江门地区5市农村卫生院3年运行情况调查

为了落实中央《关于农村卫生改革与发展的指导意见》的精神 ,做好我市农村卫生院改革工作。我们进行了一次江门地区农村卫生院的医疗工作量的调查 ,现将结果进行报道。资料与方法(一 )资料来源与方法 :由卫生局制定统一的调查摸底表 ,对全市的 10 0所农村卫生院 1999～ 2 0 0 1年工作量等进行调查 ;资料均来自农村卫生院的统计部门 ,并加盖单位公章 ;回收的调查表中除去统计数据不合要求的表格 ,有效调查表 70份。(二 )调查内容 :门急诊量、年住院人数、平均住院日、服务满意率、医生数等 2 0项指标。制表参考了医院管理学[1] 。结　　　果(…     

五邑地区医疗卫生资源配置与效能系列研究概述

目的 全面了解广东江门五邑地区医疗卫生资源配置的绩效,合理配置医疗机构、设备和卫生人力资源。方法 对广东江门地区8家综合医院和70家农村卫生院3年来的医疗经济运行指标和人力资源结构进行表格式调查和全方位的系统研究分析。结果 技术低效率与配置低效率存在一定的相关性,医疗资源的配置不足和过剩并存。基层医疗机构大型医疗设备使用率不高,床位使用率较低,农村卫生院非学历教育人员占了一半,卫生院人员素质较低。江门地区中青年高级人才和学科带头人缺乏。结论 对五邑地区的卫生资源与人力资源在努力开发的同时,应加强合理配置,才能全面提高效能。     

安阳市乡镇卫生院步入良性发展的思考

乡镇卫生院是农村三级医疗预防保健网的枢纽,承担着农村预防保健、基本医疗、健康教育、康复和计划生育服务等综合性工作任务,是农村医疗服务的主体.2003年初,笔者对安阳市各乡镇卫生院进行了较为翔实的调查,就卫生院存在的困难、问题和如何保持良性发展作了深入分析和认真思考.     

江苏常州市140家农村卫生院医疗设备效益分析

文章通过对江苏省常州市140家乡镇生院的调查,结果表明乡镇卫生院所拥有的医疗设备的数量和价值与其社会和经济效益有直接关系,增加适宜医疗设备投资,引进适宜的新技术和新项目,可以显著增强竞争实力,吸引患者就医,从而提高乡镇卫生院的社会和经济效益,更大限度地满足农村群众的医疗服务需求,是乡镇卫生院发展重要途径.     

特困县乡镇卫生院产科现状分析

1 资料与方法1·1 调查方法 使用广东省卫生厅妇幼处制定的产科情况调查表,调查全省特困县的(连山壮族瑶族自治县,连南瑶族自治县,阳山县,清新县)63个乡镇卫生院,下发调查表63份,回收63份,表格回收率100％。1·2 调查内容 63所卫生院产科设备,产科人员情况。2 调查结果2·1 产科设备 见表1。     

贵州省世行贷款西南扶贫项目县乡镇卫生院院长现状调查

乡（镇）卫生院是农村三级医疗保健网的枢纽，其人员素质、工作好坏直接影响着广大农村人民群众身心健康，影响着我省NPA指标完成及农村经济发展，关系到“2000年人人享有卫生保健”战略目标的实现。为了解乡（以下统称乡）卫生院院长的业务素质和管理水平，健全三级医疗保健网络，为制定我省贫困地区医保工作近期目标和长远规划提供依据，对我省西南扶贫项目13个县随机抽取50％以上的乡进行调查，现将收集到的有关资料整理分析如下。1调查对象与方法我们于1996年12月至1997年元月对随机抽取的50％以上乡卫生院院长采用调查表形式调查，并…     

农村卫生院医院感染管理现状及对策

目的探讨农村卫生院医院感染管理现状,为有效加强农村卫生院感染管理提供科学依据和应对措施。方法根据《医院感染管理方法》、《消毒技术规范》以及医院感染管理相关规定和行业标准制定调查表,进行现场调查和查阅资料,将调查结果进行统计学分析。结果经过对44所农村卫生院进行调查评比,优秀占4.55%、合格占50.00%、不合格占45.45%,缺乏培训、观念陈旧、监测不规范、监管不到位是不合格的主要原因。结论加强农村卫生院医院感染管理迫在眉睫,卫生行政部门应针对农村卫生院制定医院感染管理考核标准,加强培训,加大监管力度,提高医院感染管理水平。     

宁海县医疗机构消毒质量调查

消毒是医院目标管理的重要内容 ,也是各级卫生监督部门实施监督的范围之一[1] 。 1999年宁海县卫生防疫站对全县的县级医院、中心卫生院和乡镇卫生院的消毒工作质量进行调查 ,现将结果报道如下。材料与方法1　对象　 4家县级医院、 7家中心卫生院和 12家乡镇卫生院作为调查对象。根据ＧＢ15 982— 1995《医院消毒卫生标准》规定的范围和方法 ,对各类从事医疗活动的环境空气、物体表面、医务人员手、医疗用品、消毒剂以及用于消毒的器械、设备进行抽样检验。2　检验项目和方法　手术室、母婴室、烧伤病房作菌落总数和溶血性链球菌的检验 ,手…     

浅谈无锡农村卫生人才现状与对策

目的探讨无锡市乡镇卫生院及社区医疗服务中心的卫生服务需求状况及解决方法。方法对无锡市452家乡镇卫生院及社区医疗服务中心的卫生服务需求状况的调查。结果现有的农村乡镇卫生院及社区医疗服务中心管理人才素质不高、卫生人员短缺、公共卫生人才缺乏是导致农民群众看病难的主要原因。结论为适应当前农村合作医疗及社区卫生事业改革的需要,必须加强农村卫生人才队伍建设,提高乡镇卫生院和社区医疗服务卫生中心的服务能力,加强市级医院与社区医疗服务卫生中心的紧密联系,满足农民群众日益增长的健康与保健需求。     

乡镇卫生院管理中患者满意度调查表的应用分析

目的利用满意度调查表对患者进行乡镇卫生院工作的满意情况调查,以便更好地提高乡镇卫生院工作水平。方法2014年4—5月,利用患者满意度调查表对本地区30家乡镇卫生院的患者满意情况进行调查分析,围绕存在的问题制订改进方案并予以实施。连续实施6个月,对改进前后的患者满意情况进行调查和比较。结果经过调查和统计,两组患者的满意率存在显著差异,观察组的满意度为96.7%,显著高于对照组的83.3%(P<0.05)。观察组的医疗服务质量显著高于对照组(均P<0.05);观察组的医患关系融洽率为92.0%,程度显著高于对照组的68.0%,经比较差异有统计学意义(P<0.05)。结论通过患者满意度调查表调查,乡镇卫生院可以更好的掌握患者对自身工作的满意情况,并针对患者不满意的问题进行改进,以更好的以提高患者的满意度和自身的医疗服务质量以及医患关系融洽程度,促进自身管理水平的提高。     

Trends in meningococcal disease in Italy in 1988

Meningococcal disease in Italy decreased 15% in 1988 from the previous year (290 vs. 342 cases). The decline was particularly evident in military cases (1.7/100,000 in 1988 vs. 5/100,000 in 1987) reflecting the full coverage of bivalent serogroup (A + C) meningococcal polysaccaride vaccine in army recruits, achieved since January 1988. The highest proportion of cases was seen in people older than 25 years of age (25%). Serogroup C constituted 60% of the isolates, while 19% belonged to serogroup B. The proportion of strains resistant to sulphonamides was 45%, while 15% were resistant to Minocycline and none to Rifampin. Out of the five military cases, only one (due to serogroup C) was attributable to the vaccine failure. A single coprimary case, but no secondary cases occurred among civilians. These findings are consistent with the trends reported in Italy in the previous years.     

Benzene in blood and phenol in urine in monitoring benzene exposure in industry

Determinations of benzene concentration in blood and of phenol in urine were made by head-space gas chromatography techniques on samples taken near the end of the work day from two groups of workers potentially exposed to low levels of benzene in the work-place atmosphere. Preliminary results suggest that benzene in blood is more reliable than phenol tests for assessing both exposure and uptake of benzene. Normal values of phenol in urine (10 mg/liter or less) were found in nearly all those cases in which benzene was detected in the blood.     

2015年郑州市饮用水放射性水平状况调查

目的了解郑州市不同地区、不同季节、不同水源类型的放射性水平。方法分别于丰水期和枯水期采集郑州市区黄河水源水、井水源水、丹江口水源水、出厂水和末梢水各一份;以县为单位,每单位采集出厂水、末梢水、水库水、河水、井水各1份,按《生活饮用水生活标准检验方法》(GB/T 5750.13-2006)检测饮用水中总α和总β放射性水平,依据《生活饮用水卫生标准》(GB 5749-2006)进行判定。结果丰水期、枯水期水体总α、总β放射性水平均低于国家标准限值。结论郑州市不同水源类型均处于正常的天然放射性本底水平。     

2019年中国肿瘤流行病学研究进展

恶性肿瘤已成为中国居民的主要死因之一。近些年来,中国政府积极推进肿瘤预防和控制领域的研究工作,取得了很大的进步。本文简要汇总中国在肿瘤流行病学领域的研究进展,具体包括2019年的肿瘤负担、癌症危险因素及其干预、筛查和早期发现、癌症防治专项行动(2019-2022年)方案等方面,以期为我国肿瘤防治工作的有效开展提供技术支撑和理论依据。     

2012年绵阳市蔬菜中农药残留状况

目的 了解绵阳市2012年市售蔬菜中农药残留情况,为食用蔬菜监管提供依据.方法 全部样品均按照GB/T 5009-2003的方法进行农药的残留检测.依据GB 2763-2005《食品中农药最大残留限量》进行判定.结果 2012年共检测蔬菜165份,农药检出率和超标率分别为72.12％和23.64％.豆类、根茎类、叶菜类、瓜果菜类和食用菌类蔬菜检测农药残留超标率分别为8.00％、23.53％、36.00％、5.26％和27.03％,差异有统计学意义(x2=11.41,P＜0.01).不同种类农药超标率差异有统计学意义(x2 =62.42,P＜0.01).夏季和冬季蔬菜农药超标率差异无统计学意义(x2=3.44,P＞0.05).结论 绵阳市叶菜类蔬菜中农药残留情况较为严重,应采取有效措施,加强蔬菜的监督管理,从源头禁止高毒农药的使用,加大蔬菜种植、销售环节的监测,确保市民食用蔬菜的安全.     

Occupational stress in nurses in psychiatric institutions in Taiwan

Nurses are known to be exposed to occupational stress. However, occupational stress is not well documented for nurses in psychiatric institutions in Taiwan. A cross-sectional study was conducted to explore the work-related stress and risk factors of nurses in psychiatric institutions in Taiwan. A structured questionnaire was distributed to nurses at five state-owned psychiatric hospitals in Taiwan in 2001. Demographic information, working environment, and personal health status were inquired. Occupational stress was assessed based on the Chinese version of Job Content Questionnaire (JCQ). General health status and mental health were evaluated by the International Quality of Life Assessment Short Form-36 (IQOLA SF-36). A total of 573 questionnaires were disseminated to nurses and 518 (90.4%) were satisfactorily completed by nurses, including 408 female full-time nurses who had been in their current work for more than 6 months. In the past one month, 17.2% of nurses reported being under significant stress often or always. Assault episodes were reported by 45.1% of nurses in the past 6 months. Among the nurses, 16.9%, 25.2%, 50.0%, and 7.8% belong to the "High strain", "Low strain", "Active", and "Passive" groups, respectively. Perceived occupational stress was associated with young age, widowed/divorced/separated marital status, high psychological demand, low workplace support, and threat of assault at work. Lower general health score was associated with low job control, high psychological demand, and perceived occupational stress. A lower mental health score was associated with low job control, high psychological demand, low workplace support, and perceived occupational stress. We concluded that nurses in psychiatric institutions are under significant stress related to work factors.     

Changes in nursing administration in supporting transplantation in Brazil

This historical and bibliographic study aimed to understand how Nursing was organized to support care in transplantation. The HISA, LILACS, BDENF, PERIENF and DEDALUS databases were consulted, and thirteen references were found, ten of which were scientific articles, two were master's dissertations and one was a doctoral thesis. The span of time chosen for study ranges from the date of the first kidney transplant in Brazil (1965), to the date of publication of the last scientific article found in the databases mentioned above (2003). After reading these articles, the ones that were similar in topic were grouped together, thus creating the thematic axis for the presentation of the results. The results showed that the Nursing profession has played an important and active role in transplants ever since the first procedure in 1965.