Objective To investigate the rate of satisfaction of teachers from 7 national resident standardized training based hospitals of Guangxi to student's comprehensive vocational abilities,to find out the possible problems and discuss feasible countermeasures.Methods With a self-designed questionnaire,we conducted a survey in 533 teachers from 7 of the first national standardized residency training bases.The questionnaire includes two parts:general situation (gender,age,education,etc.) and evaluation content (professional ethics,interpersonal communication and teamwork ability,clinical professional ability,teaching and research capacity,etc.).With 5 Likert scale method,the responses to the questions were given 5 to 1 score points from positive to negative.The data were collected using Epidata 3.1 to establish the database,and using SPSS 20.0 statistical software for statistical description,t test and variance analysis.Results A total of 560 questionnaires were distributed,and we recovered 535,with a recovery rate of 95.5%.The number of valid questionnaire was 533 with an effective rate 99.6%.The survey indicated that 533 teachers thought highly of the comprehensive occupation ability of residents,and the average was 4.17 points.Professional ethics scored 4.44 points.Communication skills scored 4.15 points.Clinical ability scored 4.04 points.Scientific research ability scored 3.64 points.Different gender,age,education,professional title,hospital and department of the overall satisfaction score were different,and P values were 0.474,0.328,0.872,0.945,0.466,0.123 via t test and analysis of variance,and the difference was not statistically significant.Conclusion The overall satisfaction of professional ethics of Guangxi hospital training physicians is high.Interpersonal communication and coordination ability is relatively strong,clinical professional ability is passable,while teaching and scientific research ability is weak.
This study aimed at exploring the economic operation and developing trend of county-level public TCM hospitals in Guangxi Province,promoting the comprehensive reform of county-level public hospitals with feasible countermeasures and suggestions.In this study,forty-seven county-level public TCM hospitals were involved in the analysis of their economic operations and benefits by constituent ratio analysis,ratio analysis and trend analysis.As a result,the average gross income of the hospitals exceeded the total expenditure with a slight surplus.Drug income contributed the biggest share of the medical income,while the ratio of Chinese drug income to the medical income was increasing year by year.The debt ratio increased from 38.7% in 2009 up to 44.6% in 2013,being over 30% in this period.In conclusion,it was demonstrated that problems were found in the lack of financial assistance,the low efficiency of economic management and the increasing average medical charges,which should be addressed by increasing investments to TCM hospitals,strengthening the performance appraisal and adjusting the charges of TCM medical services.
Objective To study the demand of general doctors'professional skill in Guangxi Zhuang autonomaus region,and to enhance the professional skills and overall quality of general practitioners in Guangxi,thus to improve grassroots'health service capacity.Methods Through self -designed questionnaires and personal interviews,the author investigated the professional skills of general practitioners in rural township hospitals and urban community health service centers in Guangxi.Results The characteristics of the general practitioners in Guangxi were junior college degree,junior titles,youth and middle -aged.Part of the general practitioners thought that "working with the guide of community health information""teaching ability"and "the corresponding scientific research capabilities"did not belong to the scope of the general practitioners'professional skills demand,the percentage of these were 2%, 22%,26%.The teaching ability and the corresponding scientific ability of the general practitioner who were greater than 30 years,junior college degree and middle grade title and above,were better than the practitioners who were 20 -30 years,technical secondary degree,primary title(χ2 =12.886,1.945,57.473,53.276,30.458,29.141,all P <0.05).The general practitioners in Guangxi had a light awareness of teaching,scientific researching and other aspects.Conclusion We must emphasis on continuous medical education;establish and improve the system of general practitioners;establish and improve the two -way referral system.General practitioners must pay more attention on teaching and scientific researching.
Objective:To provide reference for promoting development of Chinese medicine by evaluating efficiency of county-level Chinese Medicine hospitals in Guangxi from 2009 to 2013 and analyzing its influencing factors. Methods:DEA was used to measure the efficiency of 64 county-level Chinese Medicine hospitals. Tobit model was used to measure the influencing factors of hospitals' efficiency. Results:43.8% hospi ̄tals were more concentrated in the 0.0≤Tecrs≤0.5 group-a low score group. Scale decreasing hospitals accounted for a high percentage of the to ̄tal number of hospital from 46.9% in 2009 increased to 71.9% in 2013. Financial subsidy revenue, health workers and other factors negatively correlated with hospital efficiency. Chinese medicine income,hospital compensation ratio of New Rural Cooperative Medical and other factors posi ̄tively correlated with hospital efficiency. Conclusion:The health authorities must establish and improve input-output evaluation mechanisms,op ̄timize regional health resources,and improve hospital management level.
OBJECTIVE To understand the regulation of time distribution of epidemic encepbalitis B in Guangxi, and explore the characteristic of time distribution before and after immunization of the disease, which will provide scientific evidence for control and prevention countermeasures. METHODS Data on encephalitis B from 1960 to 2010 in Guangxi were analyzed with circular distribution method. RESULTS The average angle of JE incidence of three different stages were 188.592° , 181.880° and 180.961°, respectively; The average peak day of the disease were on the 10th July, the 3th July and the 2th July, respectively; The duration of the peak were from the 9th June to the 10th August, from the 1st June to the 5th August and from the 2nd June to the 1 st August, respectively. R value which indicated the morbidity of the disease gradually reduced from 0.869 to 0.845 before initial and routine immunization, in immunization management periods. The value indicating the mobidity of the disease dispersion was 29.60, which was the least value of s value, there was difference among the peak day at different stages (P﹤0.01). CONCLUSION There is a seasonal characteristic of the prevalence of the disease, the morbidity is gradually reduced, the peak day had been moved up and the peak stage is shortened along with the implementation of encepbalitis B immunization.