Funan Research Articles

Case analysis and enlightenment of capitation payment system reform

Objective To analyze the main practices of capitation payment system reform in the case areas and put forward enlightenments and suggestions in this regard. Methods The implementation practices of the case areas were summarized, and descriptive statistical analysis was carried out on the implementation effects. Results By analyzing the effectiveness of the case areas′ reform, it was found that the case areas are curbing the excessive growth of medical expenses (for example, outpatient fees per visit of Dingyuan county-level hospitals decreased from 245.11 yuan in 2015 to 218.40 yuan in 2017), increasing the actual compensation ratio of residents (for example, the actual compensation ratio of Funan increased from 59.80% in 2015 to 63.28% in 2017), forming a medical treatment pattern within the county (for example, out-of-county compensation ratio in Dingyuan decreased from 37.38% in 2015 to 31.13% in 2017), achieving double-way referrals (for example, the number of referrals to superior hospitals of Jimo increased from 98 in 2015 to 328 in 2017), improving the subsidence of quality services, and controlling the risks of medical insurance funds. Conclusions At present, the reform of the case areas has been implemented steadily and achieved results. It is recommended to further improve such aspects as reform coordination, insurance standard setting, incentive mechanism establishment, and leadership to ensure the reform progress. Key words: Capitation payment; Payment system reform; Case analysis; Enlightenment; Cost control

The status of anxiety and its influential factors of preschool children in rural areas

Objective To know the anxiety status of preschool children in rural areas and to explore its influential factors. Methods Subjects of 1 363 rural preschool children aged 3-6 years were selected from Anhui Province(Changfeng and Feixi county of Hefei city; Qianshan county of Anqing city; Funan county of Fuyang city). The primary caregivers of preschool children were investigated by Chinese version of Spence Preschool Anxiety Scale (SPAS), Devereux Early Childhood Assessment for Preschoolers (DECA-P2), Neglect Norms for Children Aged 3 to 6 Years in Rural Areas of China, Adaptation Partnership Growth Affection Resolve (APGAR), Self-rating anxiety scale (SAS) and Self-rating depression (SDS). Results Among the 1 363 preschool children, the positive rate of anxiety was 14.7%.Physical injury fears score was highest (1.24±0.84), followed by social phobia anxiety (0.86±0.75) and separation anxiety (0.85±0.74). Except for obsessive compulsive disorder, the other four types of anxiety and total anxiety scores were negatively correlated with the total protective factors of mental resilience (r=-0.054- -0.070, P<0.05). Besides, all anxiety scores were positively correlated with behavioral problems(r=0.121-0.237, P<0.05)and neglect degree (r=0.157-0.269, P<0.05). The results of multiple linear regression analysis of different anxiety types showed that gender, family type, family income status, parental rearing pattern was consistent or inconsistent, children’s neglect degree, behavior problem and anxiety/depression status of primary caregivers were the main factors affecting the anxiety level of preschool children in rural areas. Conclusions In order to reduce or avoid anxiety of preschool children, it is necessary to establish a good family environment, improve parents’ upbringing level, and take effective education intervention. Key words: Preschool children; Anxiety; Influencing factor

The significance of ISO15189 in the cervical cancer and breast cancer screening

Objective To explore the significance of ISO15189 in the cervical cancer and breast cancer screening.Methods Collected in 2009 and 2010 by the clinical laboratory in Hefei Adicon cervical cytology screening women ensure the submission of Anhui Funan Women BUPA 10050,28436 patients as research subjects,analysis of process management in accordance with ISO15189 Specifications in the detection of smears before and after implementation before,during and after the result of differences in the process of formation of. Results The quality of cervical smears and the positive rate had greatly improved, dramatically improve customer satisfaction. Conclusion ISO15189 implementation of process management standard “two cancer ” screening of cervical cytology screening provided quality assurance. Key words: Laboratory techniques and procedures; Cervix neoplasms; Breast neoplasms

The Nationalization Narratives of Fu-nan

The Nationalization Narratives of Fu-nan