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Incorporating Exercise Efficiency to Evaluate the Accessibility and Capacity of medical resources in Tibet, China

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Chinese Geographical Science 2023年第1期33卷 175-188页

作者： WANG Li YANG Linsheng WEI Binggan LI Hairong CAI Hongyan HUANG Jixia YUAN Xing Key Laboratory of Land Surface Pattern and Simulation Institute of Geographical Sciences and Natural Resources ResearchChinese Academy of SciencesBeijing 100101China College of resources and Environment University of Chinese Academy of SciencesBeijing 100049China State Key Laboratory of resources and Environmental Information System Institute of Geographical Sciences and Natural Resources ResearchChinese Academy of SciencesBeijing 100101China Key Laboratory for Silviculture and Conservation of Ministry of Education Beijing Forestry UniversityBeijing 100083China

Accessibility and capacity of medical resources are key for the health care and emergency response, while the efficiency of the medical resources is very much limited by hypoxia in Tibet, *** introducing exercise efficiency, this study explores the accessibility of township residence to county-ship medical resources in Tibet using weighted mean travel time(WMT), and evaluates the medical capacity *** results show that: 1) the average travel time of township residence to county-level hospital is around2 h by motor vehicle in *** than half of the population can not reach the county-ship hospital within 1 h, 33.24% of the population can not reach within 2 h, and 3.75% of the population can not reach within 6 h.2) When considering the catchment of the medical resources and the population size, the WMT of the county-ship medical resources ranges from 0.25 h to 10.92 h.3) After adjusted by travel time and exercise efficiency, the county-ship medical capacity became more unequal, with 38 out of 74 counties could not meet the national guideline of 1.8 medical beds per 1000.4) In total, there are 17 counties with good WMT and sufficient medical resources,while 13 counties having very high WMT and low capacity of medical resources in *** the end, suggestions on medical resources relocation and to improve the capacity are *** study provides a method to incorporate exercise efficiency to access the accessibility and evaluate medical capacity that can be applied in high altitude ranges.

关键词： exercise efficiency medical resources medical capacity Tibet

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Spatial Distribution Characteristics of medical resources for Epidemic Prevention in the Main Urban Area of Handan City Based on GIS

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Journal of Landscape Research 2022年第2期14卷 71-74页

作者： XI Hui GUO Manxuan School of Architecture and Art Hebei University of EngineeringHandanHebei 056038China

The spatial distribution of medical resources for epidemic prevention (including a total of 79 facilities in designated hospitals,fever clinics,and primary medical institutions) in the main urban area of Handan City was studied by using three algorithms (average nearest neighbor algorithm,kernel density estimation method and standard deviation ellipse method).The results show that the medical resources for epidemic prevention in the main urban area of Handan City are all in a state of agglomeration,but due to the different functions of different types of medical resources,their distribution range and distribution direction also show different ***,the spatial balance of comprehensive medical resources in the main urban area of Handan City needs to be further improved.

关键词： medical resources Spatial analysis GIS Handan City

The Increase in Total Knee Replacement Surgery in China: A 10-Year Real-World Study

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Open Journal of Orthopedics 2024年第6期14卷 270-286页

作者： Hirose Shakya Anjing Chen Zong-Ke Zhou Department of Orthopedics West China Hospital/West China School of Medicine Sichuan University Chengdu China

Total knee arthroplasty (TKR) is the most common and costly surgical procedure performed, and it is considered one of the most successful clinical interventions for patients suffering from severe knee osteoarthritis (OA). The incidence of TKR, including demographics, incidence rates, lengths of hospital stay, and costs, was estimated from 2010 to 2019 by analyzing data extracted from the Joint Surgery Department in our hospital, which included a total of 6770 patients. We calculated the TKR risk ratios to compare the rate of TKR between different covariables such as gender, age group, and primary diagnoses. The annual volume of TKR increased by fivefold (5.14%), with a higher incidence observed in the 60 to 69 age group constituting approximately 36% of cases. There has also been an increase in incidence among young people (<50), which now stands at 6.2%. The rate ratio (RR) per female vs. male was found to be 3.0 and the RR of OA vs. RA was 0.09. The mean average length of stay (ALOS) in the hospital decreased from 15 to just 5 days during this period. Additionally, the adjusted mean cost per patient increased significantly from ¥ 38261 ± 3630.63 to ¥ 53115.17 ± 2831.35. The majority of TKR recipients were over 60 years old with osteoarthritis being identified as the main causative agent. It is worth noting that women are more susceptible to knee arthritis and there is a concerning shift toward younger individuals being affected by this disease. Our results indicate a rise in in-hospital costs alongside a significant decline in hospital ALOS for TKR procedures. We predict an unprecedented rise in TKR incidence in the coming years due to population aging and improving economic conditions in China.

关键词： Database medical resources Total Knee Replacement

Coordination and Cooperation are Essential: A Call for a Global Network to Enhance Integrated Human Health Risk Resilience Based on China’s COVID-19 Pandemic Coping Practice

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International Journal of Disaster Risk Science 2021年第4期12卷 593-599页

作者： Yelin Sun Tian Liu Tao Ye Peijun Shi State Key Laboratory of Earth Surface Processes and Resource Ecology Beijing Normal UniversityBeijing100875China Academy of Plateau Science and Sustainability Qinghai Normal UniversityXining810008China Faculty of Geographical Science Beijing Normal UniversityBeijing100875China

More than a year after its appearance and still rampant around the world,the COVID-19 pandemic has highlighted tragically how poorly the world is prepared to handle systemic risks in an increasingly hyper-connected global social-ecological *** absence or clear inadequacy of global governance arrangements and mechanisms is painfully distinct and *** this short article,we summarize a set of COVID-19 pandemic-related analyses and lessons that are inspired by Chinese ***,strong government response is one of the most important methods to control a ***,countries should be concerned about human-to-frozen goods-to-human ***,sharing resources and experiences through cooperation is crucial to ensure an adequate health *** on these insights,we stress the critical importance of coordination and cooperation,and call for a global network to enhance integrated human health risk resilience.

关键词： COVID-19 Human-to-frozen goods-to-human transmission Government response medical resources Coordination and cooperation

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Why the Majority of Hospital Leaders in the United States are Nonphysicians

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中国医院 2002年第7期 59-60页

作者： Louis Rubinote Ph.D. California State University USA Northridge

Most hospital administrators in the United States are nonphysicians. Physicians wanting to become more involved in managerial matters are now challenging these laypeople. This article examines the issues associated with laypeople and physicians as hospital administrators. It looks at the history of how each group has evolved in the administration of hospitals. It also reviews the differences between the two groups which might provide some insight to their unique perspectives. The authors then take the position that laypeople make better administrators but still advocate for the development of continuing competencies for the health administration professional no matter which group they belong.

关键词： market distribution medical resources professionalism of hospital directors

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