Health Care Sector

卫生保健部门
  • 文章类型: Journal Article
    医院与生物医药企业之间的协同创新对于确保其发展取得突破至关重要。本研究探讨了中国医院与生物医学企业之间协同创新的结构特征,并研究了相关关键参与者的主要角色。使用该国医疗保健行业内共同拥有的专利数据,建立了我国医院与生物医药企业长达十年的协同创新网络,并通过社会网络分析进行了分析。结果表明,协同创新网络密度的总体水平,协作频率,网络连接性非常低,尤其是在欠发达地区。就具有较高程度中心性的行为者而言,医院占大多数,而深圳一家生物医药企业的中心度最高。欠发达和西北地区的组织和小型参与者更有可能实施协作创新。总之,中国医院和生物医学企业之间的合作创新网络表现出高度分散和较差的发展水平。激发组织的合作创新倡议可以提高这种创新的质量和数量。政策支持和经济投资,战略协作帮助,以及资源和伙伴关系的优化,特别是对于小玩家和欠发达和西北地区,应鼓励中国和其他类似国家或地区的医院与生物医药产业加强协同创新。
    Collaborative innovation between hospitals and biomedical enterprises is crucial for ensuring breakthroughs in their development. This study explores the structural characteristics and examines the main roles of associated key actors of collaborative innovation between hospitals and biomedical enterprises in China. Using the jointly owned patent data within the country\'s healthcare industry, a decade-long collaborative innovation network between hospitals and biomedical enterprises in China was established and analyzed through social network analysis. The results revealed that the overall levels of collaborative innovation network density, collaborative frequency, and network connectivity were significantly low, especially in less-developed regions. In terms of actors with higher degree centrality, hospitals accounted for the majority, whereas a biomedical enterprise in Shenzhen had the highest degree centrality. Organizations in underdeveloped and northwest regions and small players were more likely to implement collaborative innovation. In conclusion, a collaborative innovation network between hospitals and biomedical enterprises in China demonstrated high dispersion and poor development levels. Stimulating organizations\' initiatives for collaborative innovation may enhance quality and quantity of such innovation. Policy support and economic investments, strategic collaborative help, and resource and partnership optimization, especially for small players and in less-developed and northwest regions, should be encouraged to enhance collaborative innovation between hospitals and the biomedical industry in China and other similar countries or regions.
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  • 文章类型: Journal Article
    我国卫生系统面临着社会转型、人口老龄化和非传染性疾病双重负担的严峻挑战。解决公众对卫生服务日益增长的需求与有限的医疗资源之间的紧张关系已成为卫生保健政策制定者和医疗保险基金管理者的关键问题。在推进医疗保险制度改革的同时,中国正在积极发展卫生技术评估(HTA),其原则和应用适合中国的情况。本研究旨在分析HTA在中国的演变过程,演员,process,内容,以及通过应用Walt和Gilson的政策三角框架的修改版本而遇到的挑战。目前,HTA在我国医疗卫生和医疗保险制度改革中发挥着不可或缺的作用,特别是在国家报销药品目录(NRDL)的制定和调整中。虽然HTA在中国的使用越来越多,仍然存在挑战,如HTA相关学科发展缓慢,缺乏独立的国家HTA权威,HTA的使用范围有限。尽管已经确定了挑战,HTA有潜力支持中国医疗保健领域的广泛应用,在过去三十年取得的进展的基础上。
    China\'s health system is facing severe challenges from social transition and the double burden of population aging and non-communicable diseases. Addressing the tension between the public\'s increasing demand for health services and the limited availability of medical resources has become a critical issue for health care policymakers and medical insurance fund administrators. In promoting its medical insurance system reform, China is actively developing health technology assessment (HTA) with principles and applications adapted to the Chinese context. This study aims to analyze the evolution of HTA in China with a focus on context, actors, process, content, and challenges encountered through applying a modified verson of Walt and Gilson\'s policy triangle framework. Currently, HTA plays an indispensable part in the reform of China\'s health care and medical insurance system, especially in the formulation and adjustment of the National Reimbursement Drug List (NRDL). While HTA is increasingly used in China, there remain challenges, such as the slow development of HTA related disciplines, lack of an independent national HTA authority, and limited scope in the use of HTA. Despite the identified challenges, HTA has the potential to support a wide range of applications in China\'s health care sector, building on the progress achieved over the last three decades.
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  • 文章类型: Journal Article
    医疗卫生行业的高质量发展对于提高人民健康水平、促进和谐社会建设具有重要意义。本文重点研究了我国数字经济发展与医疗健康产业高质量发展的关系。本文基于2011-2020年中国30个省份的面板数据,实证研究了数字经济的发展是否促进了医疗健康产业的高质量发展。本研究发现,数字经济的发展显著促进了医疗卫生产业的高质量发展。经过包括变量替代在内的一系列稳健性检验,本研究的结果仍然有效,样品调整,和内生问题缓解。异质性分析表明,该政策在东部地区和南部地区的效果更为显著。空间计量分析结果表明,数字经济发展具有明显的空间溢出效应。本文的研究可为发展中国家提升数字健康产业发展水平、改善人民生活提供参考。
    The high-quality development of the healthcare industry is of great significance for improving people\'s health and promoting the construction of a harmonious society. This paper focuses on the relationship between the development of China\'s digital economy and the high-quality development of the healthcare industry. Based on the panel data of 30 provinces in China from 2011 to 2020, this paper empirically studies whether the development of the digital economy promotes the high-quality development of the healthcare industry. This study finds that the development of digital economy has significantly promoted the high-quality development of the medical and health industry. The results of this study are still valid after a series of robustness tests including variable substitution, sample adjustment, and endogenous problem mitigation. Heterogeneity analysis shows that the effect of this policy is more significant in the eastern region and southern areas. The results of spatial econometric analysis show that the development of digital economy has obvious spatial spillover effect. The research in this paper can provide reference for developing countries to enhance the development level of digital health industry and improve people\'s lives.
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  • 文章类型: Meta-Analysis
    背景:中国是世界上结核病(TB)病例的第三大负担,在结束结核病方面面临巨大挑战。在中国结核病综合控制模式下,初级卫生保健(PHC)部门在社区结核病预防和控制中发挥着关键作用。然而,我国在结核病综合控制模式下,缺乏对PHC部门结核病控制研究证据的全面综述。
    方法:本综述遵循PRISMA指南进行。从四个国际数据库和三个中文数据库中检索了2012年至2022年1月发表的文章。包括在中国大陆进行的研究以及在综合模型下与PHC部门的结核病控制服务相关的研究。经过研究选择,数据提取,和质量评估,采用随机效应模型对RevMan进行meta分析.当I2大于50%时,进行亚组分析以探讨异质性的可能原因.我们还通过排除具有高偏倚风险或被分类为低质量的研究,对荟萃分析后的结果进行了事后敏感性分析。
    结果:本综述纳入了来自中国16个省/市的43项研究。大多数研究都是中等质量的。华东地区的PHC部门总体上比西部地区提供更好的结核病控制服务,特别是在患者追踪和结核病病例管理(TCM)方面。在荟萃分析中,华东地区的归集率和归集率都高于西部地区。结核病患者接受全国PHC部门医护人员提供的中药的意愿较低,尤其是移民结核病患者。有9项研究报告了与PHC部门结核病控制服务相关的因素,其中6例(东部2例,西部4例)确定了患者的几个特征为相关因素。在5项研究中,PHC部门的背景被证明会影响PHC部门的结核病控制服务的提供(3在东部,中部1个,西部1个)。大多数关于在PHC部门促进结核病控制服务的策略的研究在华东地区进行,其中一些研究确定了一些在线和离线干预措施和策略,以改善患者的治疗依从性[汇总OR(95%CI):7.81(3.08,19.19]和结核病意识[汇总OR(95%CI):6.86(2.16,21.72)]。
    结论:迫切需要改善中国PHC部门的结核病控制,尤其是在中国西部。形成和实施研究与严谨的设计是必要的,特定于上下文的,以患者为中心的结核病控制策略,以促进中国结核病的终结。
    China has the third-largest burden of tuberculosis (TB) cases in the world with great challenges towards ending TB. Primary health care (PHC) sectors play a critical role in TB prevention and control in communities under the Chinese integrated TB control model. However, there is a lack of comprehensive review of research evidence on TB control in PHC sectors under the integrated TB control model in China.
    This review was conducted following the PRISMA guidelines. Articles published from 2012 to January 2022 were searched from four international and three Chinese databases. Studies conducted inside mainland China and relevant with TB control service in PHC sectors under the integrated model were included. After study selection, data extraction, and quality assessment, the meta-analysis was performed with RevMan using a random-effect model.When I2 was more than 50%, subgroup analysis was performed to explore possible reasons for heterogeneity. We also conducted a post hoc sensitivity analysis for outcomes after meta-analysis by exclusion of studies with a high risk of bias or classified as low quality.
    Forty-three studies from 16 provinces/municipalities in China were included in this review, and most studies included were of medium quality. PHC sectors in East China delivered TB control service better overall than that in West China, especially in tracing of patients and TB case management (TCM). In meta-analyses, both the pooled arrival rate of tracing and pooled TCM rate in East China were higher than those in West China. TB patients had a low degree of willingness to receive TCM provided by healthcare workers in PHC sectors nationwide, especially among migrant TB patients. There were 9 studies reporting factors related to TB control service in PHC sectors, 6 (2 in East and 4 in West China) of which indentified several characteristics of patients as associated factors. The context of PHC sectors was demonstrated to influence delivery of TB control service in PHC sectors in 5 studies (3 in East, 1 in Middle and 1 in West China). Most studies on strategies to promoting TB control services in PHC sectors were conducted in East China and some of these studies identified several online and offline interventions and strategies improving patients\' treatment compliance [pooled OR (95% CI): 7.81 (3.08, 19.19] and awareness of TB [pooled OR (95% CI): 6.86 (2.16, 21.72)].
    It is of urgent need to improve TB control in PHC sector in China, particularly in West China. Formative and implementation research with rigorous design are necessary to develop comprehensive, context-specific, and patient-centered TB control strategies to promote ending TB in China.
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  • 文章类型: Journal Article
    如何有效地培训我们的领导人并为未来做好准备是最终的成功,因为这有助于实现可持续发展目标。同时,教育在承认社会、环境,和伦理问题。此外,当讨论可持续发展时,医疗保健部门是讨论的主要主题,原因是它与SDG3直接联系,SDG3纯粹宣扬医疗保健和福祉。医疗保健部门本身渴望保护健康;然而,它也是造成恶性循环的最高污染排放者。这建立了更大的兴趣,以确定通过可持续医疗保健组织打破循环的因素,这些组织受到减少排放和保护环境的影响,自然,和社会。这项专门针对可持续发展目标3的研究旨在研究绿色领导力的集体作用,绿色教育,和绿色金融从私营部门员工的角度来看。我们探讨这些因素是否有助于在调解人在场的情况下实现SDG3议程,公共卫生支出。在PLS方法论的帮助下,该研究得出的结论是,绿色领导力和绿色教育是SDG3的有力指标。此外,绿色金融还有助于经济体找到创新的方式,通过这些方式可以照顾到个人的健康和福祉。公共卫生支出的积极和显着的调解效果表明,有必要将精力用于公共卫生支出。
    How effectively our leaders are trained and prepared for the future is the ultimate success as it helps in achieving sustainable development goals. Simultaneously, education also holds a central position to acknowledge social, environmental, and ethical issues. Besides, healthcare sector is the major subject of discussion when there is a discussion of sustainable development, the reason being its direct linkage with SDG 3 which purely preaches healthcare and well-being. The healthcare sector itself aspires to protect health; however, it is also the highest emitter of pollution that creates vicious cycle. This establishes a greater interest to determine the factors that break the cycle through the sustainable healthcare organizations which is subjected to reduce emissions and protect environment, nature, and society. The study specifically focusing on sustainable development goal 3 intends to examine the collective role of green leadership, green education, and green finance from the perspective of private sector employees. We explore whether these factors are helpful to achieve SDG3 agenda in the presence of mediator, public health expenditure. With the help of PLS-methodology, the study concludes that green leadership and green education are strong indicators of SDG3. Besides, green finance also facilitates economies to find innovative ways through which health and well-being of individuals can be taken care of. The positive and significant mediation effect of public health expenditure indicates that there is a need to dedicate the efforts toward public health expenditures.
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  • 文章类型: Journal Article
    许多经济和金融危机,特别是目前医疗行业的危机,推动了股票市场的主要冲击溢出渠道。这项研究研究了冲击溢出系统如何受到三个重要因素的影响:比特币,不可预测性,以及2014年至2021年的中国股市。虽然更早的实证研究着眼于不同金融市场的风险分散,这篇文章将关注绿色市场。这项调查旨在完成以前从未做过的事情:确定绿色商品是否,比特币,不确定性影响中国股市的表现。以下是基于分位数向量自回归(VAR)连接的重要结果。(i)静态溢出系统表明,在激烈的市场环境中,信息在市场之间广泛共享。(二)在不利的市场条件下,全球绿色经济和清洁能源市场是知识溢出的主要来源。本研究阐明了绿色产品的不对称影响,比特币,以及中国的市场波动。由于国际和区域联系的动态性质,这一点至关重要。最近的研究表明,冲击溢出对于比特币(BTC)等加密货币来说是极好的。不确定性指数,和全球碳指数,但对大多数环保产品不利。
    Numerous economic and financial crises, particularly the present crisis in the healthcare sector, have pushed major shock spillover channels over stock marketplaces. This research studied how the shock spillover system is affected by three significant factors: Bitcoins, unpredictability, and the China stock market between 2014 and 2021. While much earlier empirical research has looked at risk dispersion in different financial markets, this article will zero in on green markets. This investigation seeks to accomplish something that has never been done before: determine whether or not green commodities, Bitcoin, and uncertainty impact the performance of the China stock market. The following are significant results based on a quantile vector autoregressive (VAR) connection. (i) A static spillover system indicates that information was widely shared across markets during intense market circumstances. (ii) The global green economy and clean energy marketplaces are the primary sources of knowledge spillover in adverse market conditions. This research elucidates the asymmetrical influence of green products, Bitcoin, and market volatility in China. This is vital due to the dynamic nature of international and regional connections. Recent studies have shown that shock spillovers are excellent for cryptocurrencies such as Bitcoin (BTC), uncertainty indices, and global carbon indexes, but bad for most eco-friendly products.
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  • 文章类型: English Abstract
    国外药材资源一直是中医药的重要组成部分,为我国医药卫生产业的发展做出了巨大贡献。汉代丝绸之路开通以来,国外药用资源被引入不同用途,其中一些已成为临床实践中的中药,至今仍在使用。今天,国外药用资源也服务于中国的大健康产业。它们被引入并应用于大健康行业的领域,比如食物,化妆品,健康产品,饮片,日用化工产品。随着“健康中国”倡议的整合和发展,更多的外国资源将进入大健康产业。本文回顾了国外药用资源为古代医药卫生产业服务的历史,回顾了大健康产业的发展现状,总结了国外药用资源服务古代医药卫生产业的经验,以及新的外国药用资源的开发和问题,并提出相关建议,为大健康产业下的国外药用资源的开发与应用提供思路。
    Foreign medicinal resources have always been an important part of Chinese medicine and have made great contributions to the development of the Chinese medical and health industry. Since the opening of the Silk Road in the Han Dynasty, foreign medicinal resources have been introduced for different purposes, some of which have become Chinese medicine in clinical practice and are still in use today.Today, foreign medicinal resources also serve the Big Health industry in China. They are introduced and applied to the fields in the Big Health industry, such as food, cosmetics, health products, decoction pieces, and daily chemical products. With the integration and development of the "Healthy China" initiative, more foreign resources will enter the Big Health industry. This paper retrospectedthe history of foreign medicinal resources serving the ancient medical and health industry, reviewedits current development under the Big Health industry, summarizedthe experience of foreign medicinal resources serving the ancient medical and health industry, as well as the development and problems of new foreign medicinal resources, and put forward some suggestions to provide ideas for the development and application of foreign medicinal resources under the Big Health industry.
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  • 文章类型: Journal Article
    在医疗保健系统中,员工创新行为提高了组织的核心竞争力和应变能力。先前的研究已经将领导行为确定为员工创新行为的关键预测因子。遵循这一逻辑,通过将社会信息处理理论与现有研究结论相结合,我们构建了一个调节的中介模型来检验正念领导影响员工创新行为的机制。对中国医疗保健行业员工完成的361份问卷的实证分析表明,正念型领导与员工创新行为呈显著正相关。发现创造性过程参与在这种关系中起着中介作用。此外,创造性自我效能感正向调节了正念型领导与创造性过程敬业度的关系,调节了创造性过程敬业度在正念型领导与员工创新行为关系中的中介作用。也就是说,与创造性自我效能感较低的员工相比,具有较高的创造性自我效能感的员工在他们的创新行为中经历了更强的有意识的领导间接影响。本研究丰富了正念型领导的理论研究,明确了正念型领导对员工创新行为的作用机理和边界条件,为激发和引导员工创新行为的组织活动提供理论支持。
    In the health care system, it is increasingly apparent that employee innovative behavior improves the core competitiveness and resilience of organizations. Previous research has identified leadership behavior as a key predictor of employee innovative behavior. Following this logic and by integrating social information processing theory with existing research conclusions, we constructed a moderated mediation model to examine the mechanism by which mindful leadership influences employee innovative behavior. An empirical analysis of 361 questionnaires that were completed by employees from the healthcare sector in China shows that mindful leadership is positively and significantly correlated with employee innovative behavior. Creative process engagement was found to play a mediating role in this relationship. Moreover, creative self-efficacy positively moderated the relationship between mindful leadership and creative process engagement and moderated the mediating effect of creative process engagement on the relationship between mindful leadership and employee innovative behavior. That is, compared with employees with lower creative self-efficacy, employees with higher creative self-efficacy experienced a stronger indirect effect of mindful leadership on their innovative behavior. This study enriches the theoretical research on mindful leadership, clarifies the mechanism and boundary conditions of the effect of mindful leadership on employee innovative behavior, and provides theoretical support for organizational activities that stimulate and guide employee innovative behavior.
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  • 文章类型: Journal Article
    这项研究考察了对COVID-19、绿色供应链管理(GSCM)、基于五维服务质量模型(SERVQUAL)的感知服务质量。它还测试了大数据分析(BDA)功能的调节作用。基于300名医疗保健经理和客户的样本,我们使用偏最小二乘结构方程模型来分析数据并检验我们的假设。实证结果表明,对COVID-19的不确定性-恐惧对GSCM有积极影响。此外,BDA缓和了对COVID-19的不确定性-恐惧与GSCM之间的关系。GSCM积极影响服务质量(移情,响应性、响应性和保证),但不包括可靠性或有形项目。此外,GSCM显著介导了对COVID-19的不确定性-恐惧与服务同情之间的关系,响应性、响应性和保证。然而,它在可靠性和有形项目维度方面具有微不足道的调解作用。
    This study examines the relationship between uncertainty-fear toward COVID-19, green supply chain management (GSCM), and perceived service quality based on the five dimensions service quality model (SERVQUAL). It also tests the moderating effect of big data analytics (BDA) capabilities. Based on a sample of 300 healthcare managers and customers, we used partial least squares structural equation modeling to analyze the data and test our hypotheses. The empirical results show that the uncertainty-fear toward COVID-19 positively affects GSCM. Also, BDA moderates the relationship between uncertainty-fear toward COVID-19 and GSCM. GSCM positively impacts service quality (empathy, responsiveness, and assurance) but not reliability or tangible items. In addition, GSCM significantly mediates the relationship between uncertainty-fear toward COVID-19 and services\' empathy, responsiveness, and assurance. However, it has an insignificant mediation effect regarding reliability and tangible-item dimensions.
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  • 文章类型: Journal Article
    员工流失对组织来说是昂贵且具有破坏性的。研究已经提到,周转的经济成本是巨大的,从现有员工工资的90%到200%不等。随着周转率的提高,企业的社会结构可能会受到干扰。此外,营业额不断增加的组织预计将失去无形的知识和技能,作战效能,客户满意度,和产品或服务质量。在医疗保健背景下,更替率的提高比其他部门有更多的后果,因为全球医疗保健部门已经被认为是一个面临资源短缺的部门。加剧了局势,目前的证据表明,全球医疗保健行业的员工流失率一直在增加。文献表明,道德领导风格可能会降低员工退出组织的可能性。然而,这样的文献在医疗保健中很少,特别是从全球南方发展中经济的角度来看,比全球北方更缺乏资源。为了填补这一知识空白,本研究调查了全球南方医疗保健背景下道德领导风格与离职意向之间的关系。本研究还检验了内在动机和心理契约履行在上述关系中的中介作用。此外,还测试了弹性的条件间接效应。数据是通过自我管理的问卷从医院员工那里收集的。通过结构方程模型检验了假设关系。经验证据表明,道德领导显著降低了员工的离职意愿。结果进一步证实了内在动机的中介和调节作用,心理契约履行,和韧性。这些结果对医疗保健行业具有不同的理论和实践意义。结果特别强调了医院中道德领导者应对离职挑战的作用,在全球范围内一直在上升。
    Employee turnover is expensive and disruptive for an organization. Studies have already mentioned that the economic cost of turnover is huge, ranging from 90% to 200% of the existing employee\'s salary. With an increase in turnover rate, the social fabric of an enterprise may be disrupted. Additionally, organizations with an increasing turnover are expected to lose intangible knowledge and skills, operational effectiveness, customer satisfaction, and product or service quality. In a healthcare context, an increasing turnover rate has more consequences than other sectors because the healthcare sector worldwide is already identified as a sector facing resource scarcity. Exacerbating the situation, current evidence suggests that employee turnover has been increasing globally in the healthcare sector. The literature suggests that an ethical leadership style may reduce employees\' likelihood of quitting an organization. However, such literature is sparse in healthcare, especially from the perspective of a developing economy in the Global South, which is more resource-deficient than the Global North. To fill this knowledge gap, this study investigates the relationship between ethical leadership style and turnover intentions in the healthcare context of the Global South. This study also tests the mediating effect of intrinsic motivation and psychological contract fulfillment in the above-proposed relationship. Furthermore, the conditional indirect effect of resilience is also tested. The data are collected from the hospital employees through a self-administered questionnaire. The hypothesized relationships are tested through structural equation modeling. The empirical evidence indicates that ethical leadership reduces employees\' turnover intentions significantly. The results further confirm the mediating and moderating effects of intrinsic motivation, psychological contract fulfillment, and resilience. These results have different theoretical and practical implications for the healthcare sector. The results especially highlight the role of ethical leaders in a hospital to deal with the challenge of turnover, which has been rising worldwide.
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