scholarly journals Analysis of the Influencing Factors of the Medical Service Capacity in Key Clinical Specialties at the County Level Based on TOPSIS

2020 ◽  
Author(s):  
Kaixuan Wang ◽  
Jin-Ling Guo ◽  
Wei Wang ◽  
Shui-Chang Zhao ◽  
Miao-Jun Li ◽  
...  

Abstract To acknowledge the medical service capacity of the first batch of county-level key clinical specialties in Henan province, analyze the influencing factors, and make targeted suggestions. TOPSIS method was used to evaluate the medical service capacity comprehensively, and the influencing factors were analyzed by simple linear regression and multiple linear regression. In the multiple linear regression model, the basic conditions, including the total investment funds during the construction period, net usable area of beds and the ratio of bed to nurse, the quality of care—the compliance rate of major clinical diagnosis and pathological diagnosis, and the personnel training—the number of technical promotion trainees, of the first county-level clinical specialties, have a significant influence upon the medical service capacity; while, the actual number of beds, the ratio of doctors and nurses, the proportion of annual expert visits, the number of technical promotion training and sending of learners, percentage of drug expenditure and core journal articles have limited effect. On the basis of the ensured allocation of resources and capital investment, more attention should be paid to personnel training and appropriate technology promotion, and the medical care quality is supposed to be always insisted on, to promote the overall improvement of medical service capacity in county hospitals.

2020 ◽  
Author(s):  
Kaixuan Wang ◽  
Jin-Ling Guo ◽  
Wei Wang ◽  
Shui-Chang Zhao ◽  
Miao-Jun Li ◽  
...  

Abstract To acknowledge the medical service capacity of the first batch of county-level key clinical specialties in Henan province, analyze the influencing factors, and make targeted suggestions. TOPSIS method was used to evaluate the medical service capacity comprehensively, and the influencing factors were analyzed by simple linear regression and multiple linear regression. In the multiple linear regression model, the basic conditions, including the total investment funds during the construction period, net usable area of beds and the ratio of bed to nurse, the quality of care—the compliance rate of major clinical diagnosis and pathological diagnosis, and the personnel training—the number of technical promotion trainees, of the first county-level clinical specialties, have a significant influence upon the medical service capacity; while, the actual number of beds, the ratio of doctors and nurses, the proportion of annual expert visits, the number of technical promotion training and sending of learners, percentage of drug expenditure and core journal articles have limited effect. On the basis of the ensured allocation of resources and capital investment, more attention should be paid to personnel training and appropriate technology promotion, and the medical care quality is supposed to be always insisted on, to promote the overall improvement of medical service capacity in county hospitals.


2020 ◽  
pp. oemed-2020-106540
Author(s):  
Pan pan Cui ◽  
Pan pan Wang ◽  
Kun Wang ◽  
Zhiguang Ping ◽  
Peng Wang ◽  
...  

ObjectiveTo explore the level and influencing factors of frontline nurses’ post-traumatic growth (PTG) during COVID-19 epidemic.MethodsA cross-sectional survey was conducted in February 2020 in three hospitals in China. The Post-traumatic Growth Inventory (PTGI) was used to investigate the PTG of frontline nurses. Data on related factors, including demographic characteristics and subjective variables, were collected. The Event-Related Rumination Inventory was used to assess rumination. Pearson’s or Spearman’s correlation was calculated for bivariate analysis. Independent sample t-tests or one-way analysis of variance and multiple linear regression analysis were used to examine the related factors.ResultsA total of 179 frontline nurses were recruited, and 167 were included in the analyses. The mean PTG score was 70.53±17.26. The bivariate analyses showed that deliberate rumination was modestly positively correlated with PTG (r=0.557, p<0.01), while intrusive rumination had a modest negative correlation with PTG (r=−0.413, p<0.01). Multiple linear regression demonstrated that working years, self-confidence in frontline work, awareness of risk, psychological intervention or training during the epidemic and deliberate rumination were the main influencing factors of PTG among frontline nurses and accounted for 42.5% of the variance (F=31.626, p<0.001).ConclusionsThe PTG of frontline nurses was at a medium to high level and was influenced by working years, self-confidence in frontline work, awareness of risk, psychological intervention or training and deliberate rumination. It is necessary to strengthen psychological guidance and training for frontline nurses and promote their deliberate rumination on epidemic events to improve their PTG.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
YinZhuang Bai ◽  
Aizhen Ren ◽  
Adil Omar Khadidos ◽  
Mohammed Abdulrazzqa

Abstract Based on the factors affecting sports performance, from a more comprehensive and broad perspective, after consulting the literature, 52 factors that affect the outcome of football matches are selected, including technology, tactics, physical fitness and referees’ penalties. By watching the video of the game, 52 influencing factors of 200 games and 400 teams were counted. The original data was statistically processed with correlation analysis and multiple linear regression analysis, and the statistics of the 26 European Cup games were substituted into the winning formula. To verify the scientific nature and objectivity of the formula, we aim to ascertain the core factors in the winning factors of a football game and the quantitative relationship between these factors and the result of the game, so as to provide a certain reference for football training, game analysis and scientific research. The technical and tactical ability of individuals and teams is the core competitive ability factor that affects the result of the game; from a single factor, 15 factor indicators have a significant impact on the result of a football match; on the whole, 10 factor indicators have a significant effect on the result of a football match. In addition, there is a certain quantitative relationship between these influencing factors and the results of the game; empirical evidence shows that the football game winning formula has a certain degree of science and objectivity.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Lan Yang ◽  
Bingbing Zhang ◽  
Xiaoxing Kong ◽  
Weifang Zhou ◽  
Jianmei Tian ◽  
...  

Background: The Coronavirus disease 2019 (COVID-19) pandemic has posed a severe threat to international health and the economy. Clinicians, the main staff involved in fighting against the pandemic, are under great pressure. However, relevant mental stress studies are lacking at present. Objectives: This study aimed to explore the mental stress level and its influencing factors among Chinese pediatricians under the outbreak of COVID-19, aiming to provide a certain theoretical basis for relevant psychological intervention among medical staff. Methods: In this cross-sectional study, 352 in-service pediatricians were selected from nine hospitals in Jiangsu province, China, in February 2020. The online survey was performed to collect general information. Meanwhile, the Perceived Stress Scale (PSS-10), Self-rating Anxiety Scale (SAS), and Pittsburgh Sleep Quality Index (PSQI) scale were employed for assessment. Afterward, the stress level and influencing factors among pediatricians were analyzed through descriptive analysis, one-way analysis of variance (ANOVA), correlation analysis, and multiple linear regression analysis. Results: The mean score of PSS-10 showed moderate stress on the whole. Pediatricians from outpatient and emergency departments had significantly higher perceived stress than those from other departments. The perceived stress was significantly associated with age, educational level, professional title, work experience, and physical condition. Stepwise multiple linear regression showed that age, professional title, and physical condition had a linear relationship with the individual’s perceived stress. Besides, Pearson correlation analysis indicated that perceived stress was associated with anxiety level and sleep quality. Conclusions: Under the outbreak of COVID-19, pediatricians suffer from relatively high levels of mental stress. The influencing factors include education, age, professional title, work experience, and physical condition. Typically, the anxiety level and sleep quality are correlated with the mental stress among pediatricians.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Johann Georg Keunecke ◽  
Christine Gall ◽  
Torsten Birkholz ◽  
Andreas Moritz ◽  
Christian Eiche ◽  
...  

Abstract Background Human workload is a key factor for system performance, but data on emergency medical services (EMS) are scarce. We investigated paramedics’ workload and the influencing factors for non-emergency medical transfers. These missions make up a major part of EMS activities in Germany and are growing steadily in number. Methods Paramedics rated missions retrospectively through an online questionnaire. We used the NASA-Task Load Index (TLX) to quantify workload and asked about a variety of medical and procedural aspects for each mission. Teamwork was assessed by the Weller teamwork measurement tool (TMT). With a multiple linear regression model, we identified a set of factors leading to relevant increases or decreases in workload. Results A total of 194 non-emergency missions were analysed. Global workload was rated low (Mean = 27/100). In summary, 42.8% of missions were rated with a TLX under 20/100. TLX subscales revealed low task demands but a very positive self-perception of performance (Mean = 15/100). Teamwork gained high ratings (Mean TMT = 5.8/7), and good teamwork led to decreases in workload. Aggression events originating from patients and bystanders occurred frequently (n = 25, 12.9%) and increased workload significantly. Other factors affecting workload were the patient’s body weight and the transfer of patients with transmittable pathogens. Conclusion The workload during non-emergency medical transfers was low to very low, but performance perception was very positive, and no indicators of task underload were found. We identified several factors that led to workload increases. Future measures should attempt to better train paramedics for aggression incidents, to explore the usefulness of further technical aids in the transfer of obese patients and to reconsider standard operating procedures for missions with transmittable pathogens.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Wenwen He ◽  
Xiangjia Zhu ◽  
Don Wolff ◽  
Zhennan Zhao ◽  
Xinghuai Sun ◽  
...  

Purpose.To evaluate the anterior chamber volume in cataract patients with Swept-Source Optical Coherence Tomography (SS-OCT) and its influencing factors.Methods.Anterior chamber volume of 92 cataract patients was evaluated with SS-OCT in this cross-sectional study. Univariate analyses and multiple linear regression were used to investigate gender, age, operated eye, posterior vitreous detachment, lens opacity grading, and axial length (AXL) related variables capable of influencing the ACV.Results.The average ACV was 139.80 ± 38.21 mm3(range 59.41 to 254.09 mm3). The average ACV was significantly larger in male patients than in female patients (P=0.001). ACV was negatively correlated with age and LOCS III cortical (C) grading of the lens (Pearson’s correlation analysis,r=-0.443,P<0.001, and Spearman’s correlation analysis,ρ=-0.450,P<0.001). ACV was also increased with AXL (Pearson’s correlation analysis,r=0.552,P<0.001). Multiple linear regression showed that, with all of the covariates entered into the model, gender (P=0.002), age (P=0.015), LOCS III C grade (P=0.043), and AXL (P=0.001) were still associated with ACV (F=10.252  P<0.001  R2=0.498).Conclusion.With SS-OCT, we found that, in healthy cataract patients, ACV varied significantly among different subjects. Influencing factors that contribute to reduced ACV were female gender, increased age, LOCS III C grade, and shorter AXL.


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