scholarly journals Application of SWOT-CLPV Model in China’s Hierarchical Medical Mode

2021 ◽  
Vol 257 ◽  
pp. 03034
Author(s):  
Xingyu Yang ◽  
Tianlong Shan ◽  
Peiyuan Sun

Medical service system is a complex system composed of different interest related factors. The core of hierarchical medical mode is to deal with different levels and types of medical institutions to ensure the coordinated operation. In view of the reform of medical and health system, combined with the current situation of China’s medical system, this paper constructs the SWOT-CLPV model of hierarchical medical in China, sorts out the advantages, disadvantages, opportunities and threats of the hierarchical medical mode in China, further explores its inhibition, problem, leverage effect and vulnerability, and studies the development strategy of hierarchical medical.

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Junfeng Zhao ◽  
Jingjing Wu ◽  
Yi Yang

Abstract The medical service system is an important guarantee for human rights to survival, health and development of every social member, and thus it is significant to explore, interpret and explain the diachronic construction for its legislative reform. In a corpus approach, the study firstly collects the medical-related statutes from 1990 to 2021 in China to build the P.R.C. Medical Legislation Corpus (PRCMLC), and analyzes the keywords and their collocation in the exploratory, explosive and expanding phase of the medical legislative reform. Secondly, from the perspectives of sociosemiotics, the PRCMLC data is combined with the concrete medical laws and regulations for further discussion of the MSS, MIS, DSS and PHS in legislative system. Thirdly, the study explores the core legislative ideas and the relationships among the subsystems in the diachronic analysis, which provide a general overview of the legislative objects, target, participants and mechanisms in the medical reform of China.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243832
Author(s):  
Rui Miao ◽  
Xiaohao Xiang ◽  
Qi Wu ◽  
Zhibin Jiang

Precise and reasonable evaluation of the multi-attribute value of medical system is the basis for hospitals to implement total quality management. Excellent medical system is necessary as a part of modern urban governance. However, most of medical value evaluation work relies on scale and artificial scoring at present, lacking in objectivity. Therefore, a scientific and comprehensive medical value evaluation system is needed urgently to give full play to the guiding role of value evaluation and promote the improvement of the medical service system. In this study, DEMATEL and information entropy are used to quantify the degree of mutual influence between system indicators and the differences in medical market performance respectively, so as to obtain the objective index weight. Hypertension has the highest incidence in the whole chronic disease system, which seriously affects people's daily life. Based on the existing hypertension diagnosis and treatment index system, a comprehensive and objective evaluation model is established to evaluate the hypertension diagnosis and treatment behaviors of different medical institutions, which achieves good result. This method has effectively improved the relative deficiency of one-sided subjective evaluation and has a great guiding significance for the comparison of treatment in departments and the economical use of medical resources.


2022 ◽  
Vol 2022 ◽  
pp. 1-12
Author(s):  
Jinzhou Tang

Because modern human beings pay more and more attention to physical health, and there are many problems in the traditional medical service system, human beings have a higher and higher voice for the new medical model. At present, there are many researches on the application of modern science and technology to put forward solutions to medical development, but they generally pay attention to some details and ignore the construction of the whole medical service system. In order to solve the problems of low efficiency of the traditional medical model, difficult communication between doctors and patients, unreasonable allocation of medical resources, and so on, this article proposes establishing a perfect medical and health service system. First, the correlation functions are used, such as cosine correlation, to calculate the correlation of various medical products, and then the correlation measurement methods of cloud computing and the Internet of Things are used to realize the network connection of smart medical equipment, efficiently store, calculate and analyze health data, and realize online outpatient services, health file management, data analysis, and other functions. Then, the energy consumption formula of the wireless transceiver was used to reduce the resource loss in the operation of the system. Then, we use the questionnaire to understand the current situation of mobile medical and put forward improvement suggestions. This article also scores the performance of the system. The experimental results show that the performance rating of traditional medical institutions is B, while the model rating of mobile medical institutions is a, and the efficiency is optimized by 4.42%.


1995 ◽  
Vol 2 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Judd E. Hollander ◽  
Robert Delagi ◽  
Joseph Sciammarella ◽  
Peter Viccellio ◽  
Joe Ortiz ◽  
...  

2019 ◽  
pp. 102490791989276
Author(s):  
Caner Turan ◽  
Eylem Ulas Saz ◽  
Murat Anil ◽  
Alkan Bal ◽  
Gamze Gokalp ◽  
...  

Background and Objectives: The emergency medical service system is designed to ensure rapid identification and transport of patients from the field to emergency departments. This study aims to examine pediatric patients’ clinical characteristics and reasons for ambulance use in Turkey. Life-saving interventions and non-life-saving interventions performed during transport and patients’ outcomes following transport were also investigated. Methods: This is a prospective-multicentric study conducted at four metropolitan cities and nine tertiary pediatric emergency departments. This survey-based study evaluated all children brought by ambulance to emergency departments. Patient demographics, clinical features, triage levels, procedures performed in the ambulance or emergency department, and final outcomes were sought. Results: A total of 2094 patients were transported during the study period. Only a minority of ambulances were physician staffed (16.5%), and 72% of the patients were delivered to pediatric emergency departments without notification calls. Although notification calls were more likely given for particularly critically ill children, for non-urgent conditions transfer calls were less common (60.8% vs 23.5%, respectively; p < 0.001). A majority of transports were performed for trauma patients (20.5%), neurological issues (20%), and toxicological emergencies (13.8%). While parents prefer using the ambulances for medical emergencies, physicians prefer it for mainly traumatic and toxicological emergencies. In total, 65% of the patients received at least one intervention, and 18 patients needed immediate life-saving interventions (intubation, cardiopulmonary resuscitation, etc.) but they did not receive it. Mortality occurred in nine patients. If the health care providers were paramedics, they were more likely avoided by performing any intervention in critically ill children ( p < 0.001). A majority of the procedures performed in children were older than 12 months ( p < 0.001). Conclusion: This study presents comprehensive epidemiological and outcome data for pediatric patients transported by the national emergency medical service system in Turkey. Non-urgent calls were more likely made by parents, physicians avoided making NCs, and paramedics also avoided performing any intervention when they were transporting children.


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