,cleaning quality,and overall evaluation were respectively(22.98±2.11),(23.69±1.65),(22.74±1.36),(23.65±1.54),and(93.01±4.65),all of which were significantly higher than those of the continuous improvement mode,with statistically significant differences(t=6.672,11.428,9.256,12.976,13.182,P<0.05).The standardizations of usage operation of equipment,cleaning and disinfection,safety monitoring,and quality control of adopting information management mode were higher than those of adopting continuous improvement mode(x2=13.709,11.679,11.284,15.120,P<0.05).The failure rates of surgical equipment,therapeutic equipment,diagnostic equipment,dialysis equipment,and emergency equipment of adopting information management mode were all lower than those of adopting continuous improvement mode,with statistically significant differences(x2=16.872,13.878,17.156,11.679,12.805,P<0.05).Satisfaction scores of medical engineers,operators for equipment,and staffs of equipment department of adopting information management mode were significantly higher than those of adopting the continuous improvement mode,with statistically significant differences(t=16.872,13.878,17.156,P<0.05).Conclusion:The application of a SOA-based information management mode of full lifecycle for medical equipment in management for medical equipment can enhance management level for equipment,and improve operational quality of equipment,and enhance safety and utilization efficient of using equipment.

Objective:To evaluate the reliability and validity of the Chinese version of HEMO-FISS-QoL(HF-QoL) questionnaire (HF-QoL-C) in the Chinese population with hemorrhoids.Methods:From November 2021 to November 2022, a self-constructed general information questionnaire, HF-QoL-C, and the 36-item short form health survey (SF-36), Goligher classification, and Giordano severity of hemorrhoid symptom questionnaire (GSQ) were used to conduct a questionnaire survey on 760 hemorrhoid patients in the anorectal department of six hospitals. The data was analyzed for reliability and validity using SPSS 21.0 and AMOS 26.0 software.Results:The Cronbach's α coefficient of HF-QoL-C and its dimension ranged from 0.831 to 0.960, and the split coefficient was 0.832-0.915. Four common factors were extracted through principal component exploratory factor analysis. Confirmatory factor analysis indicated acceptable structural validity( χ2/ df=8.152, RSMEA=0.097, CFI=0.881, IFI=0.881, NFI=0.867). HF-QoL-C was correlated with SF36 and GSQ( r=-0.694, 0.501, both P<0.01). There were differences in the total score and dimensional scores of HF-QoL-C between surgical and drug treated patients, different grades of Goligher classification for hemorrhoidal disease, and different ranges of hemorrhoid prolapse (all P<0.001). No ceiling effect was found in the total score and the scores of each dimension(0.3%-2.0%). There was a floor effect in both psychological function and sexual activity dimensions (16.7%, 35.1%). Conclusion:HF-QoL-C has good reliability and validity, which can be used to measure the quality of life of Chinese hemorrhoid patients.

Objective:To test the reliability and validity of a multi-dimensional, quantitative video evaluation system (the Multi-dimensional system) for evaluating hand dysfunction among stroke survivors so as to provide an objective basis for its clinical application.Methods:Sixty stroke survivors with single dysfunctional hand were evaluated using the Multi-dimensional system and also using the Fugl-Meyer Upper Extremity Assessment (FMA-UE) and the Action Research Arm Test (ARAT) and in terms of their active range of hand motion (AROM-H). The Multi-dimensional system′s internal consistency, composite reliability, split-half reliability, parallel-forms reliability as well as intra- and inter-observer reliability were quantified. Its validity was tested in terms of content validity, structural validity, convergent validity and criterion validity.Results:The system′s Cronbach′s α was determined to be 0.86. Its one-dimension composite reliability was 0.939, its split-half reliability coefficient was 0.88 and its parallel-forms reliability was 0.922. The inter-evaluator reliability was between 0.965 and 0.998 [95%CI= (0.919, 0.999)], and the single evaluator ICC value was 0.973 to 0.998 [95%CI= (0.937, 0.999)]. The validity test produced a content validity index of 1, and the Pearson correlation coefficients between each sub-item and the total score were all greater than 0.60. The KMO value for structural validity was 0.882, and there was a common factor in the component matrix which reflected 60.9% of the information in the original variables. The system′s convergent validity AVE was 0.609 with Pearson correlation coefficients between the multidimensional system and the FMA-UE and ARAT both > 0.70.Conclusion:The multi-dimensional quantitative video evaluation system has good reliability and validity in the evaluation of stroke survivors with hand dysfunction.