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1.
本文分析新医改政策实施以来,我国大型医用设备配置与利用管理面临一些新的形势和挑战,如外部政策环境的变迁、大型医用设备配置管理面临的难题、大型医用设备使用管理的困境、大型医用设备管理体制改革的挑战等问题,以期引起大型医用设备管理层对此问题的重视。  相似文献   

2.
目的:针对大型医用设备配置现状,探讨、分析医院设备管理中存在的问题及其原因,提出科学的管理办法。方法:购置大型医用设备前开展考察论证、可行性分析,购置后实施科学的绩效评估。结果:根据绩效评估报告,调整采购计划,使大型设备的配置得到优化。结论:使用大型医用设备绩效评估的新方法,实现大型设备配置规范化、合理化,更好地为大型医用设备的综合管理和购置决策提供参考依据。  相似文献   

3.
大型医用设备配置与管理研究进展   总被引:2,自引:0,他引:2  
通过文献评阅的方法,从五个方面综述国内外有关大型医用设备配置与管理研究的进展,分别是:大型医用设备配置与管理的政策演化、我国大型医用设备配置存在的主要问题、大型医用设备的经济学评价、大型医用设备配置规划方法以及国外大型医用设备配置和管理的经验和做法。最后,结合实际提出了几点思考和建议。  相似文献   

4.
随着医疗技术不断提高,人们对健康要求逐渐增高,大型医用设备应用在医院医疗中重要性也逐渐明显。传统的大型医用设备运行数据依靠人工进行统计和记录,无法实时进行监控,漏记、记错情况经常发生,应用数据无法保证准确性。基于物联网技术的大型医用设备运行数据监控,能够实现实时动态监控,能够准确了解设备使用情。利用信息化技术建立信息数据库,设备运行实时监控系统等,对我国大型医疗设备运行数据管理具有重要意义。文章从物联网技术概念入手,基于物联网技术的大型医用设备运行数据研究背景及意义,物联网技术的大型医用设备运行数据监控技术,以及物联网技术的大型医用设备运行数据分析等方面对应用现状进行分析。  相似文献   

5.
医院大型医用设备成本核算体系的构建和实施   总被引:1,自引:0,他引:1  
焦贵荣 《现代医院》2011,11(7):125-126
大型医用设备属于医院的重大长期投资,如何对其进行成本核算具有重要的理论价值和现实意义,是医院财务管理的一项重要内容。本文对医院大型医用设备成本核算体系的构建进行了重点论述,并对如何实施大型医用设备成本核算体系进行了详细的阐述。  相似文献   

6.
通过对全兵团乙类大型医用设备的普查,评价兵团乙类大型医用设备配置现状,分析其人口公平性,为兵团乙类大型医用设备配置规划提供参考依据。在描述性分析兵团乙类大型医用设备配置现状的基础上,利用Lorenz曲线和Gini系数分析乙类大型医用设备的人口公平性。兵团乙类大型医用设备共40台,其中CT22台,DSA10台,MR13台,LA5台。兵团乙类大型医用设备按人口分布的基尼系数为0.2183,CT为0.2627。兵团乙类大型医用设备增长迅速与超龄服役现象并存,在不同地域的人口配置上相对公平。  相似文献   

7.
目的:为优化大型医用设备配置与管理工作提供政策性建议和参考。方法:采用文献评阅及实地调研的方法,简析在政策实施过程中出现的问题,并提出相应的对策。结果:尽管国家在对加强大型医用设备的配置与管理工作进行积极地探索与实践,但在实施过程中仍浮现出许多问题,大型医用设备的管理体系不健全,配置与管理工作并没有达到预期的效果。结论:大型医用设备配置与管理工作应从宏观和微观、政策建议及配套措施3个层面加强管理力度,实施管理政策。  相似文献   

8.
大型医用设备配置规划方法探讨   总被引:1,自引:0,他引:1  
近年来,我国大型医疗设备增长迅速,出现设备利用过度和利用不足共存的现象,加重了老百姓的医疗负担,加快了国家的卫生费用增长速度,加强大型医用设备的配置和使用管理工作迫在眉睫。2004年12月由卫生部、国家发展改革委员会、财政部联合颁布的《大型医用设备配置与使用管理办法》正是在这样的背景下应运而生。办法指出大型医用设备管理品目分为甲、乙两类,甲类由国务院卫生行政部门管理,乙类由省级卫生行政部门管理,同时出台了配套文件——《配置规划指导意见》。但各地在实际制定规划过程中存在很多难点,如规划乙类大型医用设备的配置量和配置标准。本研究提出一套大型医用设备配置方法,并介绍其在北京市乙类大型医用设备配置规划的应用,期望为其他地区制定大型医疗设备配置规划提供参考。  相似文献   

9.
目的:针对大型医用设备配置现状,探讨、分析医院设备管理中存在的问题及其原因,提出科学的管理办法。方法:购置大型医用设备前开展考察论证、可行性分析,购置后实施科学的绩效评估。结果:根据绩效评估报告,调整采购计划,使大型设备的配置得到优化。结论:使用大型医用设备绩效评估的新方法,实现大型设备配置规范化、合理化,更好地为大型医用设备的综合管理和购置决策提供参考依据。  相似文献   

10.
目的 :了解我国乙类大型医用设备在各地区、各省分布的公平性,为政府卫生计生部门制定大型医用设备配置规划提供依据。方法 :对我国乙类大型医用设备现状进行调查,利用基尼系数从人口和地理2个角度对大型医用设备配置的公平性和科学性进行分析评价,用泰尔指数衡量地区间、区域内公平性,分析影响因素。结果 :我国乙类大型医用设备按人口分布的基尼系数均在0.3以下,配置处于公平状态;按照地理分布的基尼系数,计算机断层扫描(CT)、磁共振成像(MRI)、数字减影血管造影(DSA)的配置在0.6以上,为高度不公平。CT、MRI、DSA的泰尔指数分别为0.015 3、0.017 1、0.030 5,总体配置公平性较好。结论 :我国大型医用设备按人口配置的资源公平性优于按地理配置的公平性;不同省份乙类大型医用设备配置公平性受其地区内部影响。应采取宏观调控策略科学合理配置乙类大型医用设备。  相似文献   

11.
文章从医学模式演化、医疗技术发展、相应建筑空间环境需求特性、以及相关系统整合等方面,探讨其与大型医疗设备发展的联系。简述了运营中的医院,为放置大型医疗设备而必须对建筑条件加以改造。运用空间布局变异原理,浅析了医院功能空间布局合理性滞后于大型医疗设备发展因果所在,并提出综合医院应考虑大型医疗设备未来所需环境储备的新思路。  相似文献   

12.
医疗卫生产业化改革的核心内容分析   总被引:1,自引:1,他引:1  
医疗机构是卫生服务系统的主要组成部门,经济转轨时期,医院自身利益和其被赋予的社会公共职能之间的矛盾和冲突越来越明显,医疗卫生机构的管理体制已远远不能适应现阶段卫生发展的形势需要.该文在分析医疗系统主要问题的基础上,指出医疗机构产业化改革的核心内容是管理体制改革,并进一步阐述了管理体制改革的紧迫性和重要意义.  相似文献   

13.
本用统筹学对医院建设现状及走向进行评估,在此基础上提出了医疗统筹学深入研究和广泛运用是适应面向未来的主要课程;并指出其在医院的应用以确保医疗效用以增进科学性、必要性、可行性。  相似文献   

14.
The last few years have been a period of transition not only for hospitals and their governance but also for post-graduate medical education in Hong Kong. Both trends have a direct impact on the information market place. This article starts by studying the provision of medical and health-related information in Hong Kong. The two university medical and dental libraries, together with the hospital and health sciences libraries in government hospitals and the Department of Health, house the major collections on medicine and health care. The demand for medical and health care information is increasingly felt with the takeover of 39 hospitals by the statutory Hong Kong Hospital Authority in 1991. The major problems and issues in planning for library information services are the historically uneven development of libraries, discrepancies in funding, the changes in organizational and management structure, and the competition with higher development priorities within the organization. In view of current technology and the availability of rich external resources, the adopted strategies tend towards the formation of 10 library service networks, development of integrated library information systems on the Health Authority-wide area network, and the devolution of management responsibilities. The future challenges in store for the information professional are examined.  相似文献   

15.
Among the recommendations made to the IPPF Central Medical Committee by its Medical Education Subcommittee following a meeting held in London in November 1970 were: 1) family planning is an intrinsic part of medical care and therefore should be part of medical training; 2) as a subject, family planning involves many disciplines and should be a continuous process in medical training; 3) family planning should be taught to all those involved in the health care of the community, including doctors, dispensers, auxiliary nurses, 'traditional midwives,' and community leaders; and 4) the current pattern of medical training along specialized lines can, on occasion, jeopardize the doctor's ability to take a balanced overview of the community problem. As family planning and human reproduction are multidisciplinary, the teaching program should be the responsibility of several departments in any medical school and a specially appointed committee might be created to insure cooperative instruction. Subject matter could be classified under 3 major headings (biological, social, and clinical) and could be introduced at each level of medical training. A suggested curriculum schedule is charted in the report. It is suggested that during obstetric and gynecological rotating internships, the student be assigned to a family planning clinic and receive training in methods of contraception, including IUD insertion and vasectomy. The latter may also be taught during surgical internships. In countries with chiefly agricultural economies, interns should visit rural areas at this stage to apply their knowledge to community medicine. Postgraduate training would inculcate inservice training and specialization. Training for doctors already in practice should be identical to that recommended for undergraduate students although the courses should be brief and condensed. After training, these physicians should be able to offer comprehensive advice on all methods of contraception as well as the treatment of infertility. The subcommittee unanimously endorsed the training of all nurses and midwives in human reproduction and family planning including the various topics recommended for undergraduate medical students. Some members of the committee favored the idea of nurses and midwives taking over the distribution of oral contraceptives and the insertion of IUDs but ultimately the particular duties and responsibilities of such personnel will be determined first, by the needs of the specific country, and second, by the attitude of the resident medical profession. 'Traditional midwives' or health attendants take charge in nearly 70% of the births in developing countries and consequently, the acceptance or rejection of family planning services in rural communities in these countries is largely dependent upon the advice of these people. The importance of giving them some family planning training and the opportunity which such orientation courses afford in further improving maternal and child health services in the community need to be stressed. Lay personnel, such as social workers and volunteers, require family planning education if they are to be viable members of the health team, but contraceptive training should prove unnecessary.  相似文献   

16.
Home intravenous antibiotic therapy (HIVAT) grew out of one hospital's experience with home parenteral nutrition. Because of current accelerated pace of discharge planning, the social worker plays a major role in choosing appropriate candidates for this program and in helping them solve practical and affective problems. Patients report a high degree of satisfaction with this homecare plan. Benefits such as early return to employment are noted. Shortened hospital stays lower treatment costs. The program is adaptable for many patients where medical treatment initiated in the hospital continues at home.  相似文献   

17.
文章所提的职业生涯规划仅指企业对员工进行的职业规划管理,旨在通过对目前云南省某省级医疗事业单位行政管理类员工的人力资源管理现状、存在问题的分析,阐述如何在省级医疗单位科学地做好行政管理类员工的职业规划,达到提高医院管理效率、助力医疗水平提升、实现医院社会效益与经济效益双重提升的目的。  相似文献   

18.
STUDY OBJECTIVES: To describe the incidence and epidemiology of major incidents occurring in Britain over the past 28 years. METHODS: Major incidents were identified through a MEDLINE search, a hand search of journals and government reports at the Home Office Emergency Planning College, newspaper reports, a postal survey of ambulance emergency planning officers, and through requests for information posted on the internet. MAIN RESULTS: Brief incidents profiles from 108 British major incidents are presented. Most major incidents pass unreported in the medical literature. On average three to four major incidents occur in Britain each year (range 0-11). Sixty three of 108 (59.2%) of incidents involve public transportation. The next two largest groups are civil disturbance 22 of 108 (20.3%) and industrial accidents 16 of 108 (14.8%). Although incidents at sports stadiums are rare they produce large numbers of casualties. The data currently available on major incidents are difficult to find and of questionable accuracy. CONCLUSIONS: The lack of data makes planning for major incidents and exercising major incident plans difficult. Casualty incident profiles (CIPs) may assist major incidents exercises and planning. CIPs from future major incidents should be collated and made available to all major incident planners.  相似文献   

19.
目的针对目前从事医疗行业的青年普遍追求高学历、高水平、临床科研齐头并进的现状,对工作强度大、从业风险高、收入普遍比较低的青年医务工作者做好思想引导和职业生涯规划进行调研,为完善医院青年人才培养规划提出合理化建议,激发青年员工在院务工作中的积极性,为青年发展成才奠定基础。方法随机选取上海市某市级医院473名35岁以下青年员工,采用问卷调查,了解其对待工作与生活的态度、对待事业与成功的态度及对职业的认可度、医院的归属感等方面的信息和数据。结果大部分被调查青年医务工作者珍惜目前从事的工作,有明确的职业发展目标,工作努力、学习勤奋。为了个人的发展,绝大多数进行过或正在进行针对性的努力,有较强的危机感和紧迫感。但是本次调研也反映出被调研者工作压力大,对医院工作环境不甚满意。同时,认为个人的成才和领导合理的用人关系密切。结论医院应就青年医务人员的工作积极性,职业生涯规划及青年人才培养加强进一步指导和促进。  相似文献   

20.
Influenced by the need to be competitive in an environment plagued by an oversupply of physicians, medical groups must give serious attention to major trends in terms of strategic planning. Group practice can benefit from the experience of other businesses which have survived in their respective marketplace. To assist medical groups in their strategic planning efforts, three health-care consultants offer predictions of future conditions in medical group practice.  相似文献   

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