Objective:To understand the current status of residents′ cognition of doctor-patient relationship and its influencing factors in a certain area of Guangxi under the background of Healthy China, so as to provide references for building the harmonious doctor-patient relationship.Methods:Convenience sampling was used to conduct an online questionnaire survey among permanent residents in a certain area of Guangxi from June 1 to July 31, 2023. The survey included residents′ sociodemographic characteristics and their perceptions of doctor-patient relationships. A logistic regression model was employed to analyze the influencing factors of residents′ perceptions of doctor-patient relationships.Results:A total of 114 796 residents participated in the survey. Among them, 44.1% (50 593) believed that the current doctor-patient relationship was harmonious, 47.8% (54 874) considered it neutral, and 8.1% (9 329) perceived it as discordant. The multinomial logistic regression model revealed that males, urban residents, older age groups, unmarried individuals, those with higher education levels, and those in poor health were more likely to perceive the doctor-patient relationship as discordant( P<0.05). Residents who valued health-related behaviors and knowledge, as well as those aware of health policies, were more likely to agree that the doctor-patient relationship was harmonious( P<0.05). Conclusions:Over 90% of residents in a certain area of Guangxi perceived the current doctor-patient relationship as either harmonious or neutral. Strengthening health education and enhancing the promotion of health policies can positively contribute to a harmonious doctor-patient relationship.

Objective To analyze the effect of assisted reproductive technology in the one year before and after the implementation of the medical insurance reimbursement policy at a tertiary general hospital in Guangxi Province,so as to provide a reference for further improvement of relevant policies.Methods The data of number of outpatients,medical treatment items and so on before and after the implementation of medical insurance policies for Assisted Reproductive Technology were compared and analyzed,and a combination of in-depth interview method was used to understand the evaluation of the policy by the relevant groups to study the actual effect of policy implementation.Results The total number of outpatient and the number of treatment cycles showed an upward trend after the implementation of the policy.The number of treatment cycles within the scope of medical insurance reimbursement showed varying degrees of growth,among which AIH increased most significantly.The increase in treatment cycle was inconsistent among different age groups,and patients over 40 years old had the largest increase compared with other ages.Conclusions The in-depth promotion of the inclusion of assisted reproductive technology in the medical insurance reimbursement policy needs to ensure the safety and sustainability of the medical insurance fund,strengthen the supervision of medical insurance funds,strengthen the construction of legal and ethical norms for the application of assisted reproductive technology,increase the publicity and guidance of policies,and establish and improve the full-cycle fertility support and security system.

Objective To analyze the effect of assisted reproductive technology in the one year before and after the implementation of the medical insurance reimbursement policy at a tertiary general hospital in Guangxi Province,so as to provide a reference for further improvement of relevant policies.Methods The data of number of outpatients,medical treatment items and so on before and after the implementation of medical insurance policies for Assisted Reproductive Technology were compared and analyzed,and a combination of in-depth interview method was used to understand the evaluation of the policy by the relevant groups to study the actual effect of policy implementation.Results The total number of outpatient and the number of treatment cycles showed an upward trend after the implementation of the policy.The number of treatment cycles within the scope of medical insurance reimbursement showed varying degrees of growth,among which AIH increased most significantly.The increase in treatment cycle was inconsistent among different age groups,and patients over 40 years old had the largest increase compared with other ages.Conclusions The in-depth promotion of the inclusion of assisted reproductive technology in the medical insurance reimbursement policy needs to ensure the safety and sustainability of the medical insurance fund,strengthen the supervision of medical insurance funds,strengthen the construction of legal and ethical norms for the application of assisted reproductive technology,increase the publicity and guidance of policies,and establish and improve the full-cycle fertility support and security system.

Objective:To understand the current status of residents′ cognition of doctor-patient relationship and its influencing factors in a certain area of Guangxi under the background of Healthy China, so as to provide references for building the harmonious doctor-patient relationship.Methods:Convenience sampling was used to conduct an online questionnaire survey among permanent residents in a certain area of Guangxi from June 1 to July 31, 2023. The survey included residents′ sociodemographic characteristics and their perceptions of doctor-patient relationships. A logistic regression model was employed to analyze the influencing factors of residents′ perceptions of doctor-patient relationships.Results:A total of 114 796 residents participated in the survey. Among them, 44.1% (50 593) believed that the current doctor-patient relationship was harmonious, 47.8% (54 874) considered it neutral, and 8.1% (9 329) perceived it as discordant. The multinomial logistic regression model revealed that males, urban residents, older age groups, unmarried individuals, those with higher education levels, and those in poor health were more likely to perceive the doctor-patient relationship as discordant( P<0.05). Residents who valued health-related behaviors and knowledge, as well as those aware of health policies, were more likely to agree that the doctor-patient relationship was harmonious( P<0.05). Conclusions:Over 90% of residents in a certain area of Guangxi perceived the current doctor-patient relationship as either harmonious or neutral. Strengthening health education and enhancing the promotion of health policies can positively contribute to a harmonious doctor-patient relationship.

Objective:To construct the homogenous evaluation index system for public hospital branches under the background of high-quality development, providing reference for improving the homogenization level of public hospital branches.Methods:By analyzing literature, relevant policies and the management practices of the public hospital branches, a preliminary screening index system for homogenization evaluation of public hospital branches was constructed. Two rounds of Delphi method were used to screen homogenization evaluation indicators for public hospital branches and determine the weights of the indicators. Taking the branches of a tertiary hospital as an example, the indicator system was empirically applied.Results:The homogenization evaluation index system for public hospital branches included 4 first level indicators, 8 second level indicators and 21 third level indicators. The weights of the first level indicators of medical homogeneity, management homogeneity, emergency conversion and satisfaction were 51.33%, 23.16%, 9.00% and 16.51%, respectively. Through empirical application, the homogenization coefficient of the public hospital branche was 0.833 5.Conclusions:The homogenization evaluation index system for public hospital branches was in line with the goals of the construction and development of multiple campuses of one hospital for public hospital. Indicators with low homogenization coefficients were the shortcomings of homogenization in hospital branches. This indicator system provided measurement standards and improvement directions for the homogenization of medical and management in hospital branches.

Under the background of performance evaluation in nationwide tertiary public hospitals and the DRGs reform, how to improve the efficiency of daytime surgery management is becoming a hotspot for hospital managers. Since July 2020, a tertiary general hospital applied the theory of incentive compatibility to guide the medical workers to consciously strive to achieve such management goals as improving the quantity and quality of daytime surgeries by constructing an organizational management system, increasing performance rewards for daytime surgical teams, rewarding advanced collectives and individuals, convening work coordination and promotion meetings, formulating penalty terms, and strengthening supervision of surgical quality and safety indicators. The implementation rate of daytime surgery in hospitals, the number of departments conducting daytime surgery, the number of covered diseases, and the satisfaction rate of inpatients had increased from 6.94%, 6 departments, 64 diseases, and 90.5% in 2019 to 24.08%, 21 departments, 125 diseases, and 95.0% in 2022, respectively. The incidence of daytime surgical bleeding, and readmissions within 15 days decreased from 0.6% and 0.5% in 2019 to 0.5% and 0.2% in 2022, respectively. The theory of incentive compatibility was in line with the development goals of daytime surgery in China, providing an optimal strategy for improving the management efficiency of daytime surgery according to local conditions.