Domestic Medical Institutions Research Articles

Patient Safety Incidents in Operating Rooms Reported in the Past Five Years (2017-2021) in Korea.

Patient safety incidents in the operating room require special attention because they can cause catastrophic and irreversible conditions in patients. Although patient safety incidents have different characteristics, there may be similarities and patterns of risk factors that may be common. Therefore, this study analyzed factors associated with the PSIs by analyzing data from the Korean Patient Safety Reports from 2017 to 2019. The "Patient Safety Incidents Data from 2017 to 2021" systematically collected by the Korea Institute for Healthcare Accreditation, include patient safety incident reports from medical institutions. Data on 1140 patient safety incidents in the operating room were analyzed. They included patients' gender and age, Hospital size, Incident seasons, incident time, Incident reporter, incident type, Medical department, and Incident severity. The Incident severity was analyzed by dividing it into three stages: near miss, adverse event, sentinel event, which are applied by domestic medical institutions. The highest number of OR patient safety incidents were related to surgery and anesthesia. On analyzing the probability of adverse events based on near misses, the significant variables were patient gender, incident reporter, incident type, and Medical department. Additionally, the factors that were likely to precipitate sentinel events based on near misses were patient gender, incident time, reporter, and incident type. To prevent sentinel events in Patient safety incidents, female and during night shifts are required to pay close attention. Moreover, it is necessary to establish a patient safety reporting system in which not only all medical personnel, but also patients, generally, can actively participate in patient safety activities.

국내 의료기관 해외진출 의도 결정요인에 관한 연구

Purpose - The purpose of this study is to identify factors influencing overseas expansion from various perspectives through prior research, and to identify the impact of sub-factors on the intention of the overseas expansion of medical institutions. Design/Methodology/Approach - In this study, factors influencing overseas expansion were classified into a resource-based view, an industrial organization view, and view of CEO characteristics, and were empirically identified through multiple regression analysis. Findings - As a result of analyzing the intention of domestic medical institutions to advance overseas, it was confirmed that in resource planning from a resource-based perspective, a department dedicated to overseas expansion had a positive (+) effect, market size and government support policies had a positive (+) effect from an industrial organization perspective, and experience and entrepreneurship from a managerial perspective . Research Implications - The overseas expansion of medical institutions has many different parts in the export and overseas expansion direction of general companies. In the public medical field of health and medical care, the overseas expansion of medical institutions has a strong aspect of profit generation, and the number of medical institutions interested in overseas expansion is inevitably small due to environmental uncertainty. In this respect, the results of this study, which analyzed the impact on the intention to advance into medical institutions, can be used in terms of creating an ecosystem for the overseas expansion of medical institutions by the government and supporting institutions.

의료기관 종사자의 일과 삶의 균형이 조직효과성과 주관적 행복에 미치는 영향

Objective : This study confirmed the current status of work-life balance for workers at domestic medical institutions, and confirmed the direct and indirect relationship between organizational effectiveness and individual subjective happiness. Methods : Data was collected from September 3 to September 23, 2021, with a total of 300 surveys distributed. Among them, 227 surveys were ultimately used for analysis. The collected data were analyzed using statistical software, specifically SPSS 21.0 and Amos 22.0. The measurement tool was adapted based on previous research to be suitable for the circumstances of healthcare professionals. It consisted of a total of 39 items, categorized as follows: General Characteristics, Work-Life Balance, Emotional Labor, Job Stress), Job Satisfaction, Subjective Happiness. Results : The work-life balance of healthcare professionals was found not to significantly impact the profound emotional labor, but it was observed to reduce job stress. Additionally, emotional labor was identified as a decisive factor in decreasing job stress and increasing job satisfaction. Job stress not only diminishes job satisfaction but also has been confirmed as a factor decreasing subjective happiness. However, no direct relationship was found between emotional labor and subjective well-being. Conclusion : Studying the work-life balance of members in specialized service fields, such as healthcare services, not only provides insights into the current situation but also offers various theoretical perspectives in understanding the relationship between work-life balance and Organizational effectiveness.

국내 의료기관의 환자안전사고 관련 요인 분석: 2019-2022년 환자안전보고 데이터 활용 이차분석 연구

Objective : The purpose of this study is to establish strategies to prevent patient safety accidents by identifying factors related to patient safety accidents in domestic medical institutions, and to use them as basic data for developing patient safety prevention programs. Methods : This study is a secondary data analysis study using the raw data of the "2019-2022 Patient Safety Report Data" published by the Medical Institution Evaluation and Certification Institute of the Ministry of Health and Welfare. Data analysis was performed using the SPSS 23.0 program. Results : Depending on the degree of risk, risk events, proximity errors, and red signal events appeared in order, and in terms of gender, women had a relatively higher percentage of red signal events and red signal events for proximity errors than men. Factors affecting the degree of risk of patient safety accidents are gender, age, accident time, reporter, medical institution classification, bed size, accident location, and type of accident. Conclusion : Medical institutions in Korea need to develop standardized patient safety guidelines to prevent patient safety accidents according to bed size and age, and to strengthen patient safety education and patient safety capabilities. In addition, the elderly mainly report patient safety accidents due to falls, so nursing education and facilities are needed to reduce falls.

의료관광만족도 확대를 위한 시설입지 요인 분석

As the competition for survival of medical institutions is rapidly changing due to the expansion and expansion of large medical institutions and the entry of foreign medical institutions into Korea, it is urgently needed to strategically respond to the importance of medical management to secure differentiated competitiveness. Therefore, as a management strategy in medical services, domestic medical institutions have been carrying out activities in various ways in order to measure physical service factors, medical service factors and patient satisfaction.
 In this study, the following conclusions were drawn based on the results of the patients who had been hospitalized using a medical institution. First, the design, cleanliness, convenience, provision and use of medical institutions were analyzed to improve patient satisfaction. Second, medical services were analyzed to increase patient satisfaction. Third, it was analyzed that the patient 's satisfaction is higher due to the physical service and medical service of the medical institution. As a result, we have focused on the physical service factors of medical institutions as a marketing strategy to increase patient satisfaction of medical institutions. However, recent patients can be found to be more satisfied with patients' services than physical services. It is expected that the satisfaction of the patients will be higher if the service of the medical personnel is increased during the future medical treatment.

정신건강의학과 환자안전사고 분석(2017-2021)

The study was undertaken to investigate the occurrence and risk levels of patient safety incidents in the mental health department of domestic medical institutions, aiming to provide essential data for formulating strategies to prevent such incidents in the future.
 The data for this study were collected nationwide from medical institutions accredited by the Korean Institute for Healthcare Accreditation, with a focus on patient safety statistics. A total of 521 cases from comprehensive and tertiary hospitals with more than 200 beds, classified under the department of mental health and psychiatry, were analyzed. Data analysis was performed using SPSS/WIN 27.0 software, encompassing descriptive statistics, cross-tabulation analysis, and binary logistic regression.
 The results showed that the number of patient safety incidents increased slightly in 2020 and 2021 compared to 2017. However, the level of harm caused by these incidents indicated a trend of increasing near misses and decreasing adverse events from 2017 to 2021. Comprehensive hospitals had a significantly higher proportion of adverse events in patient safety incidents compared to tertiary hospitals. The results of binary logistic regression analysis revealed that comprehensive hospitals had a 2.459 times higher risk of adverse events compared to tertiary hospitals. When comparing incident types, the risk of adverse events for falls was 10.677 times higher, and for suicide and self-harm events, it was 66.103 times higher compared to medication errors. Regarding age groups, the risk of adverse events for the 20-39 age group was 3.335 times higher compared to the 0-19 age group. For the 40-59 age group, the risk was 4.911 times higher for the 60-79 age group, it was 5.340 times higher, and for the 80 years and above age group, it was 4.027 times higher . The goodness of fit test for the final model indicated a good fit, and the model's explanatory power was 30.2%.
 Based on the study results, there is a need for a systematic analysis of nursing staff levels in comprehensive hospitals and their relationship with patient safety incidents and it is crucial to prioritize comprehensive hospitals when devising patient safety incident prevention measures in mental health. Suicide and self-harm prevention, and fall prevention strategies, should be considered as indispensable components. Furthermore, it is recommended to give priority to implementing patient safety incident prevention strategies for individuals aged 60-79 years of age.

До питання готовності вітчизняних лікувально-профілактичних закладів до захисту психічного здоров’я населення України, що постраждало внаслідок воєнних дій

Objective: The article carried out a predictive hygienic assessment of the state of mental health of the Ukrainian population, analyzed the incidence of mental disorders in the pre-war period of 2018-2020, determined the level of readiness of domestic medical institutions to protect the mental health of the Ukrainian population, suffered as a result of hostilities, and provision of medical personnel. A retrospective analysis of the stay conditions of patients and the state of intrahospital comfort in stationary premises in the pre-war period was carried out and the experience of European countries on this issue was studied. The purpose of the work: on the basis of a retrospective analysis of the incidence rates of the Ukrainian population with mental disorders, to make a forecast of the readiness of domestic medical institutions’ (DMI) state to organize mass psychiatric and psychological assistance to the population that suffered as a result of hostilities. Methods: In the course of the analysis, statistical materials of the Ministry of Health of Ukraine for the period 2018-2020 were used regarding the incidence of mental and behavioral disorders and the provision of medical institutions with medical personnel, data from Form № 18 of the Ministry of Health of Ukraine «Report on the work on monitoring environmental factors affecting the health of the population» for the period 2014-2021. Results: It was found that men for the period 2018-2020 more sought help and were treated in psychiatric hospitals over the years from 67.2% to 65.3%, and were also treated in psychiatric day hospitals 57.3% to 59.4%. At the same time, women during the same period were treated on an outpatient basis from 78.9 to 81.0%, respectively, while less were treated in psychiatric hospitals - 32.8 to 34.7%. Non-compliance with the regulatory requirements of state sanitary rules № 173-96, state building norms V.2.5.-28: 2018 «Natural and artificial lighting» was determined, where the largest share was in 2017 - 11.8% and in 2019 - 10.7% , and the lowest non-compliance rates were noted in 2015 - 3.4% and in 2018 - 3.78%. The largest share of microclimate inconsistency in healthcare facilities was 11.3% in 2015 and 12.9% in 2016, and 3.2% in 2014, 4.4% in 2020, 2021 - 4.2%. The non-compliance with the regulatory requirements of state sanitary rules №. 173-96, state building norms V.2.5.-28:2018 "Natural and artificial lighting" was determined, where the largest share was in 2017 11.8%, in 2019 - 10, 7%, and the lowest non-compliance rates were noted in 2015 3.4%, in 2018 - 3.78%. The largest share of microclimate inconsistency in healthcare facilities was 11.3% in 2015 and 12.9% in 2016, and 3.2% in 2014, 4.4% in 2020 and 2021 - 4.2%. Conclusions: In connection with the ongoing large-scale armed aggression of the Russian Federation and the introduction of martial law in Ukraine, according to the conclusions of the Ministry of Health of Ukraine, a large-scale increase in the incidence of mental disorders among the country’s population can be expected, which will lead to an increase in the burden on psychiatric treatment and preventive institutions, which are only partially ready for a qualitative solution of problems. To ensure the readiness of domestic medical institutions to protect the mental health of the population of Ukraine, it is recommended to create a network of Centers for socio-psychological assistance / counseling, which will be staffed by psychologists, social workers and open psychiatric departments, day hospitals, outpatient clinics based on general hospitals.

Enhanced Recovery in Total Knee and Hip Arthroplasty: the Need for National Recommendations

There are significant medical, social and economic effects, such as decrease in the frequency of postoperative complications, mortality and reduction of hospital stay. The key aspects of the enhanced recovery program are preoperative preparation, anesthesia, postoperative analgesia, in particular multimodal analgesia and regional analgesia, and early rehabilitation. The implementation of the enhanced recovery program for knee and hip replacement in medical institutions of the Russian Federation based on clinical studies and met a-a nalyses of a high level of evidence, will improve the quality of medical care and patient satisfaction. It is important to note the need to develop the Russian recommendations taking into account experience of using various methods of enhanced recovery in domestic medical institutions, as well as the specific organization features of the Russian healthcare system. This will serve as a basis for further widespread implementation of protocols for enhanced recovery after surgery in this country.

Status of HVPG clinical application in China in 2021

Objective: The investigation and research on the application status of Hepatic Venous Pressure Gradient (HVPG) is very important to understand the real situation and future development of this technology in China. Methods: This study comprehensively investigated the basic situation of HVPG technology in China, including hospital distribution, hospital level, annual number of cases, catheters used, average cost, indications and existing problems. Results: According to the survey, there were 70 hospitals in China carrying out HVPG technology in 2021, distributed in 28 provinces (autonomous regions and municipalities directly under the central Government). A total of 4 398 cases of HVPG were performed in all the surveyed hospitals in 2021, of which 2 291 cases (52.1%) were tested by HVPG alone. The average cost of HVPG detection was (5 617.2±2 079.4) yuan. 96.3% of the teams completed HVPG detection with balloon method, and most of the teams used thrombectomy balloon catheter (80.3%). Conclusion: Through this investigation, the status of domestic clinical application of HVPG has been clarified, and it has been confirmed that many domestic medical institutions have mastered this technology, but it still needs to continue to promote and popularize HVPG technology in the future.

Informed consent forms for gynecologic cancer surgery: recommendations from the Korean Society of Gynecologic Oncology.

The sociomedical environment is changing. In the traditional physician-patient relationship, the physician was authoritative and the patient was obedient. The contractual relationship featured patient consent to the physician’s decision. Today, the physician must explain fully the planned medical treatment, and any alternative, to the patient, who has the right to choose her treatment after considering the benefits and side-effects. The Korean Society of Gynecologic Oncology (KSGO) thus decided to standardize the surgical consent forms to meet the legal requirements of modern medicine, improve patient understanding of the surgical details, and protect medical staff from legal disputes. To determine the format and content, subcommittees for each cancer type collected and reviewed all relevant articles and the current consent forms of domestic medical institutions. After several meetings, 16 basic items to be included for each type of gynecologic cancer were selected. Also, to help patients understand the surgical details, figures were included. The revised forms were legally reviewed in terms of the appropriateness of the format and content. We also developed English versions to provide adequate information for foreign patients. We hope that these efforts will promote trust between patients and physicians, and contribute to effective treatment by laying a foundation of mutual respect.

A Study on the Derivation of Priorities for Overseas Expansion Factors of Medical Institutions Using AHP Method

Purpose The purpose of this study is to identify the factors necessary for the overseas advancement of domestic medical institutions through previous studies and to determine the priority of factors using the AHP method Design/Methodology/Approach In this study, AHP was used to derive priority factors for the overseas expansion of domestic medical institutions. A structural model corresponding to a total of two stages was established in order to identify the factors that need to be dealt with in the overseas expansion of Korean medical institutions. In the first stage, 8 evaluation factors were set, and in the second stage, 26 evaluation indexes were derived. Findings In order to derive the priority of the overseas expansion of domestic medical institutions, the analysis was conducted in stages. As a result of the composite weight analysis, the priorities were confirmed in the following order: building trust in local partners and having public partners in countries where entering the market, having a department in charge of overseas expansion of medical care, planning to secure a budget for the overseas expansion, planning for external financing, and willingness to advance overseas. Research Implications This study is meaningful in that it approached from the perspective of resource-based, managerial characteristics, and industrial organization to derive factors necessary for the overseas expansion of domestic medical institutions. In previous studies related to the overseas expansion of existing domestic medical institutions, case-oriented studies were mainly conducted.

Implementation of clinical sequencing for molecular profiling in patients with advanced cancer.

The advancement of cancer genomics has allowed for multiplex gene assays using next-generation sequencing (NGS) to be practically implemented, however, a clinical practice system remains to be established. We evaluated the feasibility of clinical sequencing using NGS-based multiplex gene assays between cooperating medical institutions in patients with advanced cancers. In this observational study, DNA and RNA samples prepared from existing tumor tissues were subjected to comprehensive genomic profiling using targeted sequencing. From January 2017 to March 2019, 36 samples from 33 patients were assessed. Of all patients, 27 (82%) had lung cancer, with the median age of 50 years (range 38-83). Multiplex gene panel tests were successfully carried out on 35/36 (97%) samples. Potentially actionable gene alterations were identified in 10/30 (33%) samples (3 HER2, 2 KRAS, 2 ALK, 1 PIK3CA, 1 RET, and 1 CDKN2A). In the 6 samples examined for resistant mechanisms, ALK I1171N mutation and MET copy number gain were detected in 2 patients with ALK rearrangement-positive lung cancer. Clinical sequencing using NGS-based multiplex gene assays between collaborating domestic medical institutions was feasible, with a success rate of > 97%. Overall, clinical sequencing benefits therapeutic decision-making in patients with advanced cancer.

The COVID-19 Pandemic in Ukraine: Process Evaluation, Opinion Analysis

The SARS-CoV-2 coronavirus pandemic has proved to be a real test of survival for modern humanity. The global crisis has affected not only the health care system, but also the entire social sphere. For the second year in a row, the world economy is under stress, and countries around the world are assessing and forecasting the scale of economic losses, trying to determine the size of direct and indirect demographic losses. It’s impossible to coordinate the implementation of anti-epidemic measures and disease prevention without adequate response and support from the population. And this requires an analysis of social behavior, its motivation and attitude to the relevant actions of state and local authorities.
 The article considers the current trends in the spread of SARS-CoV2 infection in Ukraine and in some European countries. Seasonal fluctuations and cyclical changes in the prevalence of this disease and the number of deaths caused by coronavirus are analyzed. The 7-day seasonal fluctuations are to some extent explained by the peculiarities of the initial registration of such events in Ukraine. After all, some of the test results and medical certificates of death caused by coronavirus disease are submitted to the relevant authorities with some delay. There is a multi-day registration lag after the weekend, when most instances do not work, so the input information is processed with a delay.
 The statistical estimates of expected daily number of infected with COVID-19 virus and deaths from this cause (data of the National Security and Defense Council of Ukraine for March-December 2020 and January 2021) are based on an analysis of these trends in the context of effectiveness of preventive measures from “quarantine in free day” up to a hard lockdown.
 The article provides a quantitative assessment of the population's response to anti-epidemic measures of government agencies. Database of research comprised a series of opinion polls within the monitoring “Ukraine under quarantine” and “Assessment of Healthcare”, the sociological group “Rating” for 2020–2021. The results of the statistical analysis of psycho-emotional state of the population during the COVID-crisis showed significant differences in the responses of certain respondents groups by age, gender and place of residence.
 Using non-parametric methods of statistics, the level of Ukrainian population trust in international and domestic medical institutions, as well as in information coming from various sources was estimated. It turned out that respondents are almost 20 times more willing to read news from regular Internet resources than from the official website of the Ministry of Health of Ukraine and rely more on WHO data.
 In the perspective of further research, a statistical analysis of the demographic consequences of the spread of SARS-CoV2 infection in Ukraine is planned.

MODERNIZATION OF INFORMATION AND COMMUNICATION SUPPORT OF MEDICAL INSTITUTIONS

Purpose. The purpose of the article is to substantiate the need to modernize the information and communication support of medical institutions of Ukraine to improve the quality of medical care and medical services. Methodology of research. The theoretical and methodological basis of the study are the fundamental provisions of modern economic theory, scientific works of leading foreign and domestic scientists, international and domestic regulations on health care. General scientific and special research methods are used to achieve this goal, in particular: the method of system analysis – to study the information and communication support of medical institutions as a system; the method of structural analysis – to study the structure of the software of the medical information system “Doctor Eleks”; the method of comparison – to compare different methods of information processing in the studied medical information system. Findings. The need for modernization of information and communication support of medical institutions is determined. Prospects for the introduction of medical information systems in health care facilities, such as the “Doctor Elex” information system, are substantiated. Examples of introduction of the medical information system "Doctor Eleks" in foreign and domestic medical institutions are considered. The advantages of the researched medical information system “Doctor Eleks” for: management staff, medical staff and registry staff are formed. The software of the medical information system “Doctor Eleks” is analysed in detail in the context of the main modules: “registry”, “doctor”, “laboratory”, “administration”, “templates”. It is proved that the introduction of the medical information system “Doctor Eleks” in the activities of medical institutions will significantly increase the level of coordination of its staff and will positively affect the quality of medical care and medical services. Originality. The mechanism of introduction of modern information technologies in activity of medical institutions as the factor of increase of quality of medical service on the basis of use of the information system “Doctor Eleks”, which is developed for automation of work of medical institutions is offered. Practical value. The detailed analysis of the advantages of the medical information system “Doctor Eleks” can be useful for directors of domestic medical institutions in choosing the priorities of modernization of their information and communication support. Key words: medical institutions, information and communication support, e-medicine, medical information systems, innovative technologies.

Foundation Kharkiv Medical-Mechanical Institute early twentieth century

One of the leading trauma centers and orthopedic medicine in Ukraine is the Institute of Spine and Joint them. prof. M. I. Sytenka Academy of Medical NAMS of Ukraine, which was founded at the beginning of the last century called Medical-Mechanical Institute (1907). The initiative of its foundation belongs representative business organization Southern economic region in Southern Russia Congress of Miners (Kharkiv city) and its head Nikolai Fedorovich von Ditmar. The purpose of article are the analysis of the creating process, the main activities and the targets of Medical-Mechanical Institute. The research methodology is based on the system of principles (scientism, objectivism and historicism) and the scientific methods. The use of general scientific (analytical, synthetic, systemic) and special-historical (historical-typological, historical-comparative, chronological) methods allowed to analyze the worldwide experience of these institutions founding, to select the features of the Medical-Mechanical Institute. Results. Due to the high level of traumatism mining and factory work before business corporation faced the task of ensuring workers' professional level treatment and determine the degree of disability. The Institute was organized on the model of similar health care institutions in Germany. Novelty of research. Article shows that the just a few years the Institute was equipped with everything needed to perform complex surgical and posttraumatic the first two years of maintaining mechanical Medical Congresses Miners Institute of Southern Russia spent over 100 000 rub.; annual maintenance of the Institute ranged from 40 thousand Russian money in the 1914–1915 biennium 80 000 rub. in 1912–1913. Led by this medical institution talented organizer and scientist Dr. Carl F. Wegner. It was highlighted that doctors Medical Institute mechanical maintained professional relationships with German and domestic medical institutions, fruitful and close cooperation established with the medical faculty of Kharkov University. Conclusions. Pretty soon Kharkov Medical and Mechanical Institute became a leading center of traumatology and implementation of entrepreneurs other social projects. Modern Institute of Spine and Joint them. prof. M. I. Sytenka is a worthy successor Academy of Medical Medical Mechanical Institute, health care, where honor the memory of its founders retain tradition and keep up to date with innovations.

Walking Rehabilitation Evaluation Based on Gait Analysis

With the development of medicine and the improvement of people’s living standards, the issue of rehabilitation is getting more and more attention. Gait rehabilitation provides a brand-new treatment method for patients with walking disfunction. It is currently recognized as an advanced rehabilitation medical method in the world. In recent years, the number of patients suffering from dyskinesias in the lower limbs in China has been increasing, and the society's demand for walking rehabilitation treatment is also increasing. The emergence of gait rehabilitation solves the problem of fewer therapists and more patients, reduces the intensity of the therapist’s work, and has the incomparable advantage that traditional rehabilitation methods lack. However, because there are no mature related products in China at present, and the prices of foreign products are very expensive, domestic medical institutions have not yet put them into practice. Accelerating the development of gait re-habilitation equipment is of great significance for improving China’s medical level, improving the quality of life of patients, and reducing social burden. Usually, high-precision optical sensors are installed on human limbs or using high-speed cameras to capture motion. However, due to the high cost of the equipment, the relative high price of image processing software when processing the collected motion data. In this paper, the acceleration sensors are installed on the human body and the data in a gait cycle can be obtained. After smoothing, using it as the input signal for gait feature extraction and classification. In order to classify normal gait and abnormal gait for evaluation and better walking rehabilitation.

A study for the factors on foreign performance of domestic medical institutions

A study for the factors on foreign performance of domestic medical institutions

A study for the factors on foreign performance of domestic medical institutions

A study for the factors on foreign performance of domestic medical institutions

국내 대형병원과 중 · 소규모 의원의 공기감염 확산 방지 대책의 비교 평가

The purpose of this study is to compare and analyze the air infections in middle and small hospitals with the facilities of large national hospitals that have air-borne infection isolation (AII) wards through actual condition investigation and airflow analysis simulation (CFD) and to provide basic data for prevention. The method and scope of the study are as follows. First, through literature review, data related to prevention of infection spread in domestic medical institutions were investigated. Second, we conducted a survey on the status of isolation facilities to prevent the spread of infectious diseases in large hospitals and small and medium - sized clinics in Korea. Third, airflow analysis simulation (CFD) was carried out using the isolation ward of the nationally designated inpatient ward and the data of the plane and facility system of the small clinic. As a result of the study, it is found that regulations applicable to small and medium-sized clinics are insufficient. In addition, the simulation results show that the infectious disease virus is likely to spread to other patients in the hospital.

The correlation analysis between medical basic research and clinical research papers with domestic medical institutions rank

Objective To discuss the correlation between Medical basic research and clinical research papers with domestic medical institutions rank. Methods 35 medical institutions, ranked as top 5 of the comprehensive strength among seven districts in the hospital ranking list published by Fudan University, were chosen to collect all the basic medical research and clinical research papers published during 2006-2015. The publication number and compositions of such papers were analyzed to study the correlation of hospital ranking data that published latest by Fudan University in 2015. Results The ranking of domestic medical institutions was positively correlated with the published papers (both basic research papers and clinical research papers), which was negatively correlated with the proportion of basic research papers and was positively correlated with the proportion of clinical research papers, and the quality of both basic research and clinical research papers have Positive correlation, while only with the IF> 5 basic research class weight was positively correlated with the clinical study of Q3 partition the proportion of the paper was negatively correlated. Conclusions The scientific research management departments of domestic medical institutions should encourage clinical-front-line researchers to make full use of clinical resources to carry out clinical research and improve the proportion of clinical research papers. At the same time to encourage the publication of high-quality research papers (including: basic medical research and clinical research papers), especially high-tech zoning research papers. Key words: Correlation analysis; Medical basic research; Medical clinical research; Bibliometrics