门诊药房剥离对非营利性医院的影响研究

通过对陕西省29所医院的资料调查,文章就医疗机构门诊药房剥离的有关问题进行实证分析,并对有关门诊药房剥离对非营利性医院的影响等做了研究.     

试行医院门诊药房分离产生的问题及思考

目的：探讨医院门诊药房分离试点工作中所产生的问题厦原因。方法：介绍医院药房分离试点工作的基本内容，并就试点工作中产生的问题及此项改革所涉厦的体制和配套政策等方面的问题进行分析和思考。结果与结论：医药卫生体制改革是一项系统工程，单靠医院门诊药房分离改革是无法解决体制问题的。     

医院门诊药房管理中的问题和解决对策分析

在患者就医过程中,医院的门诊药房属于极其重要的组成部分,所以医院门诊药房的管理水平与规范程度,与患者的健康与生命安全具有紧密的联系。随着人们关注医院服务的质量,促使医院对门诊药房的管理要求越来越高,但是药房管理存在一定的问题,需要不断对其所存在的问题进行分析,确保对其所存在的问题进行解决,从而对医院门诊的药房进行更加规范化的管理。     

精细化药房管理模式应用于医院门诊药房工作的效果

目的:探讨完善药房管理模式在医院门诊药房的应用效果.方法:我院于2016年1月开始完善门诊药房的药房管理模式,比较完善前后门诊药房上报差错率和患者满意度.结果:比较结果显示,在门诊药房完善药房管理模式之前,上报差错率0.91％,经精细化药房管理后门诊药房上报差错率为0.19％,差异显著(P<0.05);同时,在门诊药房在进行完善前患者对药房工作的满意评分为(62.4±4.1)分,采用了精细化管理模式后门诊药房工作满意度评分(90.2±4.5)分,差异显著(P<0.05).结论:根据门诊药房的工作管理,强化管理模式的使用可以提高门诊药房的效率,提高门诊药房患者的满意度,值得推广.     

医院门诊药房面对市场竞争的思考

在激烈的市场竞争中，医院门诊药房面临着前所未有的挑战。文章对医院门诊药房的现状进行了分析，剖析了“医改”、社会药房、科学技术等外界环境对医院门诊药房提出的新要求，指出对医院门诊药房进行有效管理的途径。     

医院门诊药房服务流程再造的实践

本组王丽姿等所写《质量功能展开在门诊药房质量设计中的应用》一文，研究了如何应用QFD法进行医院门诊药房质量设计，并得出设计质量要素为“作业效率高”和“缩减取药环节”，这将是我们进行门诊药房服务流程再造的重点。设计质量要素被确定后，还必须运用工程或技术手段来实现。在此，就业务流程再造（BPR）理论方法在医院门诊药房中的应用实践进行论述。     

医院门诊药房超市化经营模式的探讨

目的探讨医院门诊药房超市化经营模式。方法分析了门诊药房超市化的原因、含义、形式和作用。结果通过对医院门诊药房超市化的探讨，提出了医院门诊药房的发展方向。结论医院药房超市化是医药卫生体制改革的必然趋势，是我国加入WTO后对医院药房发展提出的要求，是我国医院药房管理与国际接轨的必然结果。     

医院门诊药房社会化探讨

本文根据当前门诊药房现状,对药房实现社会化的必要性及存在的问题做了探讨。     

医院门诊药房如何开展药物咨询服务

随着医疗卫生事业改革的不断深入,医院药学模式由单纯的保障供给服务型向以合理用药为中心的技术服务型转变,开展药学咨询服务,既是医院门诊药房的基本工作,也是药学工作人员与患者的交流平台,为树立药师的新形象提供了条件.现就医院门诊药房开展药物咨询服务的相关问题进行探讨.     

医院门诊药房社会化经营政策实证研究与探讨

通过对陕西省29所医院的资料调查研究与实证分析,文章就医院门诊药房社会化经营政策的有关问题进行了探讨.     

努力实现4个月纯母乳喂养的目标

要实现4个月纯母乳喂养的目标,必须转变观念,增强健康教育的力度,采取多种形式开展母乳喂养宣传。不仅要创建爱婴医院,而且还要创建爱婴县(市),把提高4个月纯母乳喂养率纳入各级政府、卫生行政部门和医疗保健单位的年度目标考核之中。本文对上述干预措施进行了探讨。     

优化结构提高效率实现医院可持续发展

随着我国医疗保险的大范围实施，医院只有优化结构、提高效率，才能实现可持续发展。以财务管理为出发点，分析了目前大型医院所面临的现行国家医疗政策、外部环境以及内部约束等条件，提出强化医疗业务管理．建立科学合理的医疗业绩考核指标体系：平均住院天数、出院人数、手术量、门诊预约率，促进医疗业绩的提高：强化财务管理，建立现代医院财务考核指标体系：结余率、人均结余、病人人均费用，对各个科室的经济效益进行考核，促进医院经济效益的提高。     

股骨近端解剖参数的测量及两种髓腔形态界定方法的比较研究

目的 明确股骨近端解剖参数和髓腔形态与年龄、性别的关系,分析比较两种髓腔形态的界定方法.方法 随机抽取45例行全髋关节置换术患者术前所拍摄的患髋正、侧位X线片,测量股骨近端解剖参数,并分别运用Dorr分类法和Noble分类法对髓腔形态进行分析.结果 (1)男性股骨近端解剖参数与年龄无相关性.(2)女性股骨小转子中点下方10 cm处的髓腔内径、髓腔峡部处的髓腔内径、股骨髓腔峡部与股矩峡部比值与年龄呈正相关.(3)女性股骨小转子中点下方10cm内、外侧皮质厚度、皮质指数、股骨近端髓腔开口指数与年龄呈负相关.(4)根据Dorr分类法股骨髓腔形态分为A型13例(29%)、B型20例(44%)、C型12例(27%).根据Noble分类法股骨髓腔形态分为香槟酒瓶型4例(9%)、正常型34例(76%)、烟囱型7例(16%).结论 男性股骨髓腔形态不随年龄而发生变化,女性股骨髓腔形态随年龄增长而增宽.Dorr分类法中的C型包含了Noble分类法中的烟囱型和部分正常型.     

Hypnosis: Exploring the Benefits for the Role of the Hospital Social Worker

This article will provide an examination of Erickson's model of hypnosis and the impact hypnosis has made on the psychosocial well being of the medically ill patient. The intrinsic three stage process of a hypnotic intervention, as well as its value, practice assumptions, and its relevance to alleviating pain, distress, and anxiety with oncology patients will be discussed. We have found this approach to be particularly effective with adult oncology patients at alleviating the side effects of the arduous treatment that is often endured. Case vignettes will demonstrate the benefits of utilizing this intervention with adult patients in the hospital setting as well as provide specific insight into the creative methods in which we have woven hypnosis into our clinical work. Finally, we will explore the use and rationale of hypnosis in medical settings and the impact of using this intervention on the role of the hospital social worker.     

Should the Clinical Supervisor Be the Administrative Supervisor?

Abstract

This article presents the clinical supervisor as administrative supervisor dual role as both an ethical issue and a current practice in counselor supervision. The author examines the two supervisor roles as well as the pros and cons of supervisors assuming the dual role with a supervisee. Finally, the author proposes how both administrative and clinical supervision can be ethically and effectively delivered in various counseling settings given their financial struggles and managed care climate.     

“以病人为中心”的经济学思考

“以病人为中心”是一个严肃的医学道德问题,也有着重要的经济学意义。“以病人为中心”是医院保护“人”这个生产力最活跃因素的客观功能,坚持“以病人为中心”要以满足社会医疗需求为重点,做到病人“治好病、花钱省”,争取医院效能最大化。     

Conversation: the fundamental nursing care from the perspective of the hospitalized patient

The study focuses conversation as care that integrates other elements of hospital nursing. It had as its objective to analyze conversation as an essential stage of the dialogue between the patient and the nursing team. Five people participated who had already been hospitalized and that were now under clinical monitoring due to learning to live with AIDS. The information was obtained by means of the "Almanac" technique of sensitivity and creativity, semi-structured interview, and by active observation. The study contributed to reinforce the relational nature of the nursing care and the position of the patient as an object of this care who expresses his/her requests and wants in the process of dialoguing between this person and the nursing staff, expressed by conversation, which is viewed as a significant factor in nursing care.     

Centenary of the Health Council of the Netherlands. VI. Coordination mechanisms and the authority of the Health Council of the Netherlands

What do scientific advisory boards such as the Health Council of the Netherlands get their authority from? How does the Council ensure that its advice is incorporated into policy and into the practices at which the advice is directed? A frequently heard answer to this question is: by describing 'the state of knowledge' as optimally as possible. However, case studies on advisory work by the Health Council have shown that this explanation is too simplistic. It is more likely that the explanation lies in the use of 'co-ordination tools'--such as problem definition, the committee process and a specific use of language--that enable the Council to both separate and bridge science and policy. The authority of the Council is based on the hybrid nature of its work.     

新时期高校教学管理人员的作用与素质要求

随着新世纪我国高等教育改革的不断深化,高等学校的发展对高校管理人员提出了越来越高的要求.该文论述了教学管理人员在高校教学管理中的特殊地位和重要作用,提出了新时期高校教学管理人员所应具备的素质,以及如何提高教学管理人员的素质,从而保证教学质量的不断提高.