Chris Silagy is the Chair of The Cochrane Collaboration between 1996 and 1998, and the founder as well as the first Director of the Australasian Cochrane Centre. He helped to establish the Chinese Cochrane Centre. He has made great contributions to the establishment and development of The Cochrane Collaboration to which he devoted his whole life. Though he died at the early age of 41, his optimism, great energy and b responsibility have left deep impression and inspiration to every one around him.
To attend the Patient Safety Summit of UK Presidency of the EU 2005, learn and share ideas with each other, participate in discussing and developing the vision and mission as well as goals for patients for patient safety program, seek the common interest for further cooperation so as to help promote the activities on patient safety in healthcare in China.
背景 基于仿真研究（simulation-based research，SBR）的数量迅速增加，但是这类研究的报告质量却需亟待提高。为使读者能够批判性地评估研究，研究报告的要素需要在文章中清晰地报告出来。我们旨在通过扩展试验报告的统一标准（Consolidated Standards of Reporting Trial，CONSORT）和加强流行病学观察性研究报告（Strengthening the Reporting of Observational Studies in Epidemiology，STROBE）声明来制定卫生保健仿真研究的报告规范。 方法 在制定报告规范的建议步骤基础上，使用迭代的多步共识法建立流程。多步共识法包括以下内容：① 建立指导委员会；② 定义报告规范的范围；③ 确定共识小组参与者；④ 通过在线会前调查生成拟讨论项目清单；⑤ 召开共识会议；⑥ 起草报告规范及解释与说明文件。 结果 对 CONSORT 的 11 个条目进行了扩展，包括条目 1（文题和摘要），条目 2（背景），条目 5（干预措施），条目 6（结局指标），条目 11（盲法），条目 12（统计方法），条目 15（基线数据），条目 17（结果和估计值），条目 20（局限性），条目 21（可推广性）和条目 25（资金来源）。对 STROBE 的 10 个条目进行了扩展：条目 1（文题和摘要），条目 2（背景/原理），条目 7（变量），条目 8（数据来源/数据测量），条目 12（统计方法），条目 14（描述性数据），条目 16（主要结果），条目 19（局限性），条目 21（可推广性）和条目 22（资金来源）。工作组已创建详细说明文档，提供每个扩展条目的示例和说明。 结论 制订基于 CONSORT 和 STROBE 声明的仿真研究扩展版，可帮助提高仿真研究的报告质量。
ObjectivesTo analyze the economic burden caused by delay in the diagnosis and treatment of diabetes.MethodsThe employee/non-employee health insurance and medical examination data from Japan Medical Data Center (JMDC) and Milliman Inc. were used to analyze the health economic burden of the situation in case the diabetic population receives timelydiagnosis and treatment with real world data.ResultsThe overall population delaying the diabetes diagnosis and treatment in Japan was estimated to be 916 000, and the average time of delay was 39.6 months. The increase in time of delay was related with the increase in monthly medical costs after diabetes diagnosis. If the whole delayed population could receive timely diagnosis and treatment, it can totally save about 38.24 billion yuan (1.5% of the annual Japanese national medical expenditure.ConclusionsThe current study suggests a huge potential health economic burden that can be improved by promoting the diagnosis and treatment of diabetes, which provides reference for the economic evaluation of similar health policies and also the application of real world data in China in future.
Objective To explore the research progress of the multimodal clinical support system (CSS). Methods With recognized development and operation of the multi-model CSS, and compared to the traditional CSS, to explore the research progress of the multimodal CSS. Results Based on the realization of the concept, purpose and characteristics of the multimodal CSS, it has been known that the international research progress of the multimodal CSS. Conclusion The developing and evolving of the CSS model have offered a new assist to the multi-disciplinary treatment model, and have enhanced the improving system associated with the practice of evidence-based medicine. However, the application of clinical support system program (CSSP) in our country still needs more research.
Objective To understand the current situation of medical service and management in Xintian Central Township Health Center (XtC) through on-the-spot investigation, and to provide references for development of key techniques and products for township health centers in medicine allocation and delivery. Methods The questionnaire and the focus interview were carried out, which included the general information, human resources, medical service and management, as well as the practice of essential medicine list. Results a) The hardware conditions of XtC were not good enough, and the income of Lintao county and Gansu provincial government fell short of their needs; b) The General Practitioner (GP)/nurse ratio was higher than that of the national level, the GP/pharmacist ratio was a little bit lower, and the GP/laboratorian ratio reached the national level. There was only one medical technician. There was about 27.5% staff members having no college degree, and about 81% having at most primary profession titles. There were 26 medical workers allocated to XtC in recent two years and only one GP left; c) In 2009, the bed utilization ratio was a little bit higher than the national level (109% vs. 60.7%), while the average length of stay was longer than the national level (6 vs. 4.8); d) The outpatient service in 2010 increased by 17.6% compared to 2009 and the inpatient service in 2010 decreased by 17%; e) The average medical expense per outpatient and per inpatient increased by 23.5% and 14.9%, respectively, in 2010 compared to 2009; f) The essential medicine list (EML) was put into practice in June, 2010. The current count of medicine in hospital was 767, far beyond the EML demand. Conclusion XtC, as a basic rural Township Health Center in Western China, overtakes the burden of healthcare service for local population. The policy of “selecting graduates to work in Township Health Center” made by Gansu government ensures sufficient personnel reserve for rural Township Health Center. XtC needs to cope with challenges of insufficient hardware conditions, unreasonable personnel structure, low educational background and profession title of the staff, and low technical level of medical service. XtC has a big ratio of medicine income and the expense of outpatient is lower than that of the national level. The management of XtC may be influenced by zero-profit price of the essential medicine, and appropriate subsidy and policy support are needed to maintain its service quality. And it is necessary to carry out evidence-based selection of the essential medicine account and develop staff training and essential medicine usage guidance, so as to support the medicine used safely and rationally.