春华秋实 继往开来——庆祝天津中医药大学50华诞

新中国建国以来中医学在党和国家的关怀、重视下,取得一系列成绩．中医药作为国之瑰宝为中华民族的繁衍昌盛所做出了贡献,同时指出：中医药为原始科学,创新开始,需继承发掘,并整理提高,建国后中医药事业得以振兴和发展,特别是中医药大学教育和谐发展;天津中医药大学50春秋创伟业,培养了上万名轩岐使人,遍布海内外,已成为中医学的栋梁之才,肩负着历史的责任和使命,要继续发扬优良传统和作用,锐意进取深化改革,严谨治学,抓住机遇快速发展,以科学发展观作统领,实现以中医药学科为主,医、理、文、管多科协调发展,在国际上有较高声誉,在国内处于先进水平,对外开放教学,研究型中医药大学,特作此文誌庆。     

营养与食品卫生学实验教学的改革与创新

本文探讨了以预防医学实验示范中心建设为契机,促进营养与食品卫生学实验教学的改革与创新的实践,提出了实验教学理念的专业性与时代性相结合、实验教学的模块化与系统化相结合的教学改革思路与方案。     

公立医院运营管理满意度对管理人员公共服务动机的作用机制研究

目的 研究影响公立医院管理人员公共服务动机的条件组态,分析公立医院运营管理满意度对管理人员公共服务动机的作用机制。方法 抽取北京市18家三级公立医院617名管理人员进行问卷调查,对数据进行模糊集定性比较分析。结果 公立医院管理人员的4种运营管理满意度情况综合作用于其公共服务动机,概括为综合型主导模式、预算制度主导模式、总会计师制度主导模式和行政管理主导模式4种路径。结论 公立医院管理人员对于运营管理的认识尚未统一。建议倡导公立医院质量成本综合管理模式,完善公立医院总会计师制度,推进运营管理队伍职业化建设。     

武汉市社区卫生服务中心中医药服务现状调查

目的 调查武汉市社区卫生服务中心中医药服务现状。方法 于2021年3月对武汉市10个城区28家社区卫生服务中心的28名管理者、211名中医药从业人员以及481名社区就诊居民进行问卷调查。采用Excel 2013软件统计分析数据。结果 28家社区卫生服务中心2021年度中医就诊人次仅占总就诊人次的11.18%,均开设了中医药相关科室,中医治疗设备基本配备,但中医药服务项目较单一,仅围绕老年人群的保健项目开展率较高;均不同程度开展了中医慢病管理项目,但仅糖尿病(消渴病)、高血压(眩晕病)开展率为100%,其他慢病管理项目开展率均≤50%。28家社区卫生服务中心中医药从业人员以大专学历、初级职称为主,且有8.1%无职称人员。社区居民对中医药服务需求较高,但了解程度较低。结论 应以加强中医药慢病管理为切入点拓宽中医药服务范围,加强社区中医药人才培养和队伍建设,加大中医药宣传力度,创新中医药服务模式,加强监督与考核。     

中药注射剂抗肿瘤治疗的医患偏好及共同决策比较分析

目的 对中药注射剂抗肿瘤治疗的医患偏好及共同决策现状进行比较分析,为相关研究和临床实践提供参考。方法 于2020年10月—12月对上海市9家三级医院的肿瘤治疗相关科室的185名医生及347名住院肺癌患者开展问卷调查,通过离散选择实验调查医患对中药注射剂抗肿瘤治疗方案的偏好属性,并采用条件Logit模型及混合Logit模型对医患的偏好属性进行分析,采用医患共同决策测量工具对决策行为进行现状描述与比较分析。结果 医生更加关注恶心呕吐及其他毒副反应,患者更加关注疾病控制率及自付治疗费用。而在偏好差异的基础上,78.4%的医生以及90.2%的患者认为其参与的临床决策模式为共同决策模式。结论 医患之间的偏好属性及决策模式存在差异,并会在一定程度上影响患者满意度及和谐医患关系。建议激发医生医疗服务积极性,促进医患共同决策。     

基于转化医学的高校图书馆嵌入式知识服务模式研究

转化医学是未来医学研究发展的趋势,主要目的是基础研究获得的成果快速应用到临床。医学发展模式的变化给高校图书馆原有的服务模式提出了新的挑战,高校图书馆面临服务模式转变和创新。作者从转化医学信息服务平台的构建、服务路径等方面对转化医学模式下高校图书馆嵌入式知识服务进行探讨。     

技术革新与图书馆读者空间利用的演变进程

图书馆空间变革受技术革新、用户需求和竞争环境变化的多种因素驱动。通过检索CNKI期刊文献数据库,对技术发展中的图书馆空间改演变程进行梳理,从计算机和信息技术进入图书馆到互联网到信息通信技术的广泛应用,图书馆的空间利用从物理空间向虚拟空间拓展,空间功能向信息共享、学习、创业、社交等领域延展,最终将实现智能化、个性化、泛在化的图书馆未来空间形式。     

大数据思维下的图书馆参考咨询服务创新

大数据时代的到来引发了人们对数据价值的重新认识与思维方式的转变。结合大数据思维的内涵,在分析图书馆参考咨询服务发展历程的基础上,指出了图书馆参考咨询服务内容和方式均因受大数据思维的影响,而发生了变化,应从新思路、新方向、新方式3方面着手提升图书馆参考咨询服务创新。     

An importance-performance analysis of hospital information system attributes: A nurses' perspective

PurposeHealth workers have numerous concerns about hospital IS (HIS) usage. Addressing these concerns requires understanding the system attributes most important to their satisfaction and productivity. Following a recent HIS implementation, our objective was to identify priorities for managerial intervention based on user evaluations of the performance of the HIS attributes as well as the relative importance of these attributes to user satisfaction and productivity outcomes.ProceduresWe collected data along a set of attributes representing system quality, data quality, information quality, and service quality from 154 nurse users. Their quantitative responses were analysed using the partial least squares approach followed by an importance-performance analysis. Qualitative responses were analysed using thematic analysis to triangulate and supplement the quantitative findings.Main findingsTwo system quality attributes (responsiveness and ease of learning), one information quality attribute (detail), one service quality attribute (sufficient support), and three data quality attributes (records complete, accurate and never missing) were identified as high priorities for intervention.ConclusionsOur application of importance-performance analysis is unique in HIS evaluation and we have illustrated its utility for identifying those system attributes for which underperformance is not acceptable to users and therefore should be high priorities for intervention.     

Does High Emotional Demand with Low Job Control Relate to Suicidal Ideation among Service and Sales Workers in Korea?

We examined the relationship of high emotional demands and low job control to suicidal ideation among service and sales workers in Korea. A total of 1,995 service and sales workers participated in this study. Suicidal ideation and level of emotional demand and job control were assessed by self-reported questionnaire in 4th Korean National Health and Nutrition Examination Survey. Gender-specific odds ratio (OR) and 95% confidence intervals (95% CI) for suicidal ideation were calculated using logistic regression analysis. The results show that workers who suffered from high emotional demands (OR, 2.07; 95% CI, 1.24-3.45 in men, OR, 1.97; 95% CI, 1.42-2.75 in women) or low job control (OR, 1.96; 95% CI, 1.42-2.75 in men, OR, 1.33; 95% CI, 0.91-1.93 in women) were more likely to experience suicidal ideation after controlling for age, household income, and employment characteristics. The interaction model of emotional demands and job control revealed that workers with high emotional demands and high job control (OR, 1.93; 95% CI, 1.08-3.45 in men, OR, 1.60; 95% CI,1.06-2.42 in women) and high emotional demands and low job control (OR; 4.60, 95% CI;1.88-11.29 in men, OR; 2.78, 95% CI;1.64-4.44 in women) had a higher risk for suicidal ideation compared to those with low emotional demands and high job control after controlling for age, household income, employment characteristics, smoking, alcohol drinking and physical activity habit. These results suggest that high emotional demands in both genders and low job control in men might play a crucial role in developing suicidal ideation among sales and service workers in Korea.