implementation effect

  • 文章类型: Journal Article
    分析喀什地区结核病防治“新疆模式”的有效性,新疆,并探讨政策实施效果的决定因素。
    收集了2012-2021年喀什地区肺结核(PTB)患者的登记数据,以描述登记发病率的时间趋势。对2022年1月至2023年7月在泽普县和莎车县结核病管理信息系统中登记和治疗的PTB患者进行问卷调查,以收集和分析“新疆模式”的有效性决定因素。
    2012-2018年喀什地区PTB登记发病率呈显著上升趋势(APC=18.7%),2018-2021年呈显著下降趋势(APC=-28.8%)。在喀什地区,与2012-2017年的平均登记发病率相比,2021年舒福市的登记发病率,Maigaiti,泽普县下降幅度更大,达到58.68%,57.16%,和54.02%,分别,而2021年莎车县的登记发病率增加了6.32%。根据对影响政策实施效果的因素的综合分析,泽普县目前健康状况较治疗前明显改善的肺结核患者比例明显高于莎车县(P<0.05);莎车县患者对如何服用抗结核药物的知晓率明显低于泽普县,预防措施,不良反应,并在治疗期间定期复查;在莎车县和泽普县均占较重治疗负担比例较大的因素是服用或注射药物引起的不适,占12.8%和8.7%,分别。
    "新疆模式"能有效控制喀什地区结核病疫情,以及结核病治疗的知识,结核病药物的不良反应,治疗费用是政策执行效果的决定因素。
    UNASSIGNED: To analyze the effectiveness of the \"Xinjiang Model\" for tuberculosis prevention and control in Kashgar Prefecture, Xinjiang, and to explore the determinants of the policy implementation effect.
    UNASSIGNED: The registration data of pulmonary tuberculosis (PTB) patients in Kashgar Prefecture from 2012 to 2021 were collected to describe the temporal trend of registered incidence. A questionnaire survey was conducted among PTB patients registered and treated in the tuberculosis management information system in Zepu and Shache Counties from January 2022 to July 2023 to collect and analyze \"Xinjiang model\" determinants of effectiveness.
    UNASSIGNED: The PTB registered incidence in Kashgar Prefecture showed a significant increasing trend from 2012 to 2018 (APC=18.7%) and a significant decreasing trend from 2018-2021 (APC=-28.8%). Among the Kashgar Prefecture, compared with average registered incidence in 2012-2017, registered incidence in 2021 in Shufu, Maigaiti, and Zepu Counties had a greater decline rate of 58.68%, 57.16%, and 54.02%, respectively, while the registered incidence in 2021 in Shache County increased by 6.32%. According to the comprehensive analysis of the factors affecting the effect of policy implementation, the proportion of PTB patients in Zepu County whose health status has now significantly improved compared with that before treatment was significantly greater than that in Shache County (P<0.05); patients in Shache County were significantly less aware than those in Zepu County of how to take tuberculosis drugs, precautions, adverse reactions, and regular reviews during treatment; the factors that accounted for the greater proportion of heavy treatment burden in both Shache and Zepu Counties were discomfort caused by taking or injecting drugs, accounting for 12.8% and 8.7%, respectively.
    UNASSIGNED: The \"Xinjiang model\" can effectively control the epidemic situation of tuberculosis in Kashgar, and the knowledge of tuberculosis treatment, adverse reactions to tuberculosis drugs, and treatment costs were the determinants of the effectiveness of policy implementation.
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  • 文章类型: Journal Article
    目的:本研究旨在探讨以问题为基础的学习(PBL)教学模式在医学本科生中实施视频反馈结合同伴角色扮演(PRP)教学法的效果。
    方法:选取2016年和2018年武汉地方大学本科5年制临床医学专业本科生为研究对象。将同一年级随机分为几组进行PBL,每组6-10名学生。遵循自愿参与的原则,最终34名学生进入研究组,33名学生进入对照组。本研究以群体为单位,并应进行分组研究报告以完成研究。在研究小组中,要求学生进行PRP报告,报告视频用于反馈。同时,对照组用PPT报告,并根据PPT进行反馈。在研究结束时,分发了“能力提升满意度问卷(CISQ)”,以调查学生对这种教学方法的满意度,以提高他们的能力,亚利桑那州临床访谈评分(ACIR)由一位训练有素的老师使用PRP方法进行中文无关,以评估学生的临床探究能力和沟通技巧,并进行了理论测试,以评估对理论知识的掌握程度。
    结果:结果表明,研究组在提高学习兴趣和自主学习能力方面优于对照组,人际沟通和积极解决问题。尽管是在成为一名真正的医生的信心和团队合作能力方面,语言表达,培养临床思维,主动掌握和理解研究组优于对照组,差异无统计学意义。ACIR显示研究组在组织方面明显优于对照组,时间线规划,和过渡声明,公开质疑,进展顺利,避免重复,总结,可理解的语言,文档和总分。眼神接触和不中断没有显着差异。两组在对关注的反应方面差异无统计学意义,积极的反馈,和其他问题。研究组的理论考试成绩明显高于对照组。
    结论:采用PBL教学模式在医学本科生中实施视频反馈结合同伴角色扮演教学法是有效的,它可以积极激发学习兴趣,提高人际沟通能力,提高学习效率和临床知识和技能,提高成为一名真正的医生的信心。值得进一步研究和推广。
    OBJECTIVE: The purpose of this study was to investigate the effectiveness of implementation of video feedback combined with peer role-playing (PRP) teaching method in medical undergraduates adopting problem-based learning (PBL) teaching mode.
    METHODS: The undergraduates of five-year clinical medicine who get enrollment of Wuhan local University from 2016 and 2018 were selected to be the research objects. The same grade level is randomly divided into several groups to carry out PBL, with 6-10 students in each group. Following the principle of voluntary participation, 34 students were enrolled in the study group and 33 students in the control group finally. The research regards group as the unit, and study report in group should be carried out to fulfill the research. In the study group, the students were asked to perform PRP report, and the report videos were used for feedback. At the same time, the control group reported by PPT, and the feedback was carried out according to the PPT. At the end of the study, the \"Competency Improvement Satisfaction Questionnaire (CISQ)\" was distributed to investigate students\' satisfaction with this teaching method to improve their ability, Arizona Clinical Interview Score (ACIR) was administered in Chinese by a trained teacher unrelated using PRP method to assess students\' clinical inquiry ability and communication skills, and theory test was performed to assess mastery of theoretical knowledge.
    RESULTS: The results show that the study group is superior to the control group in improving the interest of learning and the ability of independent learning, interpersonal communication and active problem solving. Although it is in terms of the confidence in becoming a real doctor and the ability of teamwork, language expression, clinical thinking cultivated, active knowledge acquired and understood that study group are better than the control group, the difference was not statistically significant. ACIR shows that the study group is significantly better than the control group in organization, timeline planning, and transition statements, openly questioning, smooth progress, and avoiding repetition, summarizing, understandable language, documentation and total score. There is no significant difference in eye contact and no interruption. The differences between the two groups are not statistically significant in terms of responsing to concerns, positive feedback, and additional questions. The theoretical test scores of the study group are significantly higher than those of the control group.
    CONCLUSIONS: Video feedback combined with peer role-playing teaching method implemented in medical undergraduates adopting PBL teaching mode is effective, it could stimulate interest in learning actively, improve interpersonal communication ability, improve learning efficiency and clinical knowledge and skills, and improve the confidence of becoming a real doctor. It is worthy of further research and promotion.
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  • 文章类型: Journal Article
    鉴于技术转让为促进国民经济发展提供了重要的推动力,技术转移政策(TTP)越来越受到学术界和工业界的关注。政府出台了许多政策。然而,TTP的实施效果仍有待明确。本研究是从“文本内容-影响路径-实施效果”的渐进层面进行的。\'\'旨在采用系统分析方法,分析政策工具和政策实施阶段,然后构建了TTP影响路径的概念框架。然后阐明了定性模型中变量之间的关系,并利用系统动力学(SD)模型建立了具有四个反馈回路的定量模型。最后,以辽宁为例,以中国为例,在VensimPLE中实现了系统仿真和主要参数的灵敏度分析。不同的政策工具在TTP影响研究阶段具有不同的作用,转让,和工业化。基于2013-1019年的数据,本文构建的SD模型可用于预测2020-2015年TTP的实施效果。仿真和敏感性分析结果为政府部门提高现有TTP的实施效果提供了实践启示。本研究也为其他研究者通过“文本内容-影响路径-实施效果”传导链提高TTP的实施效果提供了系统的理解,为TTP的进一步研究提供了新的见解。
    Given that technology transfer provides an important boost for promoting national economic development, technology transfer policy (TTP) has attracted more and more attention from academia and industry. The government issued many policies. However, the implementation effect of TTP still needs to be clarified. This study is carried out from the progressive level of \"text content-influence path-implementation effect.\'\' It aims to adopt a systematic analysis method to analyze policy tools and policy implementation stages, then builds a conceptual framework of the influence path of TTP. Then the relationship between variables in the qualitative model was clarified, and the system dynamics (SD) model was used to build a quantitative model with four feedback loops. Finally, taking Liaoning, China as an example, the system simulation and sensitivity analysis of the main parameters are implemented in Vensim PLE. Different policy tools have different roles in the TTP impact stages of research, transfer, and industrialization. Based on the data of 2013-1019, the SD model constructed in this paper can be used to predict the implementation effect of TTP during 2020-2015. Simulation and sensitivity analysis results provide practical enlightenment for government departments to improve the implementation effect of the existing TTP. This study also provides other researchers with a systematic understanding for improving the implementation effect of TTP with a \"text content-influence path-implementation effect\" conduction chain and provides new insights for further research on TTP.
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  • 文章类型: Journal Article
    政府环境政策的主要目的包括改善客观自然环境以及降低公众的健康风险。大多数研究已经测试了实现第一个目标的方法。在本文中,我们的目的是通过利用基于2013年发布的“空气污染防治行动计划”(AP2013)进行的准自然实验来收集与实现第二个目标有关的经验证据。研究数据来自2012年和2014年中国112个地级市17766人的跟踪数据。通过有序逻辑回归和DID分析,验证了AP2013政策与公共卫生风险认知之间的因果关系,这表明该政策可以显著降低公众健康风险认知。通过构建不同的子样本,建立了因果效应与政策执行窗口长度之间的倒U型关系,这表明了该政策的短期信号效应和长期实施效应。这些结论有助于政府政策的沟通和执行。
    The main purposes of government environmental policy include improving the objective natural environment as well as reducing the health risk of the public. A majority of studies have tested the means of achieving the first goal. In this paper, we aimed to gather empirical evidence pertaining to the realization of the second goal by drawing on a quasi-natural experiment that was conducted based on the \"Action Plan on Air Pollution Prevention and Control\" issued in 2013 (AP2013). The research data came from the tracking data of 17,766 individuals from 112 prefecture-level cities of China in 2012 and 2014. Through ordinal logistic regression and DID analysis, a causal relationship between the AP2013 policy and public health risk perceptions was verified, indicating that this policy can significantly decrease public health risk perceptions. By constructing different subsamples, an inverted U-shaped relationship between the causal effect and the length of the policy implementation window was established, which demonstrated the short-term signal effect and long-term implementation effect of this policy. The conclusions can help with the communication and implementation of a government\'s policy.
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  • 文章类型: Journal Article
    目的:探讨宫颈癌综合治疗患者应用全程优质护理联合网络延续护理的实施效果。
    方法:2020年8月至2021年8月,将符合宫颈癌综合治疗纳入标准的120例患者分为接受常规护理的常规组(n=60)和接受全程优质护理联合网络延续护理的联合组(n=60),根据护理方法。综合治疗认知水平,综合治疗依从性,不良反应发生率,生活质量问卷(QLQ-C30)评分,焦虑/抑郁自评量表(SAS/SDS)评分,比较两组患者的护理满意度。
    结果:护理后,联合组的综合治疗认知评分和综合治疗依从性评分均高于常规组(P<0.05)。护理后,联合组放射性膀胱炎和放射性直肠炎的发生率低于常规组(P<0.05)。护理后,症状域的QLQ-C30评分,功能域,两组的单个问题都比护理前高,关节组高于常规组(P<0.05)。护理后,两组的SAS和SDS评分均低于护理前,关节组低于常规组(P<0.05)。护理后,联合组护理满意度高于常规组(P<0.05)。
    结论:对宫颈癌综合治疗患者实施全程优质护理联合网络延续护理具有较为理想的实施效果。这可以显著提高患者的认知和治疗依从性,不良反应发生率较低,生活质量和情绪状态也有了显著改善,护理满意度也相应提高。
    OBJECTIVE: Discuss the implementation effect of cervical cancer comprehensive treatment patients applying whole-course high-quality care combined with network continuation care.
    METHODS: From August 2020 to August 2021, 120 patients who met the inclusion criteria for comprehensive treatment of cervical cancer were divided into the regular group (n = 60) who received conventional care and the joint group (n = 60) who received whole-course high-quality care combined with network continuation care, according to the method of care. The comprehensive treatment cognition level, comprehensive treatment compliance, adverse reaction rate, quality of life questionnaire (QLQ-C30) score, self-rating anxiety/depression scale (SAS/SDS) score, and nursing satisfaction were compared between the two groups.
    RESULTS: After care, the comprehensive treatment cognition score and comprehensive treatment compliance score were higher in the joint group than in the regular group (P < 0.05). After care, the incidence of radiation cystitis and radiation proctitis was lower in the joint group than that in the regular group (P < 0.05). After care, QLQ-C30 scores on symptom domains, functional domains, and single questions were higher in both groups than before care, and were higher in the joint group than in the regular group (P < 0.05). After care, SAS and SDS scores were lower in both groups than before care, and were lower in the joint group than in the regular group (P < 0.05). After care, the joint group was more satisfied with care than the regular group (P < 0.05).
    CONCLUSIONS: The implementation of cervical cancer comprehensive treatment patients with whole-course high-quality care combined with network continuation care has an ideal implementation effect, which can significantly increase the patient\'s cognition and compliance with treatment, the incidence of adverse reactions is less, the quality of life and emotional state have also improved significantly, and care satisfaction has also increased accordingly.
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    文章类型: Journal Article
    目的:研究系统护理对功能失调性子宫出血患者康复的影响。方法:选取我院2017年5月至2019年5月收治的功能性子宫出血患者98例,按随机数字表法分为对照组(n=49,常规护理)和观察组(n=49,系统护理)。疗效,子宫出血时间,生化指标恢复的归一化时间,心理状态,生活质量,比较两组患者的护理满意度。结果:观察组有效率(93.88%)高于对照组(77.55%);观察组子宫出血时间、活化部分凝血活酶时间(APTT)较对照组少(P<0.05)。干预前,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组SAS和SDS评分均下降,观察组更为显著(P<0.05。观察组患者生活质量评分、护理满意率均高于对照组(P<0.05)。结论:系统化护理可提高功能失调性子宫出血患者的疗效,加快康复进程,缓解负面情绪,提高生活质量和护理满意度。
    Purpose: To study the effect of systematic nursing on patients with dysfunctional uterine bleeding and rehabilitation. Methods: 98 patients who were treated in our hospital for dysfunctional uterine bleeding from May 2017 to May 2019 were selected, and were divided into a control group (n=49, conventional nursing) and an observation group (n=49, systematic nursing) according to the random number table method. The curative effect, uterine bleeding time, normalization time of biochemical index recovery, psychologic status, quality of life, and nursing satisfaction of the two groups were compared. Results: The efficacy rate of the observation group (93.88%) was higher than the control group (77.55%); the observation group had less uterine bleeding time and activated partial thromboplastin time (APTT) in comparison with the control group (P<0.05). There was no significant difference in self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores between the two groups before intervention (P>0.05); after intervention, the SAS and SDS scores of both groups decreased, with the observation group being more significant (P<0.05. The quality of life score and nursing satisfaction rate of the observation group were higher (P<0.05). Conclusion: Systematic nursing can improve the curative effect of patients with dysfunctional uterine bleeding, accelerate the rehabilitation process, relieve negative emotions, and improve the quality of life and nursing satisfaction.
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