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.