浙江医院始建于1954年,2020年成为浙江大学医学院非直属附属医院,是一所集医疗、教学、科研、预防和保健为一体的三级甲等综合性医院,拥有国家临床重点专科重症医学、委省共建培育专科老年医学及浙江省唯一的老年医学重点学科群.

Background:The problem of global aging was becoming increasingly prominent. At present, the empty nest and miniaturization of family structure reduce the function of home-based elderly care.Methods:A questionnaire survey was conducted on 347 elderly people in multiple communities and nursing homes in eastern coastal cities of China, and 13 institutional staff members of eight nursing institutions that carried out the medical-nursing integration model were interviewed as the research objects. The survey mainly focuses on the basic characteristics of the elderly, the family support system, and the acceptance of medical care and health care. The influencing factors were screened by t test, univariate analysis and multivariate logistic regression analysis. SPSS software was used to test the reliability and validity of the questionnaire, and the Crobach's was 0.792, which can be considered that the questionnaire had good internal reliability. The classification of the questionnaire was reasonable, the reliability of the questionnaire was high, and the internal consistency of the scale was high. According to KMO and Bartlett test, KMO = 0.826, χ2 = 853.731, the degree of freedom was 36, and the P value was 0.000.Results:The proportion of male and female respondents was 48.1% and 51.9% respectively. Multivariate logistic regression analysis results showed that gender had no statistical significances on the degree of support for combine medical and health care in the elderly (P > 0.05). The results showed that gender, age, marital status, medical insurance type and old-age insurance type had little effect on the support of the combination of medical care and health care for the elderly (P > 0.05). Compared with the control group with education below primary school, the elderly with bachelor's degree or above are more willing to support the combination of medical care and health (P < 0.05). The registered residence type is more obvious than that of the urban residents (P < 0.05). Compared with the enterprise employees in the control group, the elderly who were employed as migrant workers before retirement were more willing to support the combination of medical care and health (P < 0.05). From the perspective of family monthly income, the elderly with family income ≥10,000 RMB have more obvious support for the combination of medical care and health than the elderly with family monthly income <3,000 RMB in the control group (P < 0.05). In terms of the degree of understanding, the degree of understanding and support in different degrees are significantly higher than that in the control group (P < 0.05).Conclusion:Through multivariate logistic regression analysis, education level, registered residence, pre-retirement occupation and family income are more obvious for the elderly to support medical care and health. It is necessary to increase investment in elderly activity centers, actively carry out activities.

Objective:To investigate staff’s cognition of medical care and recuperation mode in nursing homes for seniors, so as to provide reference for improving the medical care and recuperation mode and optimizing the system design.Methods:A purposive sampling method was adopted. According to the principle of data saturation, 30 staff (including management personnel, doctors, nurses and nursing workers) from 5 nursing homes in Hangzhou city and its surrounding areas were selected for semi-structured interviews. Data were analyzed by content analysis.Results:A total of 3 themes were extracted, including the current situation of the medical care and recuperation carried out in nursing homes (i.e. the application of the medical care and recuperation mode is universal, and the care of this model is characteristic), key points of the promotion of the medical care and recuperation in nursing homes (i.e., the attention to service output and feedback, and the focus on multi-party cooperation and articulation), and difficulties in the development of the medical care and recuperation.Conclusion:The staff of nursing homes have a high level of awareness and acceptance of the medical care and recuperation mode, but there are also problems such as inadequate publicity. It is necessary to promote the policy of nursing staff training, and management personnel should strengthen training, promote multi-party linkage and improve the intelligent level of this mode.

There is a high incidence of emotional symptoms in frontline medical staff in the COVID-19 epidemic. Emotional response is closely related to the characteristics of the epidemic. Psychological interventions are necessary to manage these symptoms.

Objective:This study aims to understand the anxiety and depressive symptoms among the front-line medical staff against the COVID-19 and the related factors.Methods:130 front-line medical staff from Tianyou Hospital Affiliated to Wuhan University of science and technology were assessed by the Generalized Anxiety Disorder Scale (GAD-7), the Patient Health Questionnaires (PHQ-9) scale, and the simple self-designed questionnaire (including 8 factors related to anxiety and depressive symptoms). The prevalence of anxiety and depression of different participants according to demographic characteristics were compared with χ 2 test. The association between depression/anxiety and impact factors was analyzed using the Pearson correlation method. Results:48 people had anxiety and depressive symptoms, accounting for 36.9%（48/130） of the total sample. 41 people had anxiety symptoms, accounting for 31.8% (41/130) of the total sample. 36 people had depressive symptoms, accounting for 27.7% (36/130) of the total sample. Gender, age, marital status, education level, occupation, professional title, department, and duration of taking part in the fight against the COVID-19 had no correlation with the prevalence of anxiety. Gender, age, marital status, occupation, professional title, department, and duration of taking part in the fight against the COVID-19 had no correlation with the prevalence of depression, however education level had correlation with the prevalence of depression (χ2=5.220， P=0.034). Disease factor, work factor, time factor, and safety factor were all related to anxiety and depression. The proportion of management factors in the anxiety group was significantly higher than that in the group without anxiety (χ2=13.578， P<0.01). The proportion of other factors in the group without anxiety was significantly higher than that in the group with anxiety(χ2=6.229， P=0.012). The severity of anxiety and depression was positively correlated with disease factor, work factor, time factor, safety factor, and management factor, and negatively correlated with other factors ( r=-0.287， P<0.05). Conclusion:There were anxiety and depressive symptoms in front-line medical staff against COVID-19, which was significantly related to the characteristics of the COVID-19 epidemic. It is necessary to carry out psychological intervention for this population.

湖北省武汉市发生新型冠状病毒肺炎疫情后,浙江省疾病预防控制中心消毒专业人员随同浙江省首批援鄂医疗队进驻武汉抗击疫情,负责医疗队区域保护、个人防护、清洁消毒等驻地感染防控工作[1,2].现将期间驻地消毒与感染防控实践的具体做法总结如下.

建立公平为导向的职称评聘制度是专业技术人员的基本诉求,该文通过对现行卫生高级职称评审过程中存在的问题进行分析,提出将量化考核理念嵌入职称评审制度中,逐步建立科学的考核评估制度,并建议进一步在职称申报标准、评审流程、专业操作能力考核、专家库组建、专家评议等方面进行制度上的完善和改进.

高血压病是一种以动脉血压持续升高为特征的“心血管综合征”,可伴有心脑血管功能性或器质性的改变,是心脑血管病死亡的主要因素[1],迄今针对控制血压,治疗上主要通过个体化选用降压药物及生活方式的干预来改善.集束化干预[2]是指为治疗和护理某种临床疾患,以循证医学为指导,由3～5个干预措施组成的综合实践方案.基于中医学理论的集束化干预,将辨证与辨病优势互补,通过多系统、多靶点的作用,有效调节体内气血运行,促进降压有一定优势.现将我院集束化中医干预对45例高血压患者血压的调节情况报告如下.

随着招聘方式多种多样，选择一种合适有效的方式就成为招聘工作首要考虑的问题。本文通过对我院目前主要招聘形式的优缺点及应用情况进行总结分析，以及用更灵活的合理的策略使用这些招聘形式，保证医院的可持续发展。

建立完善医院人才库管理制度，整合现有资源，建立人才数据库及其动态管理，构建人才梯队框架，为医院建立健全人才培养工程打下完备的基础，为今后的发展提供更加全面的人才资源的保障，促进各学科团队的良性、可持续发展。