Objective To explore the implementation pathways of digital inclusion in smart healthcare services, aiming to resolve inequality issues among different groups during healthcare digitalization. Methods Using the literature research method, this study analyzed the development of smart healthcare services in China, identified current challenges in achieving digital inclusion, and proposed governance countermeasures. Results Four types of divides-access divide, utilization divide, psychological divide, and data divide-constitute the core barriers to digital inclusion in smart healthcare services. Accordingly, a four-dimensional governance pathway was constructed: environmental inclusion, technological inclusion, social inclusion, and data inclusion. Conclusion Through diversified measures such as improving top-level institutional design and regulations in healthcare, strengthening infrastructure development and regional collaboration, and enhancing nationwide digital literacy and skills training, the digital divide in smart healthcare can be bridged, ensuring all groups share the benefits of healthcare digitalization.

Objective To examine the influence of the engagement in Internet healthcare services on innovating performance of grassroots medical staff, thus providing rationales for empowering the development of primary healthcare with digital technologies. Methods A total of 350 medical staff from 24 primary healthcare centers in City Y were surveyed during November and December 2023. Multivariate linear regression and bootstrap method were used to investigate the mediating effect of knowledge transformation between Internet healthcare services and innovative performance. Results Engagement of grassroots healthcare providers in Internet healthcare services had significant positive influences on socialization (B=0.133), externalization (B=0.155), combination (B=0.156) and internalization (B=0.134) (all P<0.001). The mediating effect of externalization and internalization between the engagement in Internet healthcare services and innovation performance accounted for 70.37% and 55.56% of the total effect, respectively, while socialization and combination did not hold a mediating effect. Conclusion Externalization of the engagement of grassroots healthcare providers in Internet healthcare services weighs more than the internalization. However, the simple accumulation and sharing of knowledge cannot generate innovative performance and must be deeply processed and transformed to achieve benefits. Oriented by the practical needs and participation motivation of grassroots healthcare providers, it is recommended to build and improve the talent training, knowledge management system and contribution incentive mechanism of grassroots medical institutions based on Internet medical care, and drive the improvement of grassroots medical and health service capabilities through knowledge transformation and service innovation.

Objective To analyze the efficiency of bed allocation in traditional Chinese medicine (TCM) hospitals, and to provide references for TCM hospitals to optimize the efficiency of bed allocation in clinical departments and improve the level of fifine management. Methods A hybrid evaluation model of data envelopment analysis and technique for order preference by similarity to ideal solution (DEA-TOPSIS) was constructed to evaluate the efficiency of bed resource allocation in each department of TCM hospitals. Firstly, the overall changes in bed allocation efficiency of 40 clinical departments in TCM hospitals from 2018 to 2023 were evaluated by the DEA-Malmquist, with clinical departments of DEA-Malmquist index < 1 used as the decision-making unit. Secondly, differences in bed allocation efficiency of these clinical departments in 2023 were evaluated by DEA Banker-Charnes-Cooper (BCC) model. Finally, TOPSIS was applied to analyze the realistic extent to which the amount of slack in non-DEA efficient departments could be improved. Results The DEA-Malmquist index showed that 26 of the 40 clinical departments had a total factor productivity of less than 1, which was attributed to technological lag. 17 of the 26 clinical departments with a Malmquist index of < 1 remained ineffective for non-DEA in 2023. The TOPSIS model rankings showed that the top five departments to be improved were the Department of Rehabilitation Medicine, Department of Neonatal Intensive Care Unit (NICU), First Department of Orthopaedics and Traumatology, First Department of Bone and Joint, and Department of Gastroenterology. Conclusion At present, the efficiency of bed allocation in TCM hospitals is generally showing a downward trend, with obvious technological lagging constraints, over-input and under-output of bed resources co-existing, and the efficiency of bed resource allocation in more than half of the clinical departments needs to be further improved. The overall bed allocation efficiency, vigorous development of specialist construction, technical progress of non-TCM departments, and the balanced development of each department should be further optimized in TCM hospitals.

Objective To analyze the strengths and weaknesses of the policies to promote care services for infants and children under the age of three in the 33 national model cities, and to provide a reference for the formulation and improvement of the relevant policies. Methods Using the PMC index model, an evaluation system of 9 first-level indicators and 48 second-level indicators was created to quantitatively assess infant and child care service policies. Results Of the 33 policies in the sample, 1 was excellent, 24 were good and 8 were acceptable, with a mean PMC index score of 6.59. Conclusion The infant and child care service policy is basically sound, but it can be further optimized in policy options, policy tools and policy guarantees. It is recommended to explore local characteristic childcare models, introduce multiple parties, and establish a childcare quality assessment mechanism.

The medical consortium based on resource integration plays an important role in the reform of the healthcare system. Grasping the essence of the medical consortium and effectively leveraging its fundamental and collaborative role are the focuses of the current healthcare system reform. Through summarizing the current situation of the operation of medical consortia, this article analyzed the collaborative mechanism and challenges in the medical consortium from the perspective of complex network theory, explored the operational logic, behavioral strategies, and differences in interest demands of medical consortia, and proposed countermeasures and suggestions on how to achieve two-way collaboration, functional complementarity, and stepped development of medical consortia, thus effectively improving the high-quality development of medical consortium.

This review discussed the social characteristics and emergency characteristics of ethnic areas in Sichuan province, analyzed the current situation of unbalanced development of the emergency medical emergency system and insufficient grassroots rescue capabilities in the region, and proposed the basic strategies to strengthen the construction of medical emergency system via a high emphasis, coordinate planning, balancing software and hardware, and pragmatic and realistic attitudes. Meanwhile, this review described the importance of the daily preparation of system elements, improvement of medical rescue capacities, stabilization of the talent team, and management of construction effectiveness, thus improving the regional medical emergency rescue. Our findings aim to provide references for emergency management in other ethnic areas and promoting the improvement of accessibility and fairness of medical emergencies.

Objective To quantitatively evaluate the policy text of county medical community in China, aiming to providing references for the optimization of subsequent county medical community policies. Methods Policies related to county medical communities at thenational level in China from 2017 to 2023 were collected, and a policy modeling consistency(PMC) index model was created to quantitatively evaluate county medical community policies in China. Results A total of 12 county medical community policies were included, of which eight were at the excellent level and four at the satisfactory level, with a mean PMC index of 7.39. Conclusion The overall quality of county medical community policy in China is high, but it still needs to be optimized and improved. It is suggested to adjust the policy prescription, combine the short-term, medium-term and long-term goals, continue to improve the content of the county medical community policy, build a diversified incentive mechanism, and promote the high-quality development of the county medical community.

Objective This paper aims to solve the problems in managing new medical technologies and projects, thereby promoting the high-quality, high-level development of hospitals. Methods A management platform for new medical technologies and projects was constructed by integrating data from the medical management system, electronic medical record system and medical adverse event system. By running through the four major nodes: preliminary declaration, standardized access, regulatory evaluation, and conclusion transformation, a novel online closed-loop management process was formulated. Results The management platform for new medical technologies and projects was maturely used in all aspects of managing new technologies and projects in the hospital according to the predetermined process. Conclusion The establishment of a management platform for new medical technologies and projects not only effectively improves work efficiency and ensures medical quality, but also promotes the discipline development and technological innovation in the hospital, providing strong support for the high-quality development in the hospital.

Objective To promote informationization, thus improving the low efficacy and limited workload for a manual transfer of emergency expenses. Methods Based on the informationization upgrade and transformation of the reimbursement process for emergency rescue expenses transferred to hospitalization in a selected tertiary hospital, the actual situations were summarized and analyzed alongside literature review and workflow sorting. Results The application of informationization upgrade was conducive to improving the efficiency of transferring emergency expenses in hospitalization reimbursement and ensuring fund security. Its functions basically run well, and the supported workload significantly increased. Compared with the previous manual mode, the efficiency and quality were significantly improved. Conclusion This measure has improved the hospital's level of convenient medical treatment, and patient's medical experience. In the future, we should continue to strengthen the level of the Internet+ medical insurance management supporting system, and it is recommended to unify and refine the provincial level regional emergency reimbursement policy.

Objective To analyze the incidence and mortality trends of infectious diarrhea in the Chinese mainland and its effects on age, period and cohort, so as to provide references for further prevention and control of infectious diarrhea. Methods Joinpoint regression model was used to analyze the trends of incidence and mortality of infectious diarrhea in the overall cohort in the Chinese mainland and gender groups. The age-period-cohort model was used to analyze the trends of incidence and mortality varied in age, period and cohort. Results The standardized incidence rate of infectious diarrhea in the Chinese mainland showed a downward trend from 1990 to 2015, but an upward trend from 2016 to 2019. The standardized mortality rate of infectious diarrhea annually decreased, and the incidence and mortality were significantly higher in men than women. Both of them were in the high place in the age group of 0-5 years. Joinpoint regression results showed that the incidence of infectious diarrhea in the overall cohort increased by 0.270% per year on average, which was 0.161% in women and 0.288% in men. The mortality rate of infectious diarrhea in the overall cohort decreased by 9.493% per year on average, which was 9.552% in men and 9.398% in women. The age-period-cohort model showed a significant negative correlation of the incidence and mortality of infectious diarrhea with age in the Chinese mainland from 1990 to 2019. The peak risk ratio (RR) of the period effect and cohort effect of the incidence and mortality decreased annually. The peak RR of the period effect was observed from 1990 to 1994, and that of the cohort was found from 1905 to 1909. Conclusion From 1990 to 2019, the incidence of infectious diarrhea in the Chinese mainland annually increased, while the mortality rate decreased year by year. Age, period, and cohort had significant effects on the incidence and mortality of diarrhea. Infants and males were the key focus groups.

Objective To analyze the main factors affecting the average daily hospitalization costs of nasopharyngeal carcinoma patients, and to propose reasonable cost control suggestions. Methods Homepage information of a total of 7,038 medical records of nasopharyngeal carcinoma patients from a tertiary first-class hospital in Guangxi from 2019 to 2023 were collected. Three machine learning models, including linear regression, decision tree, and random forest, were used to analyze the factors affecting the average daily hospitalization costs of nasopharyngeal carcinoma. Results Calculations of the coefficient of determination (R-squared, RSQ), root mean squared error (RMSE), and mean absolute error (MAE) in the training and test datasets by machine learning methods showed that the random forest model performed the best outcome, with RSQ values of 0.952 and 0.658, RMSE values of 170.000 and 391.000, and MAE values of 99.900 and 238.000, respectively. The main factors affecting the average daily hospitalization costs of nasopharyngeal carcinoma were the actual number of hospitalization days, out-of-pocket expenses, disposable medical material fees for surgery, radiology diagnostic fees, and laboratory diagnostic fees. Conclusion The random forest model can effectively identify the main factors affecting the average daily hospitalization costs of nasopharyngeal carcinoma. It is recommended to focus on the rationality of out-of-pocket items, radiology and laboratory examination items, and medical consumables costs. Additionally, we recommended to reduce unnecessary examinations and treatments, use disposable medical consumables reasonably according to standards, and gradually alleviate the financial burden of patients' hospitalization costs.

The risk of coronary heart disease (CHD) in rural areas is increasingly serious, facing a series of problems, such as lack of medical resources, obstruction of emergency passageway, and disease management gap. With a S County in northern Jiangsu as a pilot, the Affiliated Hospital of Xuzhou Medical University built a village medical network and a central power grid platform to promote the sinking of high-quality medical resources. An electrocardiogram (ECG) cloud platform diagnosis center was established to smooth the whole-process management of CHD, and strengthen the cooperation of village, county and city hospitals to improve the referral mechanism of emergency patients. These efforts effectively improved the treatment dilemma of CHD patients in the S County. The improvement of the dilemma of CHD treatment in rural areas is grassrooted on a sound institutional cooperation mechanism, alongside the highlight of rural doctors in the network, and advocation of the whole-process management of CHD patients, thus building a regional collaborative prevention and treatment system of CHD.

With the in-depth implementation of the "Standards for Evaluation of Tertiary Hospitals (2022 Edition)", the self- examination, assessment, analysis and rectification mechanisms for medical quality and safety management within hospital departments have become increasingly important for enhancing medical service quality. Taking the Department of Neurology of the First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital) as a practical case, a Plan-Do-Check- Act (PDCA) cycle management theory was innovatively introduced to construct a scientific, efficient and highly replicable medical quality self-examination mode. Through clearly defining self-examination goals, formulating detailed plans, strictly conducting self-examination, accurately assessing the effects, and promptly rectifying and providing feedback, this mode strived to achieve the standardization, systematization and normalization of self-examination work, thereby effectively improving the quality and efficiency of medical quality self-examination work. This study not only provided a feasible solution for the medical quality self-examination work of the Department of Neurology, but also benchmarked the medical quality self-examination work of all departments and even the entire hospital and province, providing valuable practical experience and theoretical references.

Objective To explore the innovative path of medical science popularization in public hospitals under the background of "Internet +" and to promote the high-quality development of hospital health science popularization. Methods Based on the telemedicine platform, the working mechanism of medical science popularization was innovated by establishing a team of medical science popularization experts, taking public demand as the orientation of science popularization, developing special medical science popularization topics, building an Internet medical science popularization platform, optimizing the online and offline medical science popularization system, and establishing a scientific review and evaluation improvement mechanism. Results It has realized the organic unity of systematic, scientific and distinctive medical science popularization, so as to effectively improve the public's scientific quality and health literacy. Conclusion It provides theoretical support and practical path reference for the publicity and improvement of the hospital's image, meeting the public's demand for popularizing health knowledge, and improving the popularity of the hospital.

Objective To construct a clinical data repository (CDR) that facilitates the real-time collection of original database and table data from various systems within a public hospital, thereby underpinning clinical activities, teaching, and scientific research. Methods At the First Affiliated Hospital of Soochow University, the database replication software HVR was utilized to enable the real-time capture of data alterations across various database tables. The results were divided into distinct topics, which were subsequently transmitted to the distributed publish-subscribe messaging system, Kafka, for further processing and dissemination. The data center, mainly based on the open-source distributed relational database TiDB, subscribed the different topics on Kafka to form raw datasets and clean and normalize the original datasets to form a standard dataset. Results A TiDB-powered CDR was successfully established, which cleaned and repurposed the data from over 30 principal medical systems within the hospital, thereby providing robust support for the hospital's varied and complex data requirements. Conclusion Multi-tiered data governance and a standardized, uniform CDR are constructive in enhancing hospital informatization.

Objective To improve the service capabilities of the county medical community and to build a hierarchical convenient and beneficial pattern of diagnosis and treatment by consolidating the work of tertiary hospitals in counterpart assistance to county-level hospitals. Methods Based on the "one power and three cycles" model, the mechanism of counterpart assistance to county-level hospitals for tertiary hospitals was innovated. Results Three improvements were yielded by the county-level hospitals receiving the counterpart assistance from tertiary hospitals, including the improvements of management level, medical service capabilities, and convenience in asking for medical help. In addition, two enhancements were yielded as well, including the enhancements of the ability of medical personnel to serve the public, and regional influence and radiation power of county-level hospitals receiving the counterpart assistance from tertiary hospitals. Meanwhile, patient satisfactory to county-level hospitals was improved. Conclusion The "one power and three cycles" model dynamically optimizes the cooperation between tertiary hospitals and county-level hospitals to achieve win-win results.

Objective To systematically propose a theoretical framework and practical paths for the high-quality development of key disciplines in public traditional Chinese medicine institutions driven by the new quality productivity, thus providing exemplary solutions for the modernization transformation of traditional Chinese medicine and the implementation of the Healthy China strategy. Methods Taking the Sichuan Integrative Medicine Hospital as the research subject, a trinity strategy of "management innovation, resource reorganization, and talent upgrading" was implemented. Focusing on theoretical framework optimization, practical path validation, and discipline system enhancement, the transformation and breakthrough methods for high-quality development of key disciplines, and shifting from traditional empirical models to a modern collaborative development model integrating traditional Chinese and Western medicine were explored. Results Practice demonstrated that under the empowerment of new quality productive forces, significant achievements have been made in the high-quality development of key disciplines in public traditional Chinese medicine institutions. These included structural leaps in the theoretical system of integrated Chinese and Western medicine collaboration, systematic optimization of technological applications, preventive transformation of diagnosis and treatment services, integrated breakthroughs in medical-industry-academia-research collaboration, and precise cultivation of talent ecosystems. Conclusion New quality productivity addresses bottleneck issues, such as disciplinary homogenization, achievement transformation barriers, and inefficient resource utilization through systematic strategies. Continuous optimizations of dynamic adaptation mechanisms are needed. In the future, continuous deepening of development ideas is required to provide a sustainable demonstration path for the modernization of traditional Chinese medicine.

Objective To explore the potential of ChatGPT in the field of integration of medical science and education; to analyze how to improve the efficiency of academic literature retrieval, data analysis, and research decision support through natural language processing technology; and to explore its role in promoting individualized educational content and precise academic research. Methods Through literature review and case analysis, the potential application of ChatGPT in the integration of medical science and education was studied. Countermeasures of ChatGPT in responding to various challenges were analyzed. Results ChatGPT has shown significant application potential in the integration of medical science and education, which could assist researchers in quickly retrieving and analyzing academic literature, optimizing diagnosis and treatment decisions, and improving teaching efficiency and quality. Conclusion ChatGPT has an important application value in the integration of medical science and education, but its widespread application requires continuous efforts in technical optimization, user training, data management and ethical standards. In the future, technical improvement of ChatGPT and interdisciplinary collaboration will be the key to promoting its widespread application in the field of education and scientific research, helping to innovate education models and promote the development of academic research.

Objective To construct a collaborative governance framework for medical alliance in the era of digital intelligence from the aspect of digital intelligence and based on the theories of collaborative governance and actor networks, thus providing new ideas for the transformation of medical digital intelligence. Methods Combined with the current situation of the medical alliance and the development trend of digital intelligence, a collaborative governance framework for medical alliance information in the era of digital intelligence was constructed from five aspects: collaborative drive, actor, process, action, and governance efficiency. Results Medical alliance involved many actors, and there were contradictions and obstacles. By analyzing the roles, processes and behaviors of various actors in the collaborative cooperation, it is concluded that coordinating the distribution of benefits, improving information communication, creating multi-dimensional incentives and strengthening internal and external supervision were the key strategies to promote the formation of synergistic advantages of medical alliances. Conclusion Through the construction of collaborative governance framework for medical alliance and analysis of action strategy, it is hoped to reduce "collaborative inertia", enhance "synergistic advantages", and promote the realization of hierarchical diagnosis and treatment goals.

Objective In response to the national initiative for smart services, to improve the patient service process in hospitals and align with the workflow of medical staff, the introduction of the Intelligent Post-diagnosis System (hereinafter referred to as the system) is aimed to conduct the digitization and informatization of the follow-up and education services. Methods Based on the B/S architecture and the use of a standard operating procedure (SOP) in patient management, follow-up, health education, knowledge database, feedback and system allocation, the current status and demands of clinical setting were analyzed. Data integration and standardization were conducted by targeting the detailed workflow procedure in various departments. Results It realized the interconnection between the hospital's business systems, data platforms, external platforms, system management backend and other applications. Data analysis revealed system deficiencies and pointed out the way for subsequent optimization. Conclusion The system effectively promotes doctor-patient communication, improves work efficiency, and clarifies the direction of optimization. In the future, continuous improvements will be made based on clinical needs and patient feedback to improve the efficiency and quality of medical services.

Objective This study aims to explore the experiences and challenges in constructing a talent team within a national pediatric regional medical center under a trusteeship model, thus providing insights and recommendations for improving talent development in similar healthcare institutions. Methods Practices of talent team construction in the national pediatric regional medical center were summarized. Questionnaire survey was conducted to identify existing issues. Based on the findings, policy recommendations were proposed to address the challenges. Results While the current talent team construction has achieved some success, significant challenges remained, including difficulties in attracting high-quality professionals and insufficient talent training mechanisms. Conclusion We recommended to enhance the hospital influence, implement supportive measures for talent retention, strengthen personnel management to optimize talent utilization, improve training and incentive mechanisms, improve performance management and salary distribution mechanism, and increase policy support for pediatric talent development.

Objective To analyze the current status of self-efficacy of emergency response capacity in community healthcare providers and its influencing factors. Methods Data of self-efficacy of emergency response capacity in community healthcare providers were collected through questionnaire survey. Significant variables were explored by univariate analysis, and incorporated into multivariate linear regression analysis to identify influencing factors for the self-efficacy of emergency response capacity in community healthcare providers. Results The results of this study showed that the average score of self-efficacy of emergency response capacity in 223 surveyed physicians and nurses in the community of Yinchuan City was 3.75±1.02 points, presenting a medium-to-high level. The univariate regression analysis showed that age, working years, job title, experience of emergency rescue, and training for emergency rescue were the five variables with significant differences (P<0.05). They were included in the multivariate regression analysis, and it is found that age, working years, and experience of emergency rescue significantly affected the self-efficacy of emergency response capacity. Conclusion Strengthening emergency response knowledge and conducting stratified practical emergency rescue drills and emergency training serve as rational approaches to effectively enhance the self-efficacy of emergency response capability among community healthcare providers.

Objective To explore the basic situation and current status of the development of secondary maternal and child healthcare institutions in Kunming City, and provide a basis for the reasonable allocation of health resources and formulation of relevant policies by higher-level health administrative departments. Methods Data were obtained from the Maternal and Child Health Care Institution Performance Appraisal System and Maternal and Child Health Annual Report of Yunnan Province in 2022. The current status of secondary maternal and child healthcare institutions in Kunming was investigated and analyzed. Results There were big gaps in medical resource allocation, talent team, service capabilities, and information construction between the secondary maternal and child healthcare institutions in Kunming and the healthcare institutions within the jurisdiction. Conclusion A further clarification of functional positioning and development goals, rational allocation of medical resources, optimization of talent teams, improvement of maternal and child health service system, increase in service capabilities and promotion of informatization construction are essential in secondary maternal and child healthcare institutions in Kunming, thus promoting the high-quality development of maternal and child health career.

Objective To analyze the key factors for influencing the rate of reporting adverse medical quality and safety events based on the current status in a tertiary first-class hospital in Guangxi Province within the past 2 years, and to explore the effective countermeasures to enhance it. Methods A total of 1,437 completely reported adverse medical quality and safety events were retrospectively analyzed by SPSS. Results The rate of reporting adverse medical quality and safety events showed an upward trend, but there were differences in incident type, level, department, personnel title, incident level, etc. Other adverse events and adverse drug events accounted for as high as 60.2%. The reporting rate in internal medicine departments was 58.1%, which was significantly higher than that of other departments. The total reporting rate of junior and intermediate titles was 86.8%, making them the main force in reporting. The total reporting rate of Grade Ⅱ and Grade Ⅲ events accounted for 87.2%, which was significantly higher than that of Grade Ⅰ and Grade Ⅳ events. By adjusting hospital policies and intensifying training efforts, the reporting rate increased by 85.1%. Conclusion The rate of reporting adverse medical quality and safety events is influenced by multiple factors, including the titles and cognition of medical staff, reporting procedures, and hospital policies. It is recommended to strengthen the training, optimize processes, improve incentive mechanisms, and take other measures to increase the reporting rate in the hospital.

From the concept of system, this paper analyzes the twelve possible situations of Chinese hospital planning and development during the 15th Five-Year Plan period, including the overall goal of Chinese modernization, high quality development as the theme and top priority, arduous task of a further comprehensive reformation, unprecedented opportunities and pressure brought by the wave of science and technology revolution, complex and diverse health demand with an aging population, further optimization of related policy systems, increasingly fierce market competition within the system, integrated medical and health service system as the goal of system construction, trend of medical service mode innovation, inevitable scientific legalization fine wisdom management, extension of most institutional policy measures at the national and departmental levels since 2009, requirement of a high-quality hospital management cadre team. At the same time, this article proposes opinions on the overall requirements of hospital planning and development during the 15th Five- Year Plan period.

The construction of regional medical centers plays a strong role in promoting the vertical flow of high-quality medical resources and improving the quality of primary healthcare services. Under the strategic backdrop of high-quality development in public hospitals, Party building should play a leading role. This study, starting from the practical experience of building the eastern Chongming regional medical center, elaborated on the practical path and effectiveness of Party building in leading to regional medical collaboration and development. In this medical center, a localized '12345' collaborative development model was built that emphasized the synergistic effects of multiple stakeholders, such as the district health commission, district finance, local township governments, and various medical institutions. The aim is to enhance the service capabilities of medical institutions within the region by practicing the concept of an integrated regional healthcare service system. Leveraging the advantages of the lead hospital, this article explored the “five-aspect” integration of Party building, diagnosis and treatment, personnel, information, and management, thus establishing a new development pattern for the eastern Chongming regional medical center, and achieving high-quality medical development within the region.

In recent years, the "12345 Hotline" has become a primary channel for citizens to voice their demands to healthcare institutions. To further enhance the management of primary healthcare services and to improve public satisfaction with complaint resolution, a district in Beijing analyzed complaint records and follow-up satisfaction surveys related to primary healthcare institutions from March to December 2023. The study revealed that citizens' main concerns centered on service quality and attitude, medical procedures, service capacity, and pharmaceutical services. Taking responses, the district implemented targeted improvement measures that significantly elevated the quality and efficiency of primary healthcare services. Practical experience has demonstrated that sustained optimization in service quality and attitude, medical service capacity, healthcare procedures and environments, and pharmaceutical services is essential to meet public health needs and advance high-quality development in healthcare.

Objective To analyze the impact of the policy where the predominant Traditional Chinese Medicine (TCM) diseases are paid based on the disease types of diagnosis-intervention packet (DIP) on the diagnosis and treatment behaviors in representative hospitals, and to summarize its advantages and disadvantages, thus providing references for the future improvements in this policy. Methods Taking a tertiary first-class TCM hospital in Xiamen as an example, a series of methods, such as analyzing the situation of DIP pilot, literature review, questionnaire survey were adopted to examine the business volume, cost structure, and disease conditions by investigating questionnaire surveying results of diagnosis and treatment behaviors, and data before and after implementing DIP. Results Predominant TCM diseases paid based on the DIP posed both positive and negative impacts on the images of diagnosis and treatment behaviors, and changed the original behavior pattern. Conclusion The impact of predominant TCM diseases paid based on the DIP on current diagnosis and treatment behaviors in TCM hospitals provides references for the future reform of predominant TCM diseases.

Construction of an effective training management system is the key to continuously improve the quality of position transfer training for general practitioners. Based on the PDCA (Plan, Do, Check, and Act) cycle and the characteristics of position transfer training for general practitioners, this study created a training management system of "training goal setting-training plan implementation-training effect evaluation-training plan improvement". This system achieved consistency among position competency requirements, training activities, and evaluation. It promoted iterative improvement of capabilities through the evaluation cycle of "peer evaluation-mutual evaluation-self-evaluation-improvement", ensured goal achievement through the training cycle of "assessment-instruction-internalization-consolidation", and stimulated learning enthusiasm and enhanced professional identity by the "online learning sheets". Its application in the General Practitioner Transfer Theory Knowledge Training Base suggested that the Position Transfer Training for General Practitioners based on the PDCA cycle effectively achieved the goals of promoting learning and teaching through evaluation, thus playing the guiding role of process evaluation, and providing a practical path for the continuous improvement of the quality of position transfer training for general practitioners.

Objective To investigate and analyze the talent structure and development status of traditional Chinese medicine in tertiary traditional Chinese medicine hospitals in Shandong Province, and to identify problems and deficiencies, propose countermeasures and suggestions, thus providing references for policy formulation and hospital management. Methods A multi-level sampling method was used to select 450 participants from 10 tertiary traditional Chinese medicine hospitals for a questionnaire survey. Statistical analysis was performed using SPSS 23.0 software. Results The main age group was 35-44 years old, with a higher proportion of traditional Chinese medicine talents in intermediate health professional technical positions, master's degrees, and 10-19 years of work experience. The research projects led or participated by traditional Chinese medicine talents mainly focused on topics below the city level, and the results were mainly published in journal articles. Continuing education and institutional education were the main ways to cultivate talents in traditional Chinese medicine. Conclusion The overall structure of traditional Chinese medicine talent is reasonable, but improvements should be made on the construction of the traditional Chinese medicine talent team and scientific research ability. Training methods are not innovative enough. It is suggested to strengthen the planning and management of the construction of traditional Chinese medicine talent team, explore the construction of new models for talent cultivation, build a high-level talent development platform, and improve the talent incentive and guarantee mechanism.

The integration of medical and elderly care in community-based elderly care constitutes an organic component of diversified elderly care service system in China. As an innovative health-oriented elderly care model, it played a significant role in addressing rapid population aging, and safeguarding the rights of older adults. However, with the deepening of pilot programs and practical implementation of integrated medical and elderly care communities, various shortcomings and challenges have gradually emerged. Through analysis of three typical forms of community-based integrated medical and elderly care services, this study identified deficiencies and dilemmas in four key aspects: funding support, regulatory frameworks, professional team development, and information technology capabilities. Building on these findings, this article proposed optimization pathways from four dimensions: improving regulatory systems, strengthening talent cultivation, enhancing financial security mechanisms, and advancing smart service capabilities. These recommendations aim to promote high-quality development of integrated medical and elderly care services in community settings.

Objective To clarify the reality, application scenario and evolutionary trend of the HFMEA (Healthcare Failure Mode and Effect Analysis) model in Chinese medical quality and safety management, thus providing a reference for the future expansive application and optimized development of HFMEA. Methods Relevant articles on the application of the HFMEA model in medical quality and safety management were searched in China National Knowledge Infrastructure (CNKI) database from 2009 to 2023. CiteSpace 6.2.R6 was used for visual analysis of keywords. Results A total of 383 articles were included, and 236 keywords were obtained. The network density, clustering module value Q, and average clustering contour value S were 0.010 2, 0.716 8, and 0.917 9, respectively. The evolution process of the HFMEA model in China could be divided into three stages: "Origin - Burst - Optimization". Conclusion HFMEA is gradually applied to medical quality and safety management. Its application scenario tends to be diversified, but it is still mainly limited to nursing management field, and its clinical, administrative and logistical applications are weak. Its evolution tends to deepen, but standardized paradigm hasn’t been established. In the future, it is necessary to optimize and strengthen the application by building normative process and mechanism, strengthening multidisciplinary collaboration, and cultivating patient safety culture.

Objective To promote the efficient synergistic development of one hospital with multiple districts, thus providing inspiration and reference for the discipline construction and development of hospitals with multiple districts. Methods Taking the People's Hospital of Xinjiang Uygur Autonomous Region as a sample, a laddering discipline development from the strong and solid foundation to misplaced complementarity and collaborative development was established based on the actual situations (differences in the construction time, functional positioning, construction area, number of beds, and service population of three districts) and scientific planning of discipline layout and positioning in multiple districts. Results In the sample hospital, the construction of a disciplinary competitive advantage pattern for sustainable development in multiple districts was actively explored. The 2.0 stage of differentiated discipline layout with complementary complementation achieved in District A and B. District C developed in the early stage of opening and phased layout of disciplines. An advanced collaborative development of disciplines from 1.0 to 3.0 stage was expected to achieve in the next decade of all the three districts. Conclusion The “laddering” discipline development strategy proposed in this study is in line with the reality of hospitals with multiple districts, but it is still in the early stage of practice with an expected effectiveness to be foreseeable. After the completion of the discipline layout in each district, it is still necessary to adjust the direction of discipline development in a timely manner, in order to maximize the use of resources in the districts, and ensure the medical needs of the hospital and the sustainable development of disciplines.

Objective To scientifically evaluate the operation status of clinical departments, and to guide the enhancement of operation effectiveness, thus providing theoretical and practical basis for improving the level of fine operation and management of hospitals and promoting the high-quality development of public hospitals. Methods A clinical department operation evaluation index system was constructed and used to perform a systematic evaluation and assessment of operation in 44 departments of a tertiary hospital in Shenzhen City. Targeted guidance was given according to the evaluation results. Results After a year of continuous monitoring and operational guidance, the hospital's operational indicators, such as workload, medical quality and business income have been significantly improved. Meanwhile, the department's awareness of operational management and the hospital's level of fine management have been significantly elevated. Conclusion The results of empirical application show that the constructed index system can comprehensively and objectively reflect the current situation of departmental operation, and provide effective tool support for hospital operational management.

Objective To evaluate the suitability of elderly care and wellness in Shandong Province, thus providing references for optimizing the allocation of elderly care resources. Methods An evaluation index system for the suitability of elderly care and wellness was established. The entropy weight method was used to assign weights to each value in the index system. The Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method was employed to calculate and sort the comprehensive score of the suitability of elderly care and wellness in different cities of Shandong Province. Results From 2019 to 2022, there were significant differences in the suitability of elderly care and wellness among cities in Shandong Province. Among them, Jinan City and Qingdao City had the highest comprehensive scores, Zibo City, Dongying City, and Weihai City graded high, while Dezhou, Liaocheng City and Heze City had relatively low comprehensive scores. From a time series perspective, the comprehensive score of elderly care and wellness suitability in various cities showed a stable trend, with some cities experiencing slight fluctuations. From a spatial distribution perspective, the suitability for elderly care and wellness in the central Shandong and Shandong Peninsula regions was relatively high, while it was relatively low in the southern and western Shandong regions. Conclusion There are significant differences in the suitability of elderly care and wellness among different regions in Shandong Province. It is necessary to optimize the allocation of resources and improve the quality of elderly care and wellness services.

Objective To explore the collaborative management of "one hospital with multiple districts" medical services from the perspective of high-quality development, and to propose optimization paths for collaborative management and promote the high- quality development of medical services. Methods Through identifying the concept and meaning of the "one hospital with multiple districts", management difficulties and challenges of the "one hospital with multiple districts" were analyzed. Key management points of the "one hospital with multiple districts" were formulated. In a case hospital, innovative management models and distinctive specialty settings were explored. Results Under the concept of "integrated management, homogeneous operation, differentiated competition, and characteristic services", the east and west campuses of the case hospital had their own characteristics in the specialty settings. A robust management of the hospital and collaborative management have achieved, obtaining excellent outcomes in the case mix index (CMI), the absolute value and proportion of fourth-level surgery, revenue and expenditure balance, medical insurance payment, patient satisfaction and other dimensions. Conclusion The optimized paths for the collaborative management of medical services in the "one hospital with multiple districts" are proposed, including strengthening the collaboration of spiritual concepts and cultivating a unique cultural system, coordinating the collaboration of specialty settings and improving the complementary service system, strengthening the collaboration of management systems and highlighting the supply of high-quality services. Following this to better provide patients with high-quality medical services and continuously improve the patient medical experience.

Culture construction is a key topic for the high-quality development of hospitals. Achieving cultural integration in "one hospital with multiple districts" is a crucial element for the coordinated development, optimized allocation of regional medical resources, and enhancement of the patient's medical experience. With the Shenzhen Dapeng New District Medical and Health Group as an example, the present study analyzes the challenges of cultural integration in the mode of "one hospital with multiple districts". Moreover, we explore the specific practices of achieving cultural integration by formulating a long-term development strategy for cultural integration, building an online and offline cross-regional interconnection system, and building a unified and coordinated hospital cultural brand to achieve the goal of strengthening the group's internal cohesion, promoting a balanced allocation of regional medical services, and improving patients' medical experience. Our findings provide references for the cultural integration of “one hospital with multiple districts” and the high-quality development of regional medical care.

Objective To innovate a new mechanism for efficient operation of radiotherapy, thus achieving quality and efficiency enhancement, and comprehensive improvement of patient satisfaction. Methods Problems exited in the entire process of radiotherapy were identified by the SIPOC (Supplier-Input-Process-Output-Customer) model and PCE (Process Cycle Efficiency) analysis. The fishbone diagram, and nominal group technique were used to confirm the priorities to be solved. A continuous improvement plan was developed. The service process was optimized by strengthening information technology construction, establishing efficiency monitoring and performance evaluation mechanisms, and setting improvement goals. The improvement effect was evaluated by the indicators of waiting time for therapy and patient satisfaction. Results The waiting time for therapy was significantly shortened, and the time limit rate (within 10 days of radiotherapy) increased from 18% to 51%. The PCE increased from 12% to 16%. The satisfaction of both healthcare providers and patients was significantly improved. Patient satisfaction increased from 93% to 98%. The satisfaction rate of doctors increased from 80% to 95%, and that of physicists and technicians increased from 85% to 95%. Through the construction of informatization and automatic backend collection of data and information, interconnection and intercommunication of radiotherapy subsystems were achieved. Conclusion An intelligent radiotherapy service model, all-round full-loop management of the radiotherapy process, and improvement of service capabilities greatly improve the patient's medical experience. A visual data management platform is established to realize the interconnection of data streams, strengthening of quality control, improvement of work efficiency, stimulation of sustainable continuous endogenous power and the comprehensive competitiveness of the department.

Objective To assess the effectiveness of the pilot work on the integration of chronic disease treatment and prevention in primary medical institutions in China, and to summarize the practical experience and existing problems, thus proposing policy recommendations. Methods Through key informant interviews, questionnaire surveys and expert group discussions, quantitative data processing in Excel and qualitative analysis in ATLAS.ti software, the effectiveness of an integration of chronic disease treatment and prevention in three primary care pilot areas (Taiyuan, Shenzhen and Chongqing) was compared with that in non-pilot areas (Datong and Dongguan). Results Based on the guidelines and trainings developed by the National Primary Hypertension and Diabetes Prevention and Management Office, the primary diagnosis and treatment capacity was significantly improved. The integration of chronic disease treatment and prevention in each region has achieved some success. However, challenges included brain drain, siphoning effect of tertiary hospitals and data barriers. The overall satisfaction rate of patients with chronic diseases towards the integration of medical treatment and prevention work in primary healthcare institutions reached 84.4%. Conclusion The integration of chronic disease treatment and prevention effectively improves the quality of chronic disease management through incentive mechanism optimization, information interconnection and family doctor team building. It is recommended to improve the symbiotic environment of policies and regulations, strengthen the grassroots team building, refine the assessment system of service quality, establish a scientific and efficient performance evaluation and economic incentive mechanism, set up a special fund pool, tilt the payment of chronic disease health insurance to the grassroots, and promote the construction of a close-knit healthcare community and grassroots informatization.

To build a hypertension management model with Chinese characteristics, thus providing references for finally forming a long-term effective management system for hypertension. Through literature review, summarizing experience in hypertension management at home and abroad, and keeping a foothold for practice and previous research basis of hypertension management in China, we propose that grassroots healthcare institutions are the main force of hypertension management in our country. This article proposed a "five-in-one" comprehensive management model of traditional Chinese and Western medicine at the grassroots level, that is, hypertension group management based on social public health services; hypertension hierarchical management with medical communities as the link; hypertension remote management supported by "Internet + medical health"; hypertension traditional Chinese medicine management guided by "dialectical treatment" and hypertension self-management driven by family participation.