Construction of strategic analysis framework of interdisciplinary integration of university affiliated hospitals under the background of high-quality development / 中华医学科研管理杂志

Objective:Under the background of the high-quality development of public hospitals, the affiliated hospitals of universities need to explore the effective path of interdisciplinary integration based on the current development status of disciplines, adjust the orientation, mechanism and goal of disciplinary development, and achieve the coordinated development of disciplines. This paper aims to provide exploratory ideas for the formulation of relevant systems and strategies of interdisciplinary integration for hospitals.Methods:This paper analyzes the internal influencing factors of interdisciplinary integration and development of hospitals from the perspective of discipline construction participants, and combines the overall requirements of high-quality development of public hospitals with the GREP model to build a strategic analysis framework for interdisciplinary integration of university affiliated hospitals.Results:Hospitals can use this strategic analysis framework to find problems through discipline self-evaluation, interviews, interdisciplinary integration mode and horizontal comparison of typical experiences, and grasp the main problems according to the basic steps of GREP problem solving, propose solutions, and finally draw conclusions.Conclusions:Based on four dimensions, GREP model provides a strategic analysis framework for the implementation path of promoting interdisciplinary integration in hospital design, and has certain practical significance for the formulation of hospital related strategies.

Clinical efficacy of laparoscopic surgery for hepatic cystic echinococcosis: a meta-analysis / 中华肝胆外科杂志

Objective:To explore the curative effect of laparoscopic surgery for hepatic cysticercosis.Methods:Search the literature from February 2010 to February 2020 on literature platforms such as Wanfang Data, VIP, CNKI, Pubmed, ScienceDirect, Web of Science, etc. the key words were "肝囊型包虫病" , "细粒棘球蚴" , "手术" , "开腹手术" , "腹腔镜" , "微创手术" , " echinococcosis " , " liver or hepatic " , " laparoscopic or minimal invasive " . Data on intraoperative indicators (e.g., operation time, bleeding volume), postoperative complications, hospital stay, recurrence rate, etc. in the literature included in the study were extracted and meta-analyzed.Results:A total of 9 articles were included, including 2 prospective studies and 7 retrospective case-control studies. A total of 1031 patients were enrolled, including 272 in the laparoscopic group and 759 in the laparotomy group. The results of the meta-analysis showed that the total postoperative complication rate in the laparoscopic group was lower than that in the laparotomy group ( OR=1.64, 95% CI: 1.10-2.45, P<0.05). Incision-related complications in the laparoscopy group and laparotomy group the difference was statistically significant ( OR=2.81, 95% CI: 1.03-7.70, P<0.05), and the hospital stay in the laparoscopic group was shorter ( SMD=1.21, 95% CI: 0.47-1.96, P<0.05). There was no significant difference between the two groups in operation time, postoperative bile leakage, residual cavity infection and effusion, and postoperative recurrence rate ( P>0.05). Conclusions:Under the premise of strictly grasping the indication of laparoscopic surgery, the incidence of complications after laparoscopic surgery is low, the hospitalization time is short.