Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Objective To investigate the risk factors for arrhythmia after robotic cardiac surgery. Methods The data of the patients who underwent robotic cardiac surgery under cardiopulmonary bypass (CPB) from July 2016 to June 2022 in Daping Hospital of Army Medical University were retrospectively analyzed. According to whether arrhythmia occurred after operation, the patients were divided into an arrhythmia group and a non-arrhythmia group. Univariate analysis and multivariate logistic analysis were used to screen the risk factors for arrhythmia after robotic cardiac surgery. Results A total of 146 patients were enrolled, including 55 males and 91 females, with an average age of 43.03±13.11 years. There were 23 patients in the arrhythmia group and 123 patients in the non-arrhythmia group. One (0.49%) patient died in the hospital. Univariate analysis suggested that age, body weight, body mass index (BMI), diabetes, New York Heart Association (NYHA) classification, left atrial anteroposterior diameter, left ventricular anteroposterior diameter, right ventricular anteroposterior diameter, total bilirubin, direct bilirubin, uric acid, red blood cell width, operation time, CPB time, aortic cross-clamping time, and operation type were associated with postoperative arrhythmia (P<0.05). Multivariate binary logistic regression analysis suggested that direct bilirubin (OR=1.334, 95%CI 1.003-1.774, P=0.048) and aortic cross-clamping time (OR=1.018, 95%CI 1.005-1.031, P=0.008) were independent risk factors for arrhythmia after robotic cardiac surgery. In the arrhythmia group, postoperative tracheal intubation time (P<0.001), intensive care unit stay (P<0.001) and postoperative hospital stay (P<0.001) were significantly prolonged, and postoperative high-dose blood transfusion events were significantly increased (P=0.002). Conclusion Preoperative direct bilirubin level and aortic cross-clamping time are independent risk factors for arrhythmia after robotic cardiac surgery. Postoperative tracheal intubation time, intensive care unit stay, and postoperative hospital stay are significantly prolonged in patients with postoperative arrhythmia, and postoperative high-dose blood transfusion events are significantly increased.

The typical regions have established a coordinated chronic disease management organization system,promoted the coordinated management of health care,medical,and medicine systems,optimized the chronic disease service process,and empowered the grassroots through information technology construction.It has achieved different degrees of results in controlling the condition of patients,reducing the hospitalization rate and the level of medical expenses of patients with chronic diseases,and saving medical insurance funds.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.

Synergistic development and governance among medical services,medical insurance and medicines are crucial for achieving high-quality healthcare and successful healthcare system reform.It systematically analyzes and summarizes Dongtai City's practice on synergistic development and governance among medical services,medical insurance and medicines,highlighted by the reform experiences and measures of the closed-loop system,including strategic design(navigator),leadership for organizing(engine),integration of resources(fuel tank),coordinating instruments(lubricant),and evaluation and feedback(barometer),which are refined into the SLICE model for synergistic development and governance of the"three medical professions".It also proposes to stimulate synergistic governance on healthcare through reform and innovation,fully leveraging the leading role of Party committees and governments at all levels and establishing a cross-departmental deliberative and coordination mechanism for synergistic healthcare governance.It aims to engage diverse stakeholders in synergistic governance and strengthen systematic synergistic governance measures to ensure that the synergistic development of the"three medical professions"and governance reforms are on a steady course.