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期刊论文 44

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区域性医疗集团资源协同仿真建模和政策建议研究

胡依群,苏强,李晓雪,郑静晨

《中国工程科学》 2017年 第19卷 第2期   页码 43-49 doi: 10.15302/J-SSCAE-2017.02.007

摘要:

为了缓解居民“看病难、看病贵”的问题,我们构建了“社区–医院”的二级医疗服务系统概念模型,并建立了患者偏好的函数模型和转诊机制,采用AnyLogic软件对系统进行建模,并以上海市嘉定区为例,通过引入实际案例数据展示了该模型如何用于探讨不同医疗合作模式和医疗改革政策,结果显示,提升基层医疗服务质量以及医保报销比例能够有效提升医疗服务系统的整体效率。

关键词: 智能体仿真     政策仿真     医疗改革     患者选择行为    

Using sound Clinical Paths and Diagnosis-related Groups (DRGs)-based payment reform to bring benefits

Zhi-Ruo ZHANG PhD, Jian-Qing MI MD, Zhao-Jun WEN MA, Sai-Juan CHEN MD, PhD, Zhu CHEN PhD, Long-Jun GU MD, Jing-Yan TANG MD, PhD, Shu-Hong SHEN MD, PhD,

《医学前沿(英文)》 2010年 第4卷 第1期   页码 8-15 doi: 10.1007/s11684-010-0018-5

摘要: China has been undertaking a profound reform on health care. Although more than 1.16 billion people have been covered by rural and urban medical insurance to date, the level of reimbursement from insurance is very limited, especially for critical diseases such as leukemia. This places heavy economic burdens on patients. Under these circumstances, systems innovation is imperative for the efficient utilization of limited funding. In this respect, certain valuable experience from other countries may prove helpful. The prospective payment system of Diagnosis-related Groups (DRGs), Clinical Paths, and the Comparative Effectiveness Analysis adopted by the National Institute of Health and Clinical Excellence (NICE, UK), can be fine tools to reduce medical costs and improve quality of services. Treatments of acute promyelocytic leukemia at Rui-Jin Hospital, and childhood acute lymphoblastic leukemia at Shanghai Children’s Medical Center, can be taken as suitable models to illustrate the crucial role of Clinical Paths in guaranteeing clinical and cost effectiveness of medical services for critical diseases, and to satisfactorily justify the feasibility of DRGs in China.

关键词: healthcare reform     diagnosis-related groups     clinical paths     comparative effectiveness analysis     acute promyelocytic leukemia     childhood acute lymphoblastic leukemia    

PROPOSED INNOVATION REFORM MODEL FOR THE MINERAL NITROGEN FERTILIZER INDUSTRY IN CHINA TO REDUCE GREENHOUSE

《农业科学与工程前沿(英文)》 2023年 第10卷 第2期   页码 234-247 doi: 10.15302/J-FASE-2022468

摘要:

● The carbon footprint of the nitrogen fertilizer chain has decreased significantly over the last decade.

关键词: carbon accounting     life cycle assessment     policy     product structure    

Occupational risk of exposure to methicillin-resistant (MRSA) and the quality of infection hygiene in nursing homes

《环境科学与工程前沿(英文)》 2021年 第15卷 第3期 doi: 10.1007/s11783-020-1333-y

摘要:

• Staff members were not colonised with MRSA.

关键词: Antibiotic resistance     Airborne MRSA     Bioaerosols     Healthcare-associated infections     Healthcare worker     Occupational health    

Primary health care for all by 2020: The systematic reform of the medical and health system in China

《医学前沿(英文)》 2010年 第4卷 第1期   页码 3-7 doi: 10.1007/s11684-010-0024-7

Personalized biomedical devices & systems for healthcare applications

I-Ming CHEN, Soo Jay PHEE, Zhiqiang LUO, Chee Kian LIM

《机械工程前沿(英文)》 2011年 第6卷 第1期   页码 3-12 doi: 10.1007/s11465-011-0209-z

摘要:

With the advancement in micro- and nanotechnology, electromechanical components and systems are getting smaller and smaller and gradually can be applied to the human as portable, mobile and even wearable devices. Healthcare industry have started to benefit from this technology trend by providing more and more miniature biomedical devices for personalized medical treatments in order to obtain better and more accurate outcome. This article introduces some recent development in non-intrusive and intrusive biomedical devices resulted from the advancement of niche miniature sensors and actuators, namely, wearable biomedical sensors, wearable haptic devices, and ingestible medical capsules. The development of these devices requires carful integration of knowledge and people from many different disciplines like medicine, electronics, mechanics, and design. Furthermore, designing affordable devices and systems to benefit all mankind is a great challenge ahead. The multi-disciplinary nature of the R&D effort in this area provides a new perspective for the future mechanical engineers.

关键词: personalized medical devices     wearable sensor     haptic device     ingestible medical capsule    

Lessons from market reform for renewable integration in the European Union

Furong LI

《能源前沿(英文)》 2018年 第12卷 第4期   页码 623-629 doi: 10.1007/s11708-018-0575-x

摘要:

The European Union (EU) has the most advanced, mature, and liberal energy markets that gave rise to the most dramatic drop in wholesale energy prices, whose fallen, however, has not been translated into a reduction in retail energy prices. Instead, energy prices in Europe rose above inflation year-in-year-out, and are considerably higher compared with major economic partners. This paper highlights the key limitations in the EU market designs and network access toward renewable integration, and the wide range of reforms that the EU is currently undertaken across the Member States to achieve two goals: to make the market fit for renewable, and to set a practical example of how a competitive economy can be built on a sustainable and affordable energy system. This paper concludes with key recommendations to developing nations, particularly in addressing heavy renewable curtailment.

关键词: wholesale energy market     retail energy market     market for renewables    

工程管理改革的成功实践——广州抽水蓄能电站建设经验探讨

罗绍基

《中国工程科学》 2000年 第2卷 第11期   页码 52-59

摘要:

装机容量为240×104kW的广州抽水蓄能电站(简称广蓄电站)已于今年3月全部建成投产,它是当今世界上装机规模最大的抽水蓄能电站。文章结合广蓄电站建设管理改革的成功实践,从管理体制、建设管理,运行管理和经营管理四个方面对管理改革进行了论述。由于管理改革的成功实践,使得电站建设取得了投资省、速度快、质量好、效益髙、环境美的成果。

关键词: 抽水蓄能     电站     管理     改革    

中国健康服务业发展战略研究

韩德民,卢九星,李星明,李建

《中国工程科学》 2017年 第19卷 第2期   页码 21-28 doi: 10.15302/J-SSCAE-2017.02.004

摘要:

为落实健康中国发展战略,推进中国健康服务业的发展,中国工程院于2015 年启动“中国健康服务业发展战略研究”重大咨询项目。课题自启动以来,组织了28位院士和150余位专家,对京上广深等一至三线共12个城市进行了广泛的社会调查。本文在大量社会调查的基础上,从健康服务业的概念、内涵、发展特点入手,深入分析了国内健康服务业的发展现状;以全方位、全覆盖、全过程建立健康服务保障体系为目标,对健康服务业的定位、发展思路,城乡理想模式等进行了深入探讨;并针对健康管理体系建设、养生养老、医养结合、健康保险、社会办医、金融保障等重点问题,提出了为顺应中国健康服务业发展战略顺畅实施的保障措施和相关建议。

关键词: 健康服务业     全民健康     发展战略    

Blockchain application in healthcare service mode based on Health Data Bank

Jianxia GONG, Lindu ZHAO

《工程管理前沿(英文)》 2020年 第7卷 第4期   页码 605-614 doi: 10.1007/s42524-020-0138-9

摘要: Blockchain is commonly considered a potential disruptive technology. Moreover, the healthcare industry has experienced rapid growth in the adoption of health information technology, such as electronic health records and electronic medical records. To guarantee data privacy and data security as well as to harness the value of health data, the concept of Health Data Bank (HDB) is proposed. In this study, HDB is defined as an integrated health data service institution, which bears no “ownership” of health data and operates health data under the principal–agent model. This study first comprehensively reviews the main characters of blockchain and identifies the blockchain-based healthcare industry projects and startups in the areas of health insurance, pharmacy, and medical treatment. Then, we analyze the fundamental principles of HDB and point out four challenges faced by HDB’s sustainable development: (1) privacy protection and interoperability of health data; (2) data rights; (3) health data supervision; (4) and willingness to share health data. We also analyze the important benefits of blockchain adoption in HDB. Furthermore, three application scenarios including distributed storage of health data, smart-contract-based healthcare service mode, and consensus-algorithm-based incentive policy are proposed to shed light on HDB-based healthcare service mode. In the end, this study offers insights into potential research directions and challenges.

关键词: Health Data Bank     blockchain     data assets     smart contract     incentive mechanism    

CROP-LIVESTOCK INTEGRATION FOR SUSTAINABLE AGRICULTURE IN CHINA: THE HISTORY OF STATE POLICY GOALS, REFORM

《农业科学与工程前沿(英文)》 2023年 第10卷 第4期   页码 518-529 doi: 10.15302/J-FASE-2023525

摘要:

This paper examines the historical evolution of crop-livestock integration in China with a specific focus on its role in mitigating non-point source pollution. Extensive examination of existing literature has unearthed the roots of crop-livestock integration dating back to the Western Zhou Dynasty (1046 to 771 BCE), ultimately culminating in a multifaceted and intricately interwoven system of rural development policies seen in contemporary China. This paper identifies and characterizes four distinct stages in the historical trajectory of crop-livestock integration: the era of self-sufficient subsistence production in traditional times (1046 BCE to 1948); the period where crop-livestock integration emerged as a pivotal strategy for augmenting grain and meat production under collectivist policies (1949‒1977); the phase marked by the industrialization and expansion of the livestock sector during the early years of economic reforms (1978‒2011); and the present era in which crop-livestock integration is harnessed as a mechanism for pollution control and ecological preservation in contemporary China (2012 to present). This paper illuminates the diverse contributions of crop-livestock integration in different epochs of rural development within China, which contributes to a nuanced and more theoretically grounded comprehension of circular agriculture. This understanding has the potential to be leveraged to promote sustainable rural development in broader contexts.

关键词: crop-livestock integration     non-point source pollution control     nutrient cycling     policy intervention     sustainable development    

insurance scheme on medical expenditures for caesarean delivery in Wuxi, China: a retrospective pre/post-reform

null

《医学前沿(英文)》 2016年 第10卷 第4期   页码 473-480 doi: 10.1007/s11684-016-0479-

摘要:

Aiming to control rising medical expenditures and help improve China’s healthcare systems, this study examined whether a cap-based medical insurance scheme with shared financial interest between the insurance and healthcare providers is effective in containing hospitals’ C-section medical expenditures. We used 6547 caesarean delivery case records from a teaching tertiary-level general public hospital located in Wuxi, China (2004–2013), and used the Chow test to investigate the possibility of significant variation in mean medical expenditures for caesarean deliveries pre- and post-reform. We also used paired sample t-tests and linear regression models to compare the mean medical expenditures between insured and uninsured women undergoing caesarean delivery during the post-reform period. After the scheme’s implementation, medical expenditures for caesarean deliveries declined and the medical expenditures of women covered by the scheme were significantly lower than those of uninsured patients. These findings indicated the scheme’s effectiveness in minimizing caesarean delivery expenditures. The cap-based medical insurance scheme with shared financial interest between insurance and healthcare providers would likely steer healthcare providers’ behaviors in a more cost-effective direction.

关键词: maternity insurance scheme     financial incentive     caesarean delivery     medical expenditure     China    

制造业体制机制改革与政策调整

“中国制造业体制机制改革与政策调整研究”课题组

《中国工程科学》 2015年 第17卷 第7期   页码 37-40

摘要:

中国制造业的发展取得了举世瞩目的成就。目前中国制造业转型升级进入了改革深水期和关键机遇期,但中国制造从大国走向强国还面临体制机制障碍和政策的不完善,亟需进行制造业体制机制改革和政策调整。中国制造业体制机制改革要以新型工业化为引领,坚持市场化方向,释放制造领域劳动、知识、技术、管理、资本的活力。借鉴制造强国发展的经验与启示,未来我国应进一步完善市场竞争政策、金融政策、财政和税收政策、创新政策、人才政策、中小企业政策、对外开放政策,为制造业的发展创造良好的市场环境和制度环境。

关键词: 制造业发展;国际经验;体制机制改革;政策调整    

Protecting healthcare personnel from 2019-nCoV infection risks: lessons and suggestions

Zhiruo Zhang, Shelan Liu, Mi Xiang, Shijian Li, Dahai Zhao, Chaolin Huang, Saijuan Chen

《医学前沿(英文)》 2020年 第14卷 第2期   页码 229-231 doi: 10.1007/s11684-020-0765-x

摘要: The outbreak of a novel coronavirus disease (COVID-19, caused by the 2019-nCoV infection) in December 2019 is one of the most severe public health emergencies since the founding of People’s Republic of China in 1949. Healthcare personnel (HCP) nationwide are facing heavy workloads and high risk of infection, especially those who care for patients at the epicenter of the outbreak, Hubei Province. Sadly, as of February 20, 2020, over two thousand COVID-19 cases are confirmed among HCP from 476 hospitals nationwide, with nearly 90% of them from Hubei Province. Based on literature search and interviews with some HCP working at Wuhan, capital city of Hubei, we have summarized some of the effective measures taken to reduce infection among HCP, and also made suggestions for improving occupational safety during an infectious disease outbreak. The experience and lessons learned should be a valuable asset for international health community to contain the ongoing COVID-19 epidemic around the world.

关键词: healthcare personnel     COVID-19     infectious diseases    

舰船等级修理模式改革研究与实践

朱石坚

《中国工程科学》 2015年 第17卷 第5期   页码 4-9

摘要:

针对新形势下舰船使命任务拓展和装备技术水平提高对舰船等级修理提出的新要求,开展了舰船等级修理模式改革研究,提出了舰船等级修理由“定期修理”为主向“定期修理与视情修理相结合”转变的总体思路,研究了合理确定舰船等级修理类别、修理时机、工程范围和在修时间等关键问题,探讨了与之配套的舰船水下清洗机制、主要设备整机“先换后修”机制、依据状态监测确定装备修理需求机制,并在具有代表性的舰船上开展了相关试点。实践表明,通过变革舰船等级修理模式,可提高舰船理论在航率约5 %,效益十分明显。

关键词: 舰船装备;修理模式;技术保障;改革    

标题 作者 时间 类型 操作

区域性医疗集团资源协同仿真建模和政策建议研究

胡依群,苏强,李晓雪,郑静晨

期刊论文

Using sound Clinical Paths and Diagnosis-related Groups (DRGs)-based payment reform to bring benefits

Zhi-Ruo ZHANG PhD, Jian-Qing MI MD, Zhao-Jun WEN MA, Sai-Juan CHEN MD, PhD, Zhu CHEN PhD, Long-Jun GU MD, Jing-Yan TANG MD, PhD, Shu-Hong SHEN MD, PhD,

期刊论文

PROPOSED INNOVATION REFORM MODEL FOR THE MINERAL NITROGEN FERTILIZER INDUSTRY IN CHINA TO REDUCE GREENHOUSE

期刊论文

Occupational risk of exposure to methicillin-resistant (MRSA) and the quality of infection hygiene in nursing homes

期刊论文

Primary health care for all by 2020: The systematic reform of the medical and health system in China

期刊论文

Personalized biomedical devices & systems for healthcare applications

I-Ming CHEN, Soo Jay PHEE, Zhiqiang LUO, Chee Kian LIM

期刊论文

Lessons from market reform for renewable integration in the European Union

Furong LI

期刊论文

工程管理改革的成功实践——广州抽水蓄能电站建设经验探讨

罗绍基

期刊论文

中国健康服务业发展战略研究

韩德民,卢九星,李星明,李建

期刊论文

Blockchain application in healthcare service mode based on Health Data Bank

Jianxia GONG, Lindu ZHAO

期刊论文

CROP-LIVESTOCK INTEGRATION FOR SUSTAINABLE AGRICULTURE IN CHINA: THE HISTORY OF STATE POLICY GOALS, REFORM

期刊论文

insurance scheme on medical expenditures for caesarean delivery in Wuxi, China: a retrospective pre/post-reform

null

期刊论文

制造业体制机制改革与政策调整

“中国制造业体制机制改革与政策调整研究”课题组

期刊论文

Protecting healthcare personnel from 2019-nCoV infection risks: lessons and suggestions

Zhiruo Zhang, Shelan Liu, Mi Xiang, Shijian Li, Dahai Zhao, Chaolin Huang, Saijuan Chen

期刊论文

舰船等级修理模式改革研究与实践

朱石坚

期刊论文