在医疗服务中彰显人文关怀

医学人文关怀,是人文精神在医疗活动中的体现。通过医疗服务中建立人文关怀的有关制度,可促进医学科学精神与人文精神的交融。最终提高医疗服务质量,构建和谐医患关系。本文介绍了该院在医疗服务中注重人文关怀的实践与体会,如创立“以病人为中心”的人性化服务模式,保障患者的隐私权、知情权等合法权利,优化医院服务流程,改善医院服务环境等。并就如何培养医务人员的人文精神,在医疗服务中彰显人文关怀进行了讨论。     

在医疗服务中彰显人文关怀

医学人文关怀,是人文精神在医疗活动中的体现。通过医疗服务中建立人文关怀的有关制度,可促进医学科学精神与人文精神的交融。最终提高医疗服务质量,构建和谐医患关系。本文介绍了该院在医疗服务中注重人文关怀的实践与体会,如创立"以病人为中心"的人性化服务模式,保障患者的隐私权、知情权等合法权利,优化医院服务流程,改善医院服务环境等。并就如何培养医务人员的人文精神,在医疗服务中彰显人文关怀进行了讨论。     

医学人文培育在医院文化建设中的作用探析

从现代医学模式发展趋势来看,医患矛盾复杂,主要原因在于人文精神的缺失。因此,医学人文培育在医院文化建设中刻不容缓。医者人文素质的高低,直接影响着医疗服务的质量和患者满意度。强化人文科学建设是医院文化建设的需要,同时也是提高医疗服务质量、改善医患关系、构建和谐医院的需要,是医院实现社会效益和经济效益的双赢。     

循证医学的人文精神与和谐医患关系

循证医学充分反映了人的自然属性和社会属性,是科学精神和人文精神的和谐统一.通过对人文精神与和谐医患关系、循证医学的人文精神以及循证医学的人文精神与和谐医患关系3方面的阐述,认为医学本身蕴含着丰富的人文精神,医学与人文融为一体才能更有效地为人类服务;指出循证医学全程贯穿着医学人文思想,其科学地揭示了"医学以人为本"的人文科学本质属性;强调现代临床医学已经进入循证医学时代,探究和认识循证医学的人文精神内涵,注重对医学人文精神的培养,必将有助于构建良好的医患关系.     

医学人文精神探析

医学人文精神是医疗卫生服务的重要精神资源，其核心是敬畏生命、关爱生命、善待生命。只有蕴涵医学人文精神的医学，才能真正成为人的医学。在当今时代各种复杂的社会背景下，医学人文精神在医疗实践活动中具有极其重要的价值。为此，采取有效措施，以人为本，着力提高医疗卫生服务的质量，这是医学人文精神对医疗卫生服务的必然要求。     

医疗活动中医患关系的人文思辨

随着社会进步,人们对医疗的需要已转向疾病的预防与保健等更为广泛、更为社会性的医疗服务上[1] 。而个性化医疗与人性化服务的提出,使医疗服务中的科学技术与人文精神的相互关系也更加紧密。医疗活动中医患双方对医学人文和医学科技文化的理解,最终导致和决定了医疗服务中患方的服务期望和医院的服务承诺。一、医患双方对医学的理解与对医疗服务的认识1.文化背景的影响:医学是随着人类和社会文明的进步而产生、发展的,不同时期和地域的人们,对医学和医疗服务有着不同的理解和需求。医疗服务的特殊性与服务对象的复杂性,铸就了社会人际关系…     

对医学行为的再认识--兼谈医学生人文素质的培养

医学人文在医学行为，医疗活动中占有重要地位，它能够提升医学行为的价值并使医学科学沿着正确的方向发展。医学人文教育是医学教育的重要内容。医学人文精神与医学科学精神融合是社会化医学行为的内在要求。医学职业道德教育是医学人文精神在医疗活动中的具体体现。医学生早期进行系统化的人文课程教育至关重要。     

道德价值认同与医学人文教育

医疗既是高技术、高风险、高责任的职业,也是高情感、高奉献的工作。在医疗服务工作中,将道德价值认同纳入医学人文教育之中,正确处理医学人文精神与医学科学精神,发扬医学人文精神,实现医学与人文的融合具有十分重要的现实意义。     

诚信是医院生存发展的生命线

诚信是实现医疗服务的目的、达到医疗效果的基本保证，使病人权利让渡斯的伦理基础，是医患经济利益调整的必然要求，也是医学人文精神顺归的具体体现。诚信是医院生存发展的生命线。     

县医院病案室的建设与管理

县医院病案室的建设与管理付忠林（江苏省金坛市人民医院２１３２００）在医疗、教学科研中，病案是群众智慧积累的医疗记录，是取得经验促进医学科学发展、防治疾病、保障人民身体健康、为医院建设服务的极为宝贵资料，是医院特有财产，对医疗教学科研工作起着重要的作用...     

科学发展观视野下的医学人文精神培养探索

科学发展观的核心内容是"以人为本",医学是最能够体现人本思想的自然科学,科学精神和人文精神的融合是现代医学精神的核心价值,文章就科学发展观视野下的医学人文精神培养途径进行初步探索.     

The 21st century: the age of family medicine research?

Family medicine has matured as an academic and scientific discipline with its own core concepts, knowledge, skills, and research domains. It has acquired much expertise in studying common illnesses; the integration of medical, psychological, social, and behavioral sciences; patient-centered care; and health services delivery. Many health care challenges in the 21st century will place a great demand on primary care, which can serve its purpose only if it is of high quality and evidence based. Family medicine research can contribute to many areas of primary care, ranging from the early diagnosis to equitable health care. Stakeholders, such as the World Health Organization, governments, and funding agencies, are becoming more supportive to family medicine research because they recognize its key importance in improving the quality of primary care and bridging the gap between biomedical research and clinical practice. Family medicine can play a leading role in shifting the paradigm of medical research from the laboratory to the person. The 21st century should be a golden age of family medicine research because the time is right for the discipline, the health care environment is most suitable, and stakeholders are supportive. Family medicine must prepare for it by building up its research track record and capacity.     

试论医学科学技术创新

作者讨论了创新是时代的要求，是医学科学技术发展的需要。提出创新的根本在人，在人才素质：要有高尚的品德；强调实践、知识、思考的结合；要善于选择目标和抓住机遇。提出要弘扬医学科学精神，遵循医学科研的基本要求。要正确处理医学与其他科学，以及医学内部的一些关系。提出要为医学科技创新创造良好的环境条件；并讨论了阻碍医学科技创新的因素。     

Current research perspectives of health system research and health economics in Germany

The German statutory health insurance scheme is confronted with a steadily rapid progress of medical sciences and increasing difficulties to mobilize the financial resources necessary for applying the new scientific knowledge in health care. Therefore it is absolutely imperative to intensify the efforts to improve the effectiveness and efficiency of health care. Health policies based on health targets, the development of patterns requiring integrated care, redefining the bunch of health insurance benefits, and a more regular use of methods of economic evaluation have been proposed as promising approaches towards optimizing resource allocation in health care. However, an analysis of these approaches demonstrates that a valid appraisal of their potential to improve the effectiveness and efficiency of health care requires further research. In addition, European integration may produce tendencies towards a convergence of the national health care systems; this makes it rather difficult to assess how the room for autonomous national health policies will develop in the future.     

Medical management: the scientific paradigm

Specialization, differentiation, as well as interdisciplinary integration are well-known phenomena in the development of sciences. The following paper proposes a scientific paradigm needed for the still young, but very current, discipline of medical management, which may be also a new perspective for health sciences.     

Weiterentwicklung des Promotionsverfahrens in der Medizin

The medical doctorate and the subsequent advanced research qualification in medicine have an exceptional position within the natural sciences. While, in the German system, graduation to the degree of a medical doctor is often an initiation into scientific practice, the in-depth scientific education of medical doctors may be achieved in various configurations. In recent years, structured programs for doctorates in medicine and natural sciences have found increasing acceptance, following recommendations of national scientific councils (“Deutsche Forschungsgemeinschaft” and“Hochschulrat”). Hannover Medical School has been offering such programs for a number of years. The StrucMed program increases the quality of medical doctorate studies, typically performed in the third and fourth years of university studies. The Hannover Biomedical Research School (HBRS) combines several programs for a doctorate in natural sciences, creating a platform for an internationally oriented education of post-graduates in various disciplines of life sciences. Evaluating the achievements and career paths of the trainees will contribute to the successful integration of research work in an efficiency-oriented clinical environment.     

The need for integration in health sciences sets the future direction for public health education

Since the foundation of the People's Republic of China in 1949, there has been remarkable developments in public health in the country. These achievements are primarily attributed to the public health services and patriotic public health campaigns, although the contribution of high-technology medical applications is also recognized. However, along with the recent socio-economic developments and scientific and technological progress, medical disciplines have become more and more specialized, and clinical and preventive medicine have become further separated from each other. Conventional Chinese wisdom says 'when long divided they must unite, when long united they must divide'. At the onset of the new round of reforms of health care in China, it seems important to revisit the discussions on the urgency for integration of health sciences in medicine in China. Several issues and viewpoints on integrating medicine are discussed in this paper. The biopsychosocial model for health calls for broad integration. Primary care development in China requires integration in education and practice, and in treatment and prevention. Control of chronic diseases requires integrated and united action. Integration of traditional Chinese medicine with Western medicine requires creativity. The integration perspective should be instilled in the minds of medical students. Integration also entails integrated practice. After all, integration entails integrated education and practice in public health education. Changing the current public health education system still has a long way to go. True integration requires integration of concepts, policies, resources and measures, as well as changes in the organization of health care including public health, prevention and treatment. This needs to be a systematic process. Finally, success of integration relies on social mobilization, advocacy, promotion and attention of the entire society.     

Gesundheitsokönomie als Fachgebiet

Scarcity of resources and the economic aspects of health and health care set the starting point for health economics. The discipline has emerged in the post-war period. Its roots reach back to the times when social policy was first formulated, when human life was quantitatively valued, and when institutionalized health care was established. Health economics is defined as the scientific analysis of the economic aspects of health and health care. In spite of a number of developments of its own, the methodological basis of the discipline is founded in general economics and in its sub fields. This is amended by contributions from neighbouring disciplines. Health economics is a heterogeneous and applied discipline, which plays an original role in health sciences. Regularly, this discipline is expected to provide consultancy for health policy and other decisions. Next to this consultancy, sufficient attention should be devoted to the further development of theories and methods for the analysis of health production and the analysis of the organisation of health care systems.     

Clinical medicine and the quest for certainty

Orthodox medicine works in a scientific framework which often discounts knowledge arising outside biomedical models and the statistical means by which these are tested. Alternative medicine cannot meet these standards because it is holistic and individual in its orientations toward the understanding and treatment of human illness. But in fact the dominant model also has problems with surgery and other areas such as family practice as sub-disciplines where individualised caring solutions are important. These prominently include areas in which wider social and economic concerns directly impinge on health care so that we need a more liberal attitude to medical knowledge and discovery. I suggest that this wider conception is more in keeping with the Hippocratic ethos as a whole and with the idea of a healing praxis. Because our aim as doctors and health care professionals is to help people, and our knowledge is directed towards furthering this end, medicine is a practical science not able to stand apart and build theories in detached contemplation from within the ivory tower of the academy. However the practicality of medicine and the assurance needed to poison people or inflict grievous bodily harm in an effort to help them often puts a premium on certainties in our thinking about clinical medicine before the scientific basis for such certainty has been established. Therefore, hand in hand with the professional calling that is health care, goes the need for a certain style of belief in what one is doing and its ultimate rightness. This leads to an almost unique profile for medicine among the sciences.