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1.
在当前新的形势下,党和政府十分关心人民群众的身体健康。始终高度重视发展医疗卫生事业。改革开放以来,我国医疗卫生事业取得了较大的发展,为提高人民群众的健康水平发挥了积极作用。同时也出现了一些新的问题,主要集中表现为看病难、看病贵这个问题。然而广大人民群众对此反应强烈,同时看病难、看病贵成为两会代表委员集中反映最强烈的问题之一。为此引起了中央领导的高度关注和重视,胡锦涛总书记在十六届五中全会上明确提出,要深化医疗卫生体制改革,合理配置医疗卫生资源,整顿药品卫生和流通秩序。认真研究并逐步解决群众看病难、看病贵问题。温家宝总理在今年《政府工作报告》也明确指出,要着眼于逐步解决群众看病难、看病贵问题,加快农村医疗卫生服务体系建设,大力发展城市社区卫生服务。深化医疗卫生体制改革,深入整顿和规范医疗服务项目,药品流通生产秩序。由此可见当前我国医疗卫生事业发展的状况,党和政府切实解决群众看病难,看病贵问题的坚强决心和政府措施。  相似文献   

2.
广东省城镇医疗卫生资源现状分析及对策   总被引:1,自引:0,他引:1  
本文从合理规划广东省城镇医疗卫生资源配置,充分发挥有限的医疗卫生资源的作用出发,探讨了我省医疗卫生资源的配置现状,对全省医疗卫生资源现状进行了理性分析,发现现有医疗卫生资源配置的种种不合理问题,对此提出了改革现有医疗卫生资源不合理配置的建议。  相似文献   

3.
医疗卫生单位固定资产管理中存在的问题及对策   总被引:3,自引:0,他引:3  
医疗卫生单位的固定资产是开展卫生服务的物质基础,是保障人民身体健康、发展卫生事业的重要条件。随着社会主义市场经济体制的建立,卫生改革正不断深化,不同类型的经营方式的出现,为医疗卫生单位注入了新的生机和活力,但也给固定资产管理带来了一些新情况和新问题,有待于我们去解决。  相似文献   

4.
医疗卫生服务体系建设是新时代医改的重要内容,对于优化卫生资源配置、保障居民卫生需求、促进全民健康具有重要意义。新冠肺炎疫情期间,我国卫生服务体系对疫情的防治取得了显著的成果,同时也发现了卫生服务体系存在医防结合不佳、医疗救治体系应急能力有待加强、应急预案和公共卫生体系建设有待完善等问题。在此基础上,提出了加强医防结合、推进分级诊疗、增强基层服务能力、完善疫情应急响应和哨点机制、推广远程医疗和大数据的应用等对策建议,为医疗卫生体制改革和健康中国助力。  相似文献   

5.
树立医疗卫生发展观的几点思考   总被引:3,自引:1,他引:2  
当前是我国医疗卫生事业发展的关键时刻 ,为实现综合发展目标 ,必须树立新的医疗卫生发展观。一、适应经济规律 ,调整医疗卫生结构和布局随着社会主义市场经济的不断发展和完善 ,医疗卫生事业改革也在逐渐走向深入。医疗保险制度、筹资补偿机制及加入WTO后的各种冲击 ,都迫使医疗卫生结构和布局作出相应的调整。首先 ,政府要进行合理的区域卫生规划 ,并给予政策支持。其次 ,医疗卫生行业要发展科技优势 ,开发医疗需求 ;调整资源配置 ,改组产出结构 ;加强内部管理 ,提高成本效益。二、探索多种形式 ,促进卫生资源的有效重组优化卫生资源配…  相似文献   

6.
对政府在医疗卫生事业发展中作用的探讨   总被引:1,自引:1,他引:0  
深化城市医疗卫生体制改革,是2004年我国卫生工作的重点之一,医疗卫生行业担负着为广大群众提供医疗服务的任务,它的生存和发展以及提供医疗服务的质量,直接影响着整个社会、经济的统筹、协调发展。医疗卫生体制改革,必须在实现“三赢”的基础上推进:既要为医疗卫生机构找到生存和发展的出路,特别是使医疗卫生机构建立“自体造血”机制,  相似文献   

7.
浅论新世纪医务人员的价值取向与引导   总被引:3,自引:0,他引:3  
1 医务人员的价值取向 随着我国加入WTO和社会主义市场经济体制的不断完善,以及医疗制度改革的不断深入,给医疗卫生事业的发展带来了新的机遇与挑战.医务人员作为社会人,在医疗体制改革过程中,其原有的价值观必然会与各种新出现的观念、思维方式、行为准则发生碰撞和冲突,其价值观取向变化主要表现为:  相似文献   

8.
区域卫生经济政策是指一定区域内保证卫生事业正常运行,以满足人民群众日益增长的、不同层次的医疗卫生保健要求的各种经济政策,属国家经济政策范畴。卫生经济政策分为宏观卫生经济政策和微观卫生经济政策;也可分为卫生筹资政策和卫生补偿政策。这些卫生经济政策随着社会经济政策、医疗卫生发展和人民群众实际需求的变化而变化。 (一) 八十年代以来,特别是近几年为适应国家经济体制的变化,我区卫生事业进行了相应改革,区域卫生经济政策也有部分调整,表现在由政策、企业和集体经济组织包揽所有医疗卫生服务相应部分人民群众医疗卫生费用的格局已被打破,出现了新的区域卫生经济政策刍形。  相似文献   

9.
随着现代医学技术的发展,一次性医疗卫生用品在临床上广泛应用,它为改善医护人员劳动强度和工作条件,提高工作效率和护理质量开拓了新的领域。但确保产品消毒效果,防止医院内感染的传播与扩散也成为首要问题。我们在对一次性医疗卫生用品消毒效果监督监测管理工作时主要做到了以下几点: 一、加强管理,严格执行有关法规,我们以沈阳卫生事业管理局的名义下发文件:要求全市各生产、经销单位及医疗卫生单位生产经销和使用的一次性医疗卫生用品必须获得省级以上卫生行政部门的卫生许可证,同时经沈阳市  相似文献   

10.
谈中层管理以人的绩效为本   总被引:1,自引:0,他引:1  
随着医疗卫生体制改革不断深入和发展,医疗卫生基层单位中层干部在医疗卫生体制改革中正扮演着越来越重要的角色.如何在医疗卫生体制改革中增强医疗卫生基层单位中层干部的中流砥柱作用,如何使中层干部"人尽其才",如何衡量每个中层干部的价值?已成为改革中医疗卫生基层单位管理的新视点.笔者以为,在"以人为本"管理理念下审视医疗卫生基层单位的工作,通过发掘中层干部的绩效表现来体现医疗卫生基层单位的工作效果,是一种新尝试.所以,医疗卫生基层单位中层管理真正的含义是"以人的绩效为本".  相似文献   

11.
Expanded treatment capabilities, supportive services, and education are available to control the AIDS epidemic as it spreads among new, harder-to-reach populations. Unfortunately, disparities in health status among these groups often prevent them from getting preventive care and treatment. To build awareness among today's at-risk population, health care marketers must address the needs of their target audience. With a well-planned and sensitive approach, they can work with practitioners to bring these services to the people who need them most.  相似文献   

12.
For reasons of equity most OECD countries have chosen to base their funding of health care mainly on public sources. There is an almost universal problem of affordability in the health systems of these countries, arising from the tension between the willingness of populations to pay taxes and the eagerness of patients to use health services where these are free or heavily subsidized at the point of use. These tensions are likely to be exacerbated by a surge of new medical technologies adding to demands for health care. Some observers have predicted the breakdown of publicly funded systems of health care under new spending pressures. However, governments can deploy a range of policies for handling new demands. They can also take comfort from the fact that many of them have already coped with successive waves of technological change in health care without abandoning their core commitment to the public funding of health systems. Furthermore, if standards of living continue to rise, public and private insurers should find it easier to obtain the revenues needed to pay for the improved health care expected by consumers.  相似文献   

13.
The recent opening of massive health databases, as well as the development of methods and tools adapted to their data processing, questions the French model of “morbidity registry”. In France in 2019, nearly 61 health registries were operating. As defined by law, these registries identify exhaustively all patients with a given disease in a given territory. Established several decades ago, these registries are part of the French surveillance system that is used for research and evaluation purposes. Since the advent of recent technological progress, large-scale databases are made available to researchers and it is possible with these databases to answer questions initially assigned to the registries. What is the place of such registries in this new context: are they obsolete or still useful? Should they be opposed to the new tools or are they complementary to them, and if so, what is their place in the new French public health ecosystem? The objective of this work was to assess the roles and missions of existing registries and to reflect on their positioning in this new environment. The French model of registry is sometimes questioned because of the complexity of its circuits, requiring a significant amount of human resources. However, the data that constitute them, validated by cross-checking information from several sources, are of very high quality, and make it possible to validate the data in the new databases (National Health Data System (NSDS) or Hospital Data Warehouses). Registries and new databases are in fact complementary, and far from jeopardizing this model, the recent opening of these databases represents an opportunity for registries to modernize their operations and respond to new missions.  相似文献   

14.
Changes in lifestyle that promote health-enhancing behaviors and inhibit health-compromising behaviors have been recommended by the U.S. Surgeon General as an integral component of our general strategy for improving the health of the nation. A variety of innovations including new knowledge, new products, and new services have been developed with this recommendation in mind, and a major objective of these efforts is to identify settings for the effective diffusion and adoption of these new approaches into population groups that can make use of them. Health care settings such as hospitals, clinics, community health centers, health maintenance organizations, and private physicians' offices offer unique possibilities in this regard. Though opportunities exist for promoting health and preventing disease in other settings like schools and worksites, the primary objectives of such organizations are unrelated to health. Despite the obvious potential, however, our health care system has, in general, retained as its primary emphasis the treatment of disease rather than the enhancement of health. This article reviews the opportunities for health promotion and disease prevention in health care settings and identifies a range of barriers to such efforts. These barriers are discussed within a framework that focuses on dissemination and implementation as critical steps in the knowledge transfer process. Strategies for overcoming these barriers are described within the context of general linkage theory.  相似文献   

15.
The difficult adjustment of Cambodian refugees to life in the United States is no more evident than in their use of the biomedical health care system. When forced by circumstances to seek Western medical care, they often perceive the cause of their symptoms to be untreatable by this technological modality of healing. This attitude is understandable because the lengthy and destructive civil war they survived also extinguished their medical system. Many of the refugees had no contact with Western-style health care until they reached the camps in Thailand. As a result, the Cambodians have had to develop ways to integrate centuries-old indigenous and self-care practices, that they know well, with the modern health care services and technologies, that are new to them. In San Diego they have sought what is for them a new kind of provider, Vietnamese physicians who practice medicine that is culturally appropriate and convenient. Although these multiple systems satisfy them in many ways, a significant number of Cambodians are still not getting well. The constant pursuit of healing is time-intensive and expensive, and ignores the emotional effects of refugee status on physical health.  相似文献   

16.
The world is rapidly changing in many aspects concerning veterinary medicine, and man-animal relationships in urban areas represents a real challenge for the profession. Unlike the vertical approach of the academic teaching tradition, veterinary urban hygiene needs a strong holistic-epidemiologic support. Year by year, new animals, new animal uses, new fashions, new zoonoses, and new problems appeared amplified by media with the duty of the public veterinary services to solve them. The practical experience of many years of these continuous challenges is now concentrated on a new health sector: urban veterinary hygiene that now calls for a multidisciplinary and intersectoral collaboration with other professional categories to guarantee human, animal and environment health.  相似文献   

17.
Growing recognition that the acute health care delivery system contributes proportionally less to health when compared with environment and behavior has focused scholars and public health experts on the need to address nonmedical determinants of health. This paper outlines some steps that the U.S. government can take to address these factors and describes some of the challenges involved. Actions that can be undertaken now are increased education and leadership, development of mechanisms to further collaboration among sectors, expanded monitoring and reporting on nonmedical determinants, and developing new knowledge about how these factors affect health and successful interventions to address them.  相似文献   

18.
Asian Americans are one of the fastest growing groups in the United States. A majority of them are foreign born, which makes their health-related situation very complex. Many still have the diseases they brought with them from their native lands. In addition, they acquire new diseases attributed to the changes in their living conditions and lifestyle. They are vulnerable to the physical effects of acculturation-related stress as well. The health care needs of these new Americans are not being adequately met. This article describes the barriers to their ability to use health care services and analyzes the reasons for the health care system's inability to respond to their needs. Finally, it urges social work to contribute to the system's responsiveness and suggests approaches to social work intervention with and on behalf of Asian Americans.  相似文献   

19.
Since the fall of the Berlin Wall, fundamental political changes in eastern Europe have affected the Soviet-style health care systems that formerly provided basic care for everyone. Many of these systems have collapsed, and the new systems of social insurance that have replaced them often are inadequate. Advanced Training in Reproductive Health in Romania aimed to create an authority in family planning and reproductive health in selected Romanian university centers and to improve training and research capabilities. Initially, the project had 2 main goals: to provide advanced training in reproductive health and family planning to Romanian obstetrics-gynecology specialists from the main university centers-which would allow them to train other physicians (obstetricians, gynecologists, and general practitioners) and medical students-and to develop, test, and finalize specific training materials in Romanian to be used by the new trainers.  相似文献   

20.
Patients, providers, and policy leaders need a new moral compass to guide them in the turbulent U.S. health care system. Task forces have proposed excellent ethical codes, but these have been seen as too abstract to provide guidance at the front lines. Harvard Pilgrim Health Care's ten-year experience with an organizational ethics program suggests ways in which health care organizations can strengthen transparency, consumer focus, and overall ethical performance and contribute to the national health policy dialogue.  相似文献   

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