Objective To evaluate the effects of delicacy management applied in branch health management sub-center. Methods From July 2013 to December 2015, integrated delicacy management was applied throughout the whole process of the preparation for the establishment and the running of the branch health management sub-center. The strengths and weaknesses of the management, the management of the details and the control of the emphasis were analyzed. And the medical visits and incomes after the application of delicacy management were also analyzed. Results From July 2013 to December 2015, the monthly average medical visits were 1 870.17±609.93, 2 842.50±1 247.60 and 3 717.92±1 257.98, while the monthly average incomes were (2 136.0±585.1) thousand yuan, (3 620.5±1 559.9) thousand yuan and (4 921.1±1 837.2) thousand yuan, which increased significantly. Conclusion The application of delicacy management in the branch health management sub-center could ensure the quality of service, promote the steady growth of performance, and improve the understanding of the surrounding population of health management, thus we can improve the economic and social benefits of the health management sub-center.
ObjectiveTo analyze the health examination results of hospital retirees, understand their health status and provide the evidence for health management. MethodsThe data were collected from our 1 089 hospital retirees (51-96 years old) who received health examination in West China Hospital of Sichuan University from January to December 2013, including 345 males and 744 females, with a mean age of 70 years. The data were analyzed by SPSS 16.0 software. ResultsHypertension, dyslipidemia and diabetes were the three chronic diseases with the highest detectable rate, and the rate was respectively 49.49%, 44.90% and 31.04%. The detectable rate of hypertension was not significantly different between male and female. The rate of dyslipidemia in females was higher than that in males. The rate of diabetes in males was higher than that in females. The detectable rate of hypertension and diabetes increased with the increase of age. The detectable rate of dyslipidemia had no significant relationship with age. ConclusionThe health condition of retirees cannot be neglected. We need to strengthen the health management for the retirees.
Objective To construct a core competency evaluation indicator system for health managers. Methods Literature review, research group discussion, and Delphi method were used to establish the core competency indicators for health managers. Results A total of 8 experts completed 2 rounds of inquiries, and 8 questionnaires were distributed in both rounds, all of which were effectively collected. The judgment coefficient of the first round of inquiry was 0.936, the familiarity level was 0.933, the coefficient of expert authority was 0.935, and the Kendall harmony coefficient was 0.216 (P<0.05). The judgment coefficient of the second round of inquiry was 0.925, the familiarity level was 0.950, the coefficient of expert authority was 0.938, and the Kendall harmony coefficient was 0.438 (P<0.05). The final determination of the core competency evaluation indicators for health managers included 4 primary evaluation indicators (ranked in descending order of score as full process health management skills, organizational management ability, professional ethics, and comprehensive knowledge of health management) and 55 secondary indicators. Conclusion The core competency evaluation indicator system for health managers has good scientificity, systematicity, and completeness, which can provide references for defining, evaluating, and training the responsibilities of health managers.
ObjectiveTo explore the related risk factors of polypoid lesions of gallbladder (PLG) in civil aviation flight cadets and the health management measures for the risk factors. MethodsRetrospective analysis of the 2022 flight annual medical students, according to the B ultrasound examination results have PLG, divided into PLG group (n=128) and non-PLG group (n=150), collect the basic data of the students, and establish a multivariate logistic regression equation model to analyze the related risk factors of gallbladder polypoid lesions. ResultsThe results of univariate analysis showed that there was no significant difference between groups with hypertension, hyperlipidemia and hyperglycemia (P>0.05), but with age and body mass index, high total bilirubin in serum and hyperuricemia, regular schedule and diet, and sufficient exercise (P<0.05). The results of multivariate logistic regression equation model analysis showed that age, high serum total bilirubin, hyperuricemia, irregular sleep and rest, irregular diet and lack of exercise were independent risk factors for PLG. ConclusionsAge, high serum total bilirubin, hyperuricemia, irregular work and rest, irregular diet and lack of exercise are the main reasons for PLG in civil aviation flight cadets. Intervention and prevention of risk factors can effectively ensure their health and flight safety.
ObjectiveTo investigate the checkup residents' requirements for the health management and its influence factors. MethodsThe data from 741 checkup clients were randomly sampled by questionnaire in checkup center in May, 2013, including 360 males and 381 females aged from 24 to 69 with an average of 43.5±11.2. ResultsThere were 668 valid questionnaires, with an effective rate of 90.1%. In these 326 males and 342 females, 589 (88.2%) had the consciousness of health management, 79 (11.8%) had no consciousness of health management; the health management services needs included:consultation offered by experts of examination report (556, 83.2%), health promotion plan (379, 56.7%), medical follow-up (301, 45.1%), green channel (280, 41.9%), health knowledge message (276, 41.3%) and lecture on health knowledge (200, 29.9%). The demand for health management differed in sex, age and checkup format(P<0.05), not in chronic disease conditions (P>0.05); the requirement for lecture differed in age and occupation(P<0.05); the requirement for health promotion plan differed in economic condition(P<0.05); the requirement for message and green channel differed in age and checkup pattern(P<0.05). ConclusionThe checkup residents' have high requirements for the health management and differ in health management services.
Objective To analyse the content and structure of the health management policy text for chronic obstructive pulmonary disease (COPD) in China, and to provide a reference for the optimization and improvement of subsequent relevant policies. Methods We searched for relevant policy documents on COPD health management at the national level from January 2017 to December 2023, constructed a two-dimensional analysis framework for policy tools and chronic disease health management processes, coded and classified policy texts, and used content analysis method to analyze policy texts. Results Twenty-four policy texts were included. There were 183 codes for policy tool dimension, with supply based, environmental based, and demand based tools accounting for 43.72%, 47.54%, and 8.74%, respectively. There were 124 codes for the dimension of health management processes, with health information collection and management accounting for 12.10%, risk prediction accounting for 14.52%, intervention and treatment accounting for 66.13%, and follow-up and effectiveness evaluation accounting for 7.26%. Conclusions At present, the proportion of policy tools related to the management of COPD in China needs to be dynamically adjusted. Environmental tools should be appropriately reduced, the internal structure of supply tools should be optimized, the driving effect of demand tools should be comprehensively enhanced, the coupling of COPD health management processes should be strengthened, and the relevant policy system and overall quality should be continuously improved.
ObjectiveTo explore the methods of data management and statistical analysis for longitudinal big data collected from mobile health management applications (APP). MethodsThe data management process and statistical analysis method were proposed by summarizing the characteristics of the data from mobile health management APPs. The methods would be clarified by a practical case: an APP recording female menstruation. ResultsThe data from health management APPs belong to longitudinal big data and the original record of the APP should be reprocessed or computed before conducting statistical analysis. A two-step data cleaning procedure was suggested for data management of the original records and reprocessed data, and longitudinal models such as mixed models was recommended for statistical analysis. ConclusionsThe data from health management APPs could be used for medical research via specific data management and statistical analysis after removing suspicious data. Cloud computing could be a viable method to improve efficiency of the big data analysis of health management APPs.
The new coming era has brought great challenge to present health service model, and the development of new science and technology had improved the reconstruction of medical system and model. With the guidance of evidence-based management and participation of model technology, this paper provides an explanation of the new health service model containing new health management, clinical medicine, chronic disease management and elder care which cover the whole life cycle, so as to implement the " Health China” strategy and develop a whole life cycle health service system for all residents with necessary, high quality, and affordable prevention, treatment, rehabilitation and health promotion.
ObjectiveTo explore the effect of continuous health data collection system on residents' heath management. MethodsFrom October 2012 to October 2013, 128 employees aged from 35 to 45 from a bank who volunteered to accept the health management were selected. They were to randomly divided into observation group and control group; the control group received routine outpatient management, while the health management group were observed with continuous data collection system (Zhengguangxing E Health System). We evaluate the changes in physiological indices of a healthy lifestyle one year later. ResultsOne year after administration, the poor lifestyle decreased in observation group obviously (smoking, drinking, poor diet and not take any exercise) compared with that in the control group (P<0.05). The relative health indicators including overweight, abnormal blood pressure, dyslipidemia, abnormal fasting blood-glucose, meliorated much more in observation group than that in the control group (P<0.05). ConclusionContinuous health data collection system for population health management is effective on health management.