Backgrounds The widespread coronavirus disease 2019 (COVID-19) outbreak impacted the mental health of infected patients admitted to Fangcang shelter hospital a large-scale, temporary structure converted from existing public venues to isolate patients with mild or moderate symptoms of COVID-19 infection. Objective This study aimed to investigate the risk factors of the infected patients from a new pharmacological perspective based on psychiatric drug consumption rather than questionnaires for the first time. Methods We summarised the medical information and analysed the prevalence proportion, characteristics, and the related risk factors of omicron variants infected patients in the Fangcang Shelter Hospital of the National Exhibition and Convention Center (Shanghai) from 9 April 2022 to 31 May 2022. Results In this study, 6,218 individuals at 3.57% of all admitted patients in the Fangcang shelter were collected suffering from mental health problems in severe conditions including schizophrenia, depression, insomnia, and anxiety who needed psychiatric drug intervention. In the group, 97.44% experienced their first prescription of psychiatric drugs and had no diagnosed historical psychiatric diseases. Further analysis indicated that female sex, no vaccination, older age, longer hospitalization time, and more comorbidities were independent risk factors for the drug-intervened patients. Conclusion This is the first study to analyse the mental health problems of omicron variants infected patients hospitalised in Fangcang shelter hospitals. The research demonstrated the necessity of potential mental and psychological service development in Fangcang shelters during the COVID-19 pandemic and other public emergency responses.

社会捐赠体系是国家应急物资保障的重要组成部分.物资捐赠作为疫情防控期间物资保障的一种重要形式和补充,其响应速度对解决疫情特殊时期医疗物资匮乏问题起到了至关重要的作用.该文通过在国家会展中心(上海)方舱医院物资捐赠管理工作实践中反复总结、积累实践,以分配公平性、效用优化性、信息透明性为目标,制定了大型方舱医院物资捐赠制度,创建了相关流程,形成了大型方舱医院物资捐赠管理体系,在确保国家会展中心(上海)方舱医院正常运行中发挥了重大作用.

探索在新型冠状病毒（新冠）感染疫情防控中的大型方舱医院药品保障管理模式。根据方舱医院规模及收治新冠感染者特征，成立应急药品管理团队，搭建药品管理组织架构、建立规章制度；根据方舱医院的运行特点，制定和调整药品目录，规范申领、调拨流程，并加强特殊药品的管理；依据感染者的需求，开展多元化药学服务，指导患者用药。本团队建立了针对大型方舱医院运行的特色药品保障体系，分为中心药库及二级药库进行药品保障管理，在做到保障基本医疗药品供应的同时，提供药学服务以确保患者的用药安全。本团队建立的方舱药品保障管理模式，可为应对突发公共卫生事件时药品保障及完善服务患者提供参考。

社会捐赠是指自然人、法人或其他社会团体出于爱心,自愿无偿地向公益性社会团体、公益性非营利单位、某个群体或个人进行捐赠财产的救助活动.针对方舱医院的社会捐赠不是一般意义上的慈善捐助行为,而是捐赠者自愿、主动支持方舱医院救治工作(包括方舱医院建设、感染者救治、医护生活改善)的意识体现.本文分析社会捐赠对国家会展中心(上海)方舱医院物资保障的作用及成因,提出推进社会捐赠事业发展的建议,以期为弘扬抗疫精神、慈善精神,凝聚慈善共识提供借鉴.

Hospital culture plays an important role in the orderly operation of large shelter hospitals as well as epidemic prevention and control.From April to May 2022, the shelter hospital of the National Convention and Exhibition Center(Shanghai) had created the large shelter hospital culture co-built by doctors and patients with a greater sense of belonging by taking measures such as joint party building between doctors and patients, giving play to the vanguard force of party members, carrying out various forms of cultural, sports and science popularization activities, encouraging enthusiastic patients to participate in activity planning, focusing on key groups, formulating shelter " residents convention", and so on. These measures ultimately formed cultural adaptation, cultural synchronization and cultural shaping, which were conducive to enhancing the empathy of doctors and patients, improving the effectiveness of medical implementation, and promoting the standardization of shelter management system. This harmonious, warm and autonomous culture co-built by doctors and patients effectively ensures the safe and orderly operation of the shelter hospital, and provides reference for the construction of the cultural system of large shelter hospitals in China.

目的 探讨医疗装置配置在超大型方舱医院运行保障中的作用。方法 从医疗装置基本情况、面临挑战、建议对策等方面，总结瑞金医院方舱医院管理团队在国展中心(上海)方舱医院医疗装置配备工作中的经验，为超大型方舱医院的运行保障提供借鉴。结果 自2022年3月以来，上海紧急启动建设市区两级方舱医院，用于收治轻症及无症状感染者，以快速阻断疫情传播。国展中心(上海)方舱医院瑞金医院方舱医院规模最大，总床位近5万张，收治患者174 308例。瑞金医院方舱医院管理团队全程参与了该方舱医院的开仓和运行，并为方舱医院正常运行提供医疗装置保障。结论 瑞金医院方舱医院管理团队保障了国展中心(上海)方舱医院医疗装置配置，为其正常运行提供条件，但战时状态下快速部署、灵活机动地装备方舱医院应对重大突发公共卫生事件仍需探索。

大型方舱医院作为一个突发公共事件或灾害救援中的特殊医疗空间,受到社会广泛关注.探索方舱医院文化体系建设,通过党建文化、精神文化、制度文化、行为文化和社群文化建设,形成文化合力,营造和谐医院氛围,提升医疗执行效能,为方舱医院管理目标的实现,提供文化保障.

目的 探讨大型方舱医院在应对突发公共卫生事件中后勤保障体系的建设与管理实践.方法 自2022年3月以来,新型冠状病毒奥密克戎变异株在上海蔓延,为快速阻断疫情传播,上海启动建设市区两级方舱医院,用于收治轻症及无症状感染者.上海交通大学医学院附属瑞金医院方舱医院管理团队先后参与多家大型方舱医院的设计、建设及运行保障工作.结合传染病类方舱医院运行特点,从保障需求、体系构建等方面,总结本团队在方舱医院后勤保障工作中的经验.结果 大型方舱医院存在人员、环境、设施、运输等方面的运行保障需求,后勤保障体系应从组织架构、专业分工、制度建设等方面予以构建,以确保方舱医院安全、高效运行.结论 方舱医院是应对突发公共卫生事件的有效措施,后勤保障工作的经验总结,可对完善我国应急医疗体系提供有益借鉴.

The disposal of medical supplies plays a very important role in public health emergency logistic support.As one of the important parts in epidemic prevention and control,the disposal of medical materials after the closure of large shelter hospitals is crucial for the full utilization of medical equipment and medical consumables,the proper placement of state-owned assets,and the conservation of medical resources.This paper summarized the practical experience in the disposal and management of medical materials after the closure of the Fangcang Shelter Hospital of the National Convention and Exhibition Center（Shanghai）,focused on the principle of "overall allocation,full utilization,step-by-step implementation,and combination of use and storage",and formed a material disposal management system through the establishment of material disposal organization structure,division of responsibilities,and operation mechanism,in order to provide reference for further improving the management system of medical material disposal in public health events.

目的 探讨大型方舱医院在应对突发公共卫生事件中物资保障体系的建设与管理实践.方法 自2022年3月以来,上海交通大学医学院附属瑞金医院方舱医院管理团队先后参与多家大型新型冠状病毒肺炎方舱医院的设计、建设及运行保障工作.其中国家会展中心(上海)方舱医院规模最大,总床位近5万张,结合传染病类方舱医院运行特点,从基本情况、面临挑战、建议对策等方面,总结本团队在后勤物资保障工作中的经验.结果 运行保障团队应从建立物资保障管理团队、明确物资保障原则、确定物资保障内容、规范建立物资仓储库、理顺管理流程等方面构建物资保障体系,以应对大型方舱医院安全、高效运行面临的挑战.结论 充分利用信息化手段,形成自上而下的信息贯通,形成"平疫结合"的仓储体系,构建标准化申购、配送、发放的高效途径,才能真正确保战时方舱医院物资保障体系运行通畅,为其安全运行与紧急应对提供保障.

目的 目前医用耗材的研究都是站在宏观的角度上.本研究主要针对医疗改革中医用耗材改革这一视角,通过系统的政策评估理论来对现有医用耗材改革政策的实施做出分析.方法 将政策评估理论、博弈论、信息不对称理论等为理论基础,通过医用耗材改革政策的回顾结合医用耗材相关主体的分析在专家讨论的基础上形成本研究的评估要素及访谈内容,从而形成评估.结果 从政策评估角度分析评估结果,探讨在新一轮医用耗材改革中公立医院如何贯彻医疗改革初衷,同时保持公益性和完成自身发展中取得平衡并提出相关建议.结论 公立医院在不断执行、推动医用耗材改革的同时,医用耗材各方应进一步配合做好改革工作,进而推动整体医药卫生体制改革.

医疗器械全生命周期监督管理应包含研发、生产、准入、经营、使用、再评价等环环相扣,而“不良事件监测与再评价”由于各方在理解上的偏颇,一直作为“雷区”不被接受与重视.《医疗器械不良事件监测和再评价管理办法》的公布,是强化医疗器械全生命周期科学监管.该文梳理了医疗器械监督管理制度的发展历程,更全面地诠释“不良事件监测与再评价”这一理念,携手各方搭建医疗器械产品风险防控网,维护和保障公众用械安全及健康权益.

Medical equipment management, as an important content of hospital internal control, is a major problem for many hospitals. Through the discussion and analysis on the background of the internal control and the present situation of medical equipment management, we proposed concrete measures for the permeation of internal control mechanism into the management of medical equipment at the present stage, in order to apply internal control system to medical equipment management of medical institutions.

该文以医改背景下医用耗材改革为例,疏理了30年来在国家层面上推出的医疗器械监管的相关政策;分析了医改中政府、医院与资产管理的职能;提出了影响医改的问题;提出了加快医改步伐的举措.