Objective Through the comprehensive analysis of planting, sales, enterprises, scientific research and other aspects of traditional Chinese medicine industry in Guangdong Province, and the comparison with whole country and relevant provinces. This paper evaluated the development status of traditional Chinese medicine industry after the implementation of strong province of traditional Chinese medicine in Guangdong Province since 2006, and put forward suggestions. Methods It picked relevant materials such as “China Rural Statistical Yearbook”, “Statistical Analysis Report on Operation of Drug Circulation Industry”, the 2018 annual reports of 70 Chinese medicine listed companies, the official website of National Bureau of Statistics and the official website of the State Drug Administration, and conducted analysis on policies, planting, sales, enterprises, scientific research of traditional Chinese medicine industry in Guangdong Province from 2006 to 2018. Results The traditional Chinese medicine industry in Guangdong Province had made great progress in planting, sales and number of enterprises, among which the quality of traditional Chinese medicine, industrial structure and scientific research were still relatively insufficient. Conclusions In the construction of strong province of traditional Chinese medicine in Guangdong Province, the development of traditional Chinese medicine industry still needs to improve the planting standardization and the quality of traditional Chinese medicine, establish modern industrial system, increase investment in scientific research, and further strengthen the competitiveness of traditional Chinese medicine industry in Guangdong Province.

Objective To study the effect of canceling drug price addition on patients' medical burden and hospital income so as to provide reference for further improving drug reform policy. Methods Collected the panel data of pilot and non-pilot hospitals in the sample city from 2011 to 2015, and applied DID for quantitative evaluation. Results After the cancellation of drug price addition policy, the average outpatient cost per patient decreased by 46.76 yuan (P <0.05), per average hospitalization expense rose 74.78 yuan (P=0.82); the average outpatient and inpatient drug costs decreased by 28.42 yuan (P <0.01) and 236.69 yuan (P <0.05), respectively (P <0.05); there was no significant change in each income of pilot hospitals, and the proportion of outpatient and inpatient drug cost dropped significantly (P <0.05). Conclusions The cancellation of drug price addition policy in the sample city has reduced the burden of patients' medication costs, realized the hospital's income shift and structure optimization. To deepen the reform of the medical and health system, and to give full play to the effects of policies, it is necessary to improve supporting systems and measures, and implement comprehensive policies to improve overall macro-efficiency of medical reform.

Integrated treatment and convalesce is an effective measure to improve health level and promote healthy aging for the elderly. Based on the perspective of public value, it explains the development status of integrated treatment and convalesce model in Suzhou from policy and practical levels, and analyzes shortages in the development. Clarify department responsibilities, speed up the construction of talent team, pay attention to special groups, actively encourage public participation and other aspects to carry out in-depth thinking, so as to promote the optimization and improvement of integrated treatment and convalesce services in Suzhou.

Seniors are high risk groups in the COVID-19 epidemic and vulnerable groups in various digitized communicative platforms, and desiderate to receive attention. The social alienation and loneliness caused by home isolation, as well as the anxiety and panic caused by “infodemic,” can seriously affect the subjective well-being of the elderly. Based on the theories of social capital, this study investigated the influence and construction of social capital on the life satisfaction of the elderly during COVID-19 epidemic period by investigation data from the national questionnaire survey of the elderly. The study finds that self-reported good physical and mental health, high social trust, and emotional support based on acquaintances’ social circle can significantly improve the life satisfaction of the elderly during COVID-19 epidemic, while extensive network social contract scale has no significant effect on the life satisfaction of the elderly during COVID-19 epidemic.

Integrating Chinese medicine into the system construction, giving full play to the characteristics of Chinese medicine in the war against epidemics, and building and improving the emergency management system of integrated Chinese and western medicine are vital to the prevention and control of major infectious diseases. This study uses literature visualized analysis Cite space software to analyze the research status of major infectious disease emergency management system construction, and initially builds a hierarchical structure model of Chinese medicine and major infectious disease emergency management system construction. At the same time, this study carries out weight calculation and consistency test on each index, and forms an indicator system for Chinese medicine and major infectious disease emergency management system construction, so as to provide scientific basis for the construction of Chinese medicine and emergency management system.

Objective To explore supply situation of health human resources in Shandong Province so as to provide planning basis for supply and demand balance of health human resources in Shandong Province. Methods Time-series model and grey prediction model, quadratic regression and combination forecasting model based on reciprocal variance method were used to predict the number of health workers in Shandong Province from 2019 to 2025, and compared prediction accuracy. Results In prediction error evaluation indicators of combined prediction model, the value of MAD, MSE and MAPE was 8.8650, 2.8291 and 0.4251 respectively, which were better than the single prediction model, and could better simulate and predict variation trend of health technicians on time series in Shandong Province, model construction was reasonable and feasible. It was predicted that the number of health personnel in Shandong Province would showed progressive increase year by year from 2019 to 2025, with average annual growth rate of 4.01%. Conclusions The combination forecasting model is more suitable for the prediction of health human resources in Shandong Province. In the future, the scale of health human resources development in Shandong Province will gradually expand, but the contradiction between supply and demand still exists, the uneven distribution situation is increasing year by year.

Objective Through analyzing current situation of poverty population and poverty alleviation measures in Hunan province so as to provide suggestions for further targeted poverty alleviation and strengthening the effectiveness of poverty alleviation in the future. Methods Through descriptive methods, the changes of poverty population, the geographical distribution of remaining poor population and the causes of poverty in 2017 and 2018 were analyzed. The grey correlation was used to analyze overcome poverty and poverty alleviation measures. Results At the end of 2018, the remaining poverty population in Hunan Province was 829,000, a net decrease of 1.257 million from the previous year. The incidence of poverty decreased from 3.8% in 2017 to 1.5% in 2018, which was lower than the national average (1.7%).The remaining poor population were relatively concentrated in Shaoyang, Huaihua, Xiangxi and Loudi. Main causes of poverty were due to illness, lack of labor, lack of technology, lack of funds, and disability. Nine types of poverty alleviation measures including health poverty alleviation, poverty alleviation education, comprehensive and supportive poverty alleviation, improved living conditions, employment poverty alleviation, social assistance, industrial poverty alleviation, education poverty alleviation and financial poverty alleviation were highly correlated with poverty alleviation (correlation coefficient > 0.7), among these nine types of poverty alleviation measures, health poverty alleviation, education for alleviation, and comprehensive supportive poverty alleviation ranked in the top three. Conclusions In 2018, Hunan's rural poor population achieved remarkable results in poverty reduction, but the poverty problems in the western and central Hunan areas are still prominent.

Objective To understand and analyze overall progress of pilot work of the reform of “decentralization, management and service” in health field of Shanghai, and sum up the experience. Methods The research started from the theory of policy evaluation, and evaluated the progress and experience of “decentralization, management and service” in health field through multiple methods such as on-site investigation, questionnaire survey, document and data review and so on, took four specific administrative examination and approval items in health affairs as entry point. Results Relied on technology platform of “One Internet Service”, Shanghai improved efficiency of administrative examination and approval services by optimizing business processes, streamlining application materials, expanding the pilot promotion of “separation of licenses and licenses”, and improving the supervision mechanism during and after the event. During 2018-2019, the average time for item approval was reduced from 10 days to 2 ~ 3 days, the average number of approval materials was reduced from 4 to 3,and the average number of on-site runs was reduced from 2 to 1 which appeared “0” number of runs in some approval items (entire network operation).But at the same time, there were still some deficiencies in human resources and trans-department communication. Conclusions The reform of “decentralization, management and service” in health field of Shanghai has formed relatively complete policy system, and the efficiency of administrative services has been significantly improved. In the future, policy measures in terms of information resource sharing, departmental coordination, human resources guarantee, and operational and post-operational oversight need to be further improved.

Objective To explore regional health high-quality development evaluation methods which are suitable to the usage for prefecture(municipal) -level and above health departments. Methods Comprehensive scoring method, ideal solution (TOPSIS), rank-sum ratio (RSR) and linear interpolation method were respectively used to evaluate monitoring and evaluation index data of health high-quality development in 13 cities in Jiangsu province in 2018. Kendall coordination coefficient W test was used to test the consistency of the evaluation results. On the basis of good consistency, combination evaluation was conducted to evaluate four single synthetic evaluation results through average value method, weighted average combination evaluation method and hierarchical clustering analysis. Results The single evaluation results of each synthetic evaluation method were different, the front 3 rankings were all C1, C2 and C4. consistency test results showed that the evaluation results of 4 groups had good consistency. The order of combined evaluation value of mean value method and weighted combination evaluation method was identical. It was more appropriate that 13 cities were classified into 4 levels of high, higher, lower and low by hierarchical clustering analysis, there was statistically significant in category difference( P <0.01). Conclusions The four synthetic evaluation methods are all suitable to evaluation of health high-quality development in prefecture (municipal)- level or above health departments. Enhance the accuracy of evaluation results, it is necessary to combine multiple comprehensive evaluation methods in practical work.

Community governance includes mutielement authority structure system of political leadership, executive power, democratic supervision right, assist management right and so on, it needs to construct system frame of cooperative governance based on power corpus in harmonious relationship. With the “normalization” situation of epidemic prevention and control in China, prevention and control management system of community is facing some challenges. There is conflict and unbalance phenomenon of that political leadership and executive power are on powerful position, administerization of neighborhood committee, and weakened community self- governing power in present power relationship of system frame. Therefore, it is necessary to standardize the exercise of legal powers, formulate corresponding supervision measures, and promote benign interaction of various powers in the community epidemic prevention and control system which contribute to gradually perfect community grassroots governance system in China.

This paper through teasing out current disease cost accounting methods at home and abroad, and summarizes the characteristic and adaptability of different methods. Combine with current situation in China, such as weak foundation of disease cost accounting, ineffective integration of methodology, and incompact relationship between cost accounting and pricing, the study provides reasonable suggestion to promote the development of disease cost accounting methods and accelerate the practical application of cost accounting results.

Objective This paper summarizes practical experience on current medical and nursing resources allocation in 15 long-term care insurance pilot cities, and explore long-term care service supply model which is suitable for China's national conditions. Methods From the perspective of resource allocation, through policy text analysis, it used deductive content analysis and type analysis, focused on the service content and projects of long-term insurance design, and divided supply patterns of 15 cities according to medical-related and nursing-related resources. Results According to the allocation of medical and nursing resources, the service supply model of China's long-term insurance pilot cities could be divided into three categories such as high medical low nursing, balanced medical and nursing, and low medical and high nursing. Among these cities, Shihezi City had the highest proportion of medical service resources supply (66.7%), Nantong City had the highest proportion of nursing service resources supply(72.0%), Shanghai and Guangzhou were relatively balanced in supply of medical and nursing resources. Conclusions There are plural models for the supply of medical and nursing resources in the 15 pilot cities. However, the choice of specific model selection and design should be based on local financial capacity, basic conditions of health resources and the health needs of residents, adjust supply and allocation of medical and nursing resources, and conduct design reform on the basis of scientific research.

With coming into new era, women and children health services insist the idea of “ Great health, great hygiene” in our country. Give full play to leading role of government, introduce extensive participation of whole society, motivate the awareness of that personage is the first person in charge of health. Insist high-order promotion, strengthen the guarantee during epidemic period. The situation achieves outstanding effect of poverty alleviation, smooth and steady of maternal and child safety, much more soundness of service system, constant expansion of service connotation. The party publicity is full of sound and colour, it strive to achieve peoples' co-construction and sharing, continuously promote high-quality development of women and children health services.

Objective To know the changes of difference in service efficiency among urban and rural primary health care institutions in China from 2008 to 2017,and explore the factors of influencing efficiency difference. Methods The bootstrap-DEA method was used to analyze average annual efficiency of township health centers and community health service centers,calculate the efficiency and Theil index of each influence factor,rank influence factor according to significance through gray correlation analysis. Results The technical efficiency range of township health centers was from 0.696 to 0.757,Theil index average value was 0.023. The first influence factor was the number of practicing(assistant)doctors in township health centers per 1000 rural population. The technical efficiency range of community health centers was from 0.398 to 0.499,Theil index average value was 0.060. The first influence factor was per capita disposable income. Conclusions Compared to community health centers,the overall efficiency of township health centers was higher while the regional difference is smaller. The balanced allocation of resources and technology is conducive to efficiency improvement of primary health care institutions.

Objective To know market structure of health human resources in Guangxi,explore the relationship of competitive situation of health human resources and its medical expenses so as to provide decision-making reference for rational allocation of health human resources and control of medical expenses. Methods Based on HHI index and market dispersity(1/HHI)value,described market competition intensity and competition situation of health human resources. It used Welch ANOVA test to analyze the difference of health human resource distribution among different GDP levels regions. It adopted Wilcoxon symbol rank sum test to analyze the relationship of the distribution of health human resources and market and population size. It explored the relationship between market dispersal and medical expenses through Spearman correlation analysis. Results The maximum HHI values of physicians and nurses was 0.1122 and 0.1063,respectively,and the minimum values was 0.1019 and 0.1032,respectively. All of them were oligopolistic medium-low oligopoly type II market structure. The dispersity(1/HHI)value of two kinds health human resources market in prefectures and cities was relatively close,basically maintained between 8 and 10,less than the standard value of 14,the market structure was not perfect. The correlation coefficient between physician resource market dispersion and medical expenses was -0.627(P<0.05),the correlation coefficient between nurse resources market and medical expenses was -0.126(P>0.05). Conclusions The health human resources are more concentrated in the cities with large economies and large population. The siphon phenomenon is remarkable. The medical cost control effect is not good,and the lack of health human resources competition has aggravated this situation. The medical service market structure is not reasonable,the difference in the distribution of health human resources among regions is more obvious. It is suggested that the government and relevant departments should optimize the allocation of health human resources,increase the control of medical expenses,and improve the construction of the medical service market.

Objective To know the competiveness level of traditional Chinese medicine health industry in 31 provinces(autonomous regions,municipalities)of whole country. Methods It evaluated regional competiveness level of traditional Chinese medicine health industry in 31 provinces(autonomous regions,municipalities)by factor analysis and hierarchical clustering statistical analysis technique methods. Results According to the statistical results,it divided 31 provinces(autonomous regions,municipalities)into four types of areas according to the strong and weak of competiveness,these were obvious advantage areas,common advantage areas,common disadvantage areas and obvious disadvantage areas. Shandong,Guangdong,Jiangsu,Sichuan,Zhenjiang and Henan provinces were obvious advantage areas,which average value of synthesis score was 1.264. Shanghai,Beijing and Tianjin municipalities were common advantage areas,which average value of synthesis score was 0.3729. There were 17 provinces belong to common disadvantage areas which could be divided three types,the first type included Hunan,Hebei,Hubei and Anhui provinces which average value of synthesis score was 0.3208,the second type included Liaoning,Chongqing,Jilin,Heilongjiang,Inner Mongolia and Shanxi provinces which average value of synthesis score was -0.2872,the third type included Fujian,Jiangxi,Guangxi,Shanxi,Gansu,Yunnan and Guizhou provinces which average value of synthesis score was -0.3514. The obvious disadvantage areas included Xinjiang,Ningxia,Hainan,Qinghai and Tibet provinces which average value of synthesis score was -1.0754. Conclusions It puts forward corresponding countermeasures and suggestions which combines with competiveness situation of traditional Chinese medicine health industry in different provinces.