用发展凝聚人心促医院全面建设

第455医院坚持用发展凝聚人心,促进医院全面建设,取得了明显的效果.其具体做法是:①不断提高党委谋医兴院的层次;②努力提高医院开拓发展的能力;③不断增强医院发展的后劲.     

适应市场经济加快医院发展

我国医院在适应市场经济的过程中,必须坚持社会效益第一的办院宗旨;必须坚持质量在医院建设中的核心地位;必须坚持“以特色取胜,以特色竞争”的办院策略;必须坚持以成本核算为基础的经济管理模式;必须坚持主动适应市场经济,拓展医院功能的运行机制。     

坚持群众路线 做好医院基层党建工作

深入开展医院基层党的群众路线教育实践活动,是新时期加强和改进党的建设,推进中国特色社会主义建设的重大举措;是卫生行业提升服务理念,改变工作作风,为民务实清廉的需要;是推动解决医院坚持党的群众路线方面突出问题,促进卫生行业的工作科学发展的需要。1明确指导思想确立实现目标1.1明确指导思想医院党委按照从严治党和中央八项规定要求,坚持用整风精神抓好批评与自我批评,进一步强化党员干部宗旨意识、责任意识、     

跨域医联体建设中某三级公立医院临床专科效率分析△

目的：分析长三角区域一体化背景下某三甲医院跨域医联体建立前后的临床专科的运行效率,为医院合理配置资源提供参考依据。方法：运用数据包络分析方法（DEA）对医院2017年底跨域医联体建立以来36个临床专科运行效率进行评价。用非参数检验及卡方（X2）检验比较不同紧密程度DEA效率的差异。结果：2017年-2020年DEA效率由0.644提升至0.836,对外合作紧密科室DEA效率显著优于不紧密科室,差异均具有统计学意义（P < 0.05）。结论：医院应坚持开放协作策略,推进区域协同发展;坚持差异发展思维,统筹配置医疗卫生资源;坚持绩效考核导向,强化医院现代化精细化管理。     

坚持管理创新提升医院综合保障能力

坚持管理创新是提升医院综合保障能力的不竭动力.笔者对医院这几年建设发展所取得的成绩进行分析,提出了军队医院管理创新的必要性.总结了医院管理创新的主要做法:一是坚持管理理念创新;二是坚持管理模式创新;三是坚持管理手段创新.医院管理创新取得的成效:①经济效益持续增长;②社会效益明显提高;③风气建设明显改善;④保障能力明显增强.     

切实做好新形势下的医院共青团工作

分析当前医院共青团工作中存在的问题:新时期团员青年思想政治工作难度增大,共青团组织建设有待加强,开展团的活动存在一定的困难;提出开展医院共青团工作具体做法:坚持用科学的理论武装青年,坚持党建带团建,发挥医疗服务窗口作用,深化青年志愿者行动,深化青年人才工程,扎实开展学习型团组织。     

深化劳动人事制度改革 实现医院全员效率管理

分析了医院劳动人事制度改革的现状和潜力,论述了医院深化劳动人事制度改革的内容和措施,提出了深化医院劳动人事制度改革的原则和工作要求,即坚持从实际出发,因地制宜;坚持效益分流;坚持改革与队伍稳定的高度统一。     

新形势下实现军队医院科学发展的策略

本文采用SWOT分析法,在全面剖析了笔者所在医院的内部优势与劣势,外部机会与威胁的基础上,提出了在新形势下实现军队医院科学发展的四个策略选择:坚持优势集中化策略,保重点强特色做大做强大器官疾病综合救治平台;坚持管理精细化策略,加强细节管理提升医教研工作质量,强化军事医学特色;坚持成本领先化策略,通过增加收益从根本上提高医院总体收入;坚持服务人性化策略,增进情感交流创建和谐医院。     

区域军队中心医院学科建设对策

分部所属医院都是中心医院,编制床位都在200张左右;各医院学科实力、品牌影响、技术水平和教学科研能力不断提升,建设发展成绩喜人。但按照科学发展观规律、广大官兵健康需求和医院现代化建设标准来衡量,各医院学科建设还存在人才队伍不够整齐、制度落实不够严格、学科发展不够平衡、医教研发展不协调等矛盾。中心医院学科建设要坚持创新发展,增强学科建设的动力;坚持规范管理,挖掘学科建设的潜力;坚持人才为先,激发学科建设的活力;坚持文化推动,提升学科建设软实力。     

以科学发展观构建坚强领导集体

推动医院又好又快发展,医院领导班子和领导干部是关键力量.坚持以科学发展观加强医院领导班子思想建设、作风建设和组织建设,打造奋发有为的医院领导班子,用优良作风建设促进医院和谐发展,提高医院领导班子成员的自身素质,成为构建自觉坚持医院科学发展、善于领导医院科学发展的坚强领导集体的必然要求,是新形势下医院建设和发展所面对的一项重大战略任务.     

以科学发展观促进医院可持续发展

面对日趋激烈的医疗市场竞争,军队医院的建设和发展必须按照科学发展观的要求,坚持科学定位,促进协调发展,把握适度规模,推进内涵建设,注重整合资源,充分凝聚力量,全面提升医院综合实力,真正实现军队医院的跨越式发展.     

加强人才队伍建设 提升医院核心竞争力

面对日趋激烈的医疗市场竞争，医院通过加强人才队伍建设，不断提升医院的核心竞争 力，取得了较好的社会和经济效益。主要做法是：通过外部人才引进和内部人才培养，不断优化人 力资源结构；通过创造和谐的内部环境、提供必要的硬件支持、提供必要的生活保障、采取有效的激 励措施、依托高校品牌优势等，逐渐完善人才管理机制。     

某院优势学科建设实践

军队医院在为军服务保障的同时也身处市场经济调控大潮中,医院主体之间的竞争日趋激烈,体系部队与驻地民众对医院的需求和要求日益提高,提升医院整体竞争力是每所医院追求的最终目标。就现状看,军队医院,特别是中小型医院,在竞争中往往处于弱势。要提升医院整体竞争力需加强核心竞争力,这就要求军队医院必须强化军队自身服务区域的功能,立足区域经济发展需求,突出学科建设龙头地位,强化特色意识,把市场竞争力与区域保障力有机结合起来。     

Hungry for Hungary: examples of tobacco industry's expansionism

OBJECTIVE: To give an overview of available internal tobacco industry documents on the transnational tobacco companies' (TTCs) efforts to enter the new market of the emerging democracy of Hungary and how it developed allies in its efforts at resisting tobacco control regulations. METHOD: Internal tobacco industry documents relevant to Hungary, available on the World Wide Web, were searched between 26 July and 30 November 2001. Documents on the identification of Central and Eastern Europe (CEE) as a great market potential have been reviewed; another set of reviewed documents are of particular relevance to Hungary, as they indicate who the main partners of the industry are. CONCLUSIONS: TTCs not only invaded the markets of the fragile new CEE democracies by making their product widely available, but also introduced sophisticated lobbying and marketing tactics. TTCs will try to shape the country's regulatory framework in a manner to help increase their profits. The fiercer the reaction of TTCs against a planned regulatory measure is, the more impact on the health of the population could be expected from the introduction and enforcement of that measure.     

最新科技评价改革文件细则对科技期刊的影响

【目的】 研究科技部和教育部发布的《关于破除科技评价中“唯论文”不良导向的若干措施(试行)》和《关于规范高等学校SCI论文相关指标使用 树立正确评价导向的若干意见》文件细则对我国科技期刊的影响,客观分析最新科技评价导向给期刊发展带来的机遇和挑战。 【方法】 采用态势分析(SWOT)方法,从内部优势(Strengths,S)、内部劣势(Weaknesses,W)、外部机会(Opportunities,O)、外部威胁(Threats,T)4个方面进行分析。【结果】 此次科技评价改革对我国科技期刊产生的内部优势是可以重塑编辑的办刊初心;内部劣势是有可能会影响我国稿源总量,导致期刊对高质量论文的竞争进一步加剧;外部机会是可以重构我国科技期刊生态环境,提升国内科技期刊在科技评价中的权重以及中文科技期刊的关注度;外部威胁是“三类高质量论文”的界定会使国际科技期刊和顶级学术会议论文集分流我国的高质量论文。【结论】 科技期刊在新形势下机遇和挑战并存,编辑应该根据不同期刊的情况采取不同的应对策略,抓紧优势和机会、蓄势而上,直面劣势和威胁、大胆突破。     

Manager-physician relationships: an organizational theory perspective

Manager-physician relationships are a critical determinant of the success of health care organizations. As the health care industry is moving toward a situation characterized by higher scarcity of resources, fiercer competition, more corporitization, and strict cost-containment approaches, managers and physicians should, more than ever, work together under conjoint or shared authority. Thus, their relationship can be described as one of high rewards, but also of high risk because of the wide range of differences that exist between them: different socializations and trainings resulting in different worldviews, value orientation and expectations and different cultures. In brief, managers and physicians represent different "tribes," each with its language, values, culture, thought patterns, and rules of the game. This article's main objective is to determine the underlying factors in the manager-physician relationship and to suggest ways that make this relationship more effective. Four different organizational perspectives will be used. The occupational perspective will give insights on the internal characteristics of the occupational communities of managers and physicians. The theory of deprofessionalization of physicians will also be discussed. The structuring perspective will look at the manager-physician relationship as a structure in the organization and will determine the effects of contextual factors (size, task uncertainty, strategy, and environment) on this relationship and the resulting effect on performance and effectiveness of the organization. The culture and control perspective will help detect the cultural differences between managers and physicians and how these interact to affect control over the decision-making areas in the hospital. The power, conflict, and dialectics perspective will shed the light on the conflicting interests of managers and physicians and how these shape the "power game" in the organization. Consequently, a theoretical model of manager-physician relationships that encompasses all these perspectives is developed.     

Workshop report: Nucleic acid delivery devices for HIV vaccines: Workshop proceedings,National Institute of Allergy and Infectious Diseases,Bethesda, Maryland,USA, May 21, 2015

On May 21st, 2015, the U.S. National Institute of Allergy and Infectious Diseases (NIAID) convened a workshop on delivery devices for nucleic acid (NA) as vaccines in order to review the landscape of past and future technologies for administering NA (e.g., DNA, RNA, etc.) as antigen into target tissues of animal models and humans. Its focus was on current and future applications for preventing and treating human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS) disease, among other infectious-disease priorities. Meeting participants presented the results and experience of representative clinical trials of NA vaccines using a variety of alternative delivery devices, as well as a broader group of methods studied in animal models and at bench top, to improve upon the performance and/or avoid the drawbacks of conventional needle-syringe (N–S) delivery. The subjects described and discussed included (1) delivery targeted into oral, cutaneous/intradermal, nasal, upper and lower respiratory, and intramuscular tissues; (2) devices and techniques for jet injection, solid, hollow, and dissolving microneedles, patches for topical passive diffusion or iontophoresis, electroporation, thermal microporation, nasal sprayers, aerosol upper-respiratory and pulmonary inhalation, stratum-corneum ablation by ultrasound, chemicals, and mechanical abrasion, and kinetic/ballistic delivery; (3) antigens, adjuvants, and carriers such as DNA, messenger RNA, synthesized plasmids, chemokines, wet and dry aerosols, and pollen-grain and microparticle vectors; and (4) the clinical experience and humoral, cellular, and cytokine immune responses observed for many of these target tissues, technologies, constructs, and carriers. This report summarizes the presentations and discussions from the workshop (https://web.archive.org/web/20160228112310/https://www.blsmeetings.net/NucleicAcidDeliveryDevices/), which was webcast live in its entirety and archived online (http://videocast.nih.gov/summary.asp?live=16059).     

Heavy Metals in Aquatic Macrophytes from Two Small Rivers Polluted by Urban,Agricultural and Textile Industry Sewages SW Poland

This article presents the results from a study of the comparison of 2 lowland rivers: the Olobok and the Pilawa in southwest Poland polluted by urban, agricultural, and textile industry sewages. pH and concentrations of Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, Ni, Pb, Zn, nitrate, nitrite, ammonia, phosphate, and sulfate were measured in water samples and concentrations of Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, N, Na, Ni, P, Pb, S, and Zn were measured in stream bottom sediments and in the aquatic macrophytes Elodea canadensis, Callitriche verna, Potamogeton crispus, Potamogeton natans, and Ceratophyllum demersum from the river Olobok and Elodea canadensis, Polygonum amphibium, Potamogeton crispus, and Veronica beccabunga from the river Pilawa. The matrix of concentrations of 16 elements in 27 plant samples of 7 species from 15 sampling sites of 2 rivers and concentrations of 15 elements and pH in water samples and 16 elements and pH in bottom sediment samples of these sites was submitted to numerical classification, which revealed that sampling sites from the rivers were differentiated by the value of factor 1 of principal component analysis (PCA), which was related to the pH of water, Ca, Cu, Mg, Mn, and Ni in water and Cd, Cr, Cu, Fe, K, Mg, Na, Ni, P, and S in bottom sediments. More polluted parts of both rivers were differentiated from less polluted parts by the value of factor 2 of PCA, which was related to Pb, Zn, and sulfates in water and Ca and Zn in bottom sediments. Macrophytes from the Olobok and Pilawa rivers were differentiated by the value of factor 1, which was related to Ca, Co, Cr, Cu, Fe, Mg, Ni, N, Na, Pb, and S. Groups of macrophytes of more and less polluted parts of both rivers differed by the value of factor 2, which was related to P, K, and Mn. Downstream of the sewage outputs in both rivers, a significantly increased level of pollution occurs with elements correlated with factor 1: Among others were Cu and Cr, typical for the textile industry along the river Pilawa, and among others were Mn and Ni, typical for the urban and agricultural activities in the river Olobok.     

Burnout as a clinical entity--its importance in health care workers

Burnout, viewed as the exhaustion of physical or emotional strengthas a result of prolonged stress or frustration, was added tothe mental health lexicon in the 1970s, and has been detectedin a wide variety of health care providers. A study of 600 Americanworkers indicated that burnout resulted in lowered production,and increases in absenteeism, health care costs, and personnelturnover. Many employees are vulnerable, particularly as theAmerican job scene changes through industrial downsizing, corporatebuyouts and mergers, and lengthened work time, Burnout producesboth physical and behavioural changes, in some instances leadingto chemical abuse. The health professionals at risk includephysicians, nurses, social workers, dentists, care providersin oncology and AIDS-patient care personnel, emergency servicestaff members, mental health workers, and speech and languagepathologists, among others. Early identification of this emotionalslippage is needed to prevent the depersonalization of the provider-patientrelationship. Prevention and treatment are essentially parallelefforts, including greater job control by the individual worker,group meetings, better up-and-down communication, more recognitionof individual worth, job redesign, flexible work hours, fullorientation to job requirements, available employee assistanceprogrammes, and adjuvant activity. Burnout is a health careprofessional's occupational disease which must be recognizedearly and treated.     

Degradation and persistence of cotton pesticides in sandy loam soils from Punjab, Pakistan

The present study evaluated the influence of temperature, moisture, and microbial activity on the degradation and persistence of commonly used cotton pesticides, i.e., carbosulfan, carbofuran, lambda-cyhalothrin, endosulfan, and monocrotophos, with the help of laboratory incubation and lysimeter studies on sandy loam soil (Typic Ustocurepts) in Pakistan. Drainage from the lysimeters was sampled on days 49, 52, 59, 73, 100, 113, and 119 against the pesticide application on days 37, 63, 82, 108, and 137 after the sowing of cotton. Carbofuran, monocrotophos, and nitrate were detected in the drainage samples, with an average value, respectively, of 2.34, 2.6 microg/L, and 15.6 mg/L for no-tillage and 2.16, 2.3 microg/L, and 13.4 mg/L for tillage. In the laboratory, pesticide disappearance kinetics were measured with sterile and nonsterile soils from 0 to 10 cm in depth at 15, 25, and 35 degrees C and 50% and 90% field water capacities. Monocrotophos and carbosulfan dissipation followed first-order kinetics while others followed second-order kinetics. The results of incubation studies showed that temperature and moisture contents significantly reduced the t(1/2) (half-life) values of pesticides in sterile and nonsterile soil, but the effect of microbial activity was nearly significant that might be due to less organic carbon (0.3%). The presence of carbofuran and monocrotophos in the soil profile (0-10, 10-30, 30-60, 60-90, 90-150 cm) and the higher concentrations of endosulfan and lambda-cyhalothrin in the top layer (0-10 cm) showed the persistence of the pesticides. The detection of endosulfan and lambda-cyhalothrin in the 10-30 cm soil layer might be due to preferential flow. The data generated from this study could be helpful for risk assessment studies of pesticides and for validating pesticide transport models for sandy loam soils in cotton-growing areas of Pakistan.