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1.
目的:分析安徽省各级医疗机构药品使用现状及药品目录的共同性。方法:从安徽省医药集中采购平台上随机抽取9家三级医疗机构、10家二级医疗机构、20家一级医疗机构2018年的药品采购数据,采用R软件和Excel软件进行分析。结果:从药理学分类来看,安徽省一级医疗机构药品结构与二、三级医疗机构差异较大,而二、三级医疗机构药品结构相似;国家基本药物品种数和金额占比均随医疗机构级别的升高而降低,国家医保药物与之趋势相同;进口药品的品种和金额占比均随医疗机构级别的升高而增加。2018年采购数据显示,各级医疗机构院均药品数分别为241,405,802种,而同级医疗机构相同药品数仅分别为20,19,186种;39家样本医疗机构共有药品数仅8种。结论:各级医疗机构药品共同性小,不利于分级诊疗中患者转诊用药的上下衔接。  相似文献   
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ObjectiveWith the rapid development of networks in China, the Internet has become an important source of first aid information for scalds. As a country with the largest population, there are a large number of scald cases every year in China. The content analysis of websites aimed to assess the accuracy and quality of the information on scalds available on Chinese websites.MethodsUsing keywords related to scald in the most popular Chinese search engines, 19 sites were eventually selected for evaluation based on the inclusion and exclusion criteria. These websites were assessed on quality and content accuracy by using HONcode, DISCERN, and Patient Education Materials Assessment Tool (PEMAT) evaluation scales, and a modified evaluation system based on the system developed by J.D. Burgess. The evaluation was completed by a 5-person evaluation team. The subjective items were reviewed by five independent reviewers. The objective items were recorded by one reviewer, then another checked the results.ResultsUsing “scald first aid,” “scald treatment,” and “scald blister” to search on Baidu, Sougou, and Haosou, a total of 180 websites were recorded. According to the inclusion and exclusion criteria, 19 websites were obtained for assessment. Among them, 17 websites (89%) were established by commercial companies. Of the remaining two websites, one was created by a government agency and the other was created by a non-profit organization. The mean total HONcode score, DISCERN score, PEMAT (understandability) score, PEMAT (actionability) score, content accuracy score, and website quality score were 5.19 ± 1.09 out of 8; 52.63 ± 3.69 out of 80; 68%; 56%; 5.05 ± 1.47 out of 8; and 6.11 out of 12, respectively. The scores of the government agency website are better than that of commercial websites.ConclusionThe websites established by government agencies and non-profit organizations are few, and most of the websites are established by commercial companies. Compared with the government agency website, these commercial websites contain many advertisements, and their website quality and accuracy need to be further improved.  相似文献   
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目的 构建输入性疟疾再传播风险评估指标体系。方法 通过文献综述、专题讨论初步构建输入性疟疾再传播风险评估指标体系。选择26名疟疾防治专家,采用德尔菲法对指标体系开展2轮专家咨询,根据专家对每项指标的熟悉程度、判断依据和重要性评价计算专家积极系数、专家权威系数、专家协调系数、各指标变异系数,根据上述结果进行指标筛选并计算各指标权重;采用Cronbach’s α系数评价指标体系信度,采用专家权威程度系数评价指标体系的内容效度,采用KMO检验和因子分析评价指标体系的结构效度。结果 共23名专家完成2轮专家咨询,最终构建了一个包含3个一级指标、7个二级指标、21个三级指标的输入性疟疾再传播风险评估指标体系。第2轮专家积极系数(100.00% vs. 88.46%)和专家协调系数(0.372 vs. 0.286, P均< 0.01)均高于第1轮。第2轮专家咨询后,各级指标专家权威程度系数为0.757~0.930,一、二、三级指标变异系数分别为0.098~0.136、0.112~0.276、0.139~0.335;指标体系整体Cronbach’s α系数为0.941;一(KMO值= 0.523,[χ2] = 18.192,P < 0.05)、二(KMO值= 0.694,[χ2] = 51.499,P < 0.01)、三级指标(KMO值= 0.519,[χ2] = 477.638,P < 0.01)KMO值均有统计学意义;三级指标6个主成分累积贡献率为84.23%。传染源、传播条件及防控能力3个一级指标归一化权重分别为0.337、0.333和0.329;归一化权重居前3位的二级指标依次为输入性病例数及虫种(0.160)、输入性病例入境及就诊情况(0.152)、媒介种类及密度(0.152);归一化权重值居前5位的三级指标依次为输入性病例虫种(0.065)、媒介种群(0.064)、患者发病至就诊时间间隔(0.059)、输入性病例数(0.056)及从就诊至确诊时间间隔(0.055)。结论 成功构建了输入性疟疾再传播风险评估指标体系,为消除后开展输入性疟疾再传播风险评估和加强重点风险因素防控提供了科学依据。  相似文献   
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立德树人作为我国高等学校的育人的方向,是高校的立身之本。育人先育德,教师理应把立德树人作为一种教育理念贯穿于课堂教学中,做到育人育才有机结合,在专业课授课过程中注重对思想政治教育元素的提炼和融入,加强对学生的思想政治教育,注重对学生世界观、人生观和价值观的正确引导和塑造,为我国社会主义建设培养合格的建设者和接班人。文章以《口腔生物学》课堂教学为例,探讨了课程思政教育背景下新型课堂教学的设计思路与理念,课堂教学中思政元素的提炼和融入的措施和方法。通过将思政教育元素有机融入课堂教学各环节,既提升了课堂教学的效果,又圆满实现了育人目标。  相似文献   
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目的:对我国医院的网络影响力进行比较分析,为医院网站建设提供参考。方法:利用链接分析方法分析医院网站在网页总数、总链接数、外部链接数、网络影响因子、链接效率、网络用户关注度和谷歌网站等级上的表现,并根据统计结果对各大医院排序。结果:医院网站在网站规模、链接情况和网络关注度等方面表现差异较大,其中复旦大学附属肿瘤医院,复旦大学附属儿科医院和北京大学第一医院综合表现较为突出。结论:医院应加强网站内容建设、SEO(搜索引擎优化)建设,并扩大宣传和交流,提高公众对医院的关注度。  相似文献   
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《Dermatologic Clinics》2016,34(2):129-132
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上海某三甲医院官方网站4年的访问数据证实其网站流量稳步上升,移动设备访问比例大幅提高。其经验表明医院网站建设应该结合新媒体传播理论,走集群化、移动化和大数据之路。  相似文献   
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ObjectiveTo survey websites of oncologists and non-medical practitioners (NMPs) in Germany regarding range of treated symptoms, diagnostic tools and therapies offered to cancer patients as well as the quality of websites.MethodsAnalysis of 98 websites of oncologists and NMPs was conducted between April and July 2018 with a standardized tool.ResultsRange of diagnostic and therapeutic methods was high and differed between both groups. Many NMPs (65.3%) intended to support conventional therapy rather than to treat cancer. Most oncologists (85.7%) did not mention the role of complementary and alternative medicine (CAM). Texts on oncologists’ websites, showed high complexity according to readability analysis using LIX score as opposed to those on NMPs websites that showed medium complexity. Only small difference of quality of websites between both groups could be detected.ConclusionMethods not acknowledged by evidence-based medicine as well as methods at risk for interaction with conventional cancer therapy but also treatment offers with potential benefits for cancer patients were found on NMPs websites.Practice implicationsAs evidence-based CAM methods can be a useful support of cancer treatment, risk of herb drug interactions can be minimized by oncologists offering reasonable CAM.  相似文献   
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BackgroundChildren’s burn injuries can have a significant psychosocial impact on parents. However, the stress involved in caring for a child following a burn can often go unrecognized and does not necessarily prompt help seeking by parents.ObjectiveIt is common for adults to seek health-related support and information via the Internet. Many benefit from immediate and easy access to online psychological interventions. A prototype burn-specific, parent-focused, peer-informed, supportive website, designed to provide easy access to information and psychoeducation, was created and tested for acceptability.Patient involvementUsing a partnership-based method of website development, parents and professionals (clinical, academic and support organizations) were recruited and their particular expertise was acknowledged and valued. A participatory action approach was adopted to determine the acceptability of the website for parents/carers.Methods31 participants (9 parents, 22 professionals) tested a prototype version of the website. Data was collected using the eHealth Impact Questionnaire and the concurrent think-aloud protocol.ResultsParents and professionals had favorable opinions of the website. Parents’ ratings tended to be more favorable than professionals’, which was significant for the information and presentation. Participants’ thoughts were categorized into seven topics: need, structure/navigation, trust/relevance, language/comprehension, therapeutic content, mode of delivery, and suggested improvements.DiscussionMany practical and psychological barriers can prevent parents of burn-injured children accessing psychosocial support and contribute to a feeling of isolation. Participants felt that the website would be a valuable addition to UK pediatric burn care. The existence of an accessible resource could help to normalize parents’ experience of their child’s injury and reduce their perceived isolation, although peer interaction is not provided by the website.Practical valueThis online resource, hosting information and peers’ personal experiences, offers promising and exciting opportunities to empower parents whilst providing accessible supportive advice to encourage self-care and formal/informal support seeking when necessary.  相似文献   
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