| Background:Medical is the foundation and core of hospital development,which is the source of scientific research and the basis of teaching.Medical research is an effective driving force for improving the medical level and discipline construction.Medical education provides a powerful talent support for medical and scientific research.Emphasis on medical education and research can improve the overall medical service in the hospital.Therefore,medical care,education and scientific research are integral and integral systems of hospitals and even medical and health services.The three are interdependent and interdependent.The deepening reform of the medical system makes the competition between hospitals more and more fierce,not only in the medical level and the competition in the medical service,but also in the hospital scientific research level,the competition of the medical personnel and the hospital management ability.Private hospitals account for more than 50%of the total number of hospitals in the country.Due to the short establishment period,the slow development of scientific research,the lack of scientific research,and the low level of scientific research,the service capacity and level lag far behind the growth of the number of hospital institutions.With the advancement of new medical reform,a diversified pattern of running medicine has gradually taken shape,creating opportunities for the scientific research and private hospitals to improve their scientific research environment.Therefore,the investigation and analysis of the status quo of private hospitals and medical research staff awareness of scientific research will help identify the shortcomings of private hospitals in scientific research,to explore ways to improve the scientific research of private hospitals and medical research capabilities.Objective:To systematically analyze the scientific research topics,scientific papers,scientific and technological achievements and research cognition of medical personnel in a privately-run general hospital in Nanjing from 2008 to 2016,and to explore the existing problems in the research work of the hospital and the factors affecting the scientific research ability of medical personnel,For the hospital to improve the level of scientific research to lay the foundation for programs.Methods:The items and results of the project filed in a privately-run general hospital in Nanjing from 2008 to 2016 were collected and statistically analyzed.Wanfang,CNKI and PubMed databases were used to search the medical staffs of this hospital for publication in 2008-2016 Situation,the use of "scientific research staff questionnaire" on clinical staff to carry out scientific research cognitive survey.Results:1.The target hospital won 87 projects during the period 2008-2016 and was awarded 2.755 million yuan.The number of project proposals and funding received showed an increasing trend year by year and reached the highest level in 2016.Among the research projects,there are 39 college-level projects,accounting for 44.83%;22 are district-level projects,accounting for 25.29%;20 are municipal projects,accounting for 22.99%;4 are provincial projects,accounting for 4.60%The minimum number of state-level subjects,only 2,accounting for 2.30%of the total number of projects.Among the funding,the funding for municipal projects is up to 1.13 million yuan,accounting for 41.17%;the next is for district level 580,000,accounting for 21.13%;the hospital level is 465,000 yuan,accounting for 16.94%;the provincial level is 440,000 yuan,accounting for 16.03%;the national level Project funding at least,130,000 yuan,accounting for only 4.74%of the total funds.67.82%of the projects(59 items)and 78.04%of the funds(2.15 million yuan)are mainly focused on five major medical specialty departments of Nanjing,such as Department of Otorhinolaryngology,Ophthalmology,Imaging,Anesthesiology and Neurology;Year-old,intermediate grade and undergraduate education staff,each of 23,25,19 people.2.The target hospital from 2008 to 2016,a total of 561 scientific papers were published,the first author of the unit published 525 papers,accounting for 93.58%of the total number of papers;221 papers,accounting for 39.39%,the first author’s core journals 191 papers published,accounting for the first author’s number of papers published 36.38%.The number of papers published in science and technology and the number of papers published by the first author showed an increasing trend,reaching a maximum of 108 and 104 in 2015.The number of articles published in core journals and the number of articles published in core journals of the first author reached 49 and 43,respectively,in 2012 Articles The total number of published papers and the first author units published papers in the top three departments is pediatric,otolaryngology,obstetrics and gynecology,the number of papers were 57,47,47 articles,the core journals published papers ranked the top three sections Department of Otorhinolaryngology,Ophthalmology,Neurology,the number of papers were 33,19,17;the first author’s core journals published the highest number of articles in the Department of Otolaryngology,Ophthalmology,Neurology,the number of papers were 27,17,14 articles.The authors of scientific papers are mainly middle-level titles and bachelor’s degrees,accounting for 54.85%of the total 147 middle-level titles of thesis authors,published 259 papers,accounting for 49.33%of the total number of papers,accounting for 73.51%of the total number of 197 undergraduate thesis author 372 papers,accounting for 70.86%of the total number of papers.3.Of the 15 projects awarded by the hospital for scientific and technological achievements,11 were Jiangning District Science and Technology Progress Awardfrom Jiangning District Science and Technology Committee(district-level awards),and 4 were from Nanjing Municipal Health and Family Planning Commission for the introduction of new medical technologies(Municipal level awards);they have 3 first prize awards,3 second prize awards,9 third prize awards;15 awards by the otolaryngology(7,2),imaging(3,1),Obstetrics and gynecology(two,one),emergency department(two,one)and Chinese medicine(one,one)of the six project leaders,the academic distribution of Dr.2,Master 3 One person,one undergraduate.4.Research Awareness Survey A total of 308 valid questionnaires were withdrawn from the survey,of which 245 were the first,45 and 17 respectively,accounting for 79.5%and 14.6%respectively of the three important ones that agree with clinical medicine,medical education and medical research.,5.5%;among them,80.5%of them have bachelor degree or above,and 86.2%of mid-level or above medical personnel think that clinical medical care is the first important one;76.6%of medical personnel think that it is necessary for private hospitals to carry out scientific research and more than 90%of medical staff agree The level of scientific research will affect the hospital’s future development,carry out scientific research is conducive to the improvement of individual level and the development of departments,the hospital leaders attach importance to scientific research;but only 23.7%of medical staff think that the hospital science and technology potential be played;respectively 67.5,64.0,71.8,62.7,70.5%of medical staff think that the medical staffs awareness of scientific research is weak,scientific research investment is not enough,lack of scientific research department leaders,lack of scientific research facilities,heavy daily work is the impact of the development of hospital scientific research five main reasons;91.6%of the respondents think that there is a gap between the input of hospital research funding and actual needs,master’s degree and above,undergraduate and College degree holders think that there is a gap of 84.6%,94.5%and 74.3%respectively between the research funding and the actual needs of the hospital.The master’s degree and above indicate that the proportion of undergraduate education personnel is higher than that of the tertiary education,The χ2 test showed that the difference was statistically significant(P<0.05).The proportion of master’s degree and.above personnel in understanding the hospital scientific research system was 71.8%better than that of the undergraduate degree,31.2%and 29.4%of the college graduates,respectively.By χ2 test,(P<0.05).The proportion of people with associate professorship and above in the hospital scientific research system was 79.4%,which was 47.8%and 22.4%respectively.The difference was statistically significant by χ2 test Significance(P<0.05).This shows that highly educated and highly-qualified medical personnel know more about the scientific research system and think that scientific research funding can not meet their actual needs.Conclusion:As time goes by,the number of hospital projects and the number of published scientific papers show an increasing trend,while the achievement of scientific and technological achievements does not increase at the same pace;the overall scientific research strength of hospitals is weak and the level of scientific research is relatively low;and the research awareness of medical personnel is weak,Inadequate investment in scientific research,lack of scientific research leaders in departments,the lack of scientific research facilities,and the heavy workload of daily work which mainly restrict the development of hospital scientific research and take corresponding measures to improve the ability and level of scientific research in hospitals.Suggests:Establishing the strategy of promoting science and technology through science and technology and enhancing the awareness of scientific research;strengthening the introduction and training of qualified personnel,building the echelon of scientific research personnel;increasing investment in scientific research and building a scientific research platform;strengthening publicity and raising awareness of scientific research system... |
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