医院人力资源管理的瓶颈--绩效评估

本文根据人力资源管理理论,分析当代中国医院人力资源管理中绩效评估的现状,发现其中存在的主要问题,提出了完善岗位说明书、让员工充分参与、进行全方位立体考评等解决办法。     

医院人力资源管理的探索

分析了当前医院人力资源管理的现状及背景,并结合桐城市人民医院的一些创新性探索,就如何做好医院人力资源管理工作进行探讨。     

试论群众看病难、看病贵的原因及对策

社会各界热切关注的看病难、看病贵,主要原因是卫生资源总体不足,卫生发展落后于经济发展。看病难、看病贵同许多社会现象一样,是有城乡差别的。在城市里是看病贵,小病大治、药价昂贵、名医难求、医托药托泛滥,城里人特别向往大医院、只挂专家门诊, 主要体现的是一个“贵”字,病是能看、能治,但城里人是要求锦上添花。而在农村则因为收入低,经济窘迫,医疗水平差,现实困难重重, 是看病难,小病硬扛,大病小养,因病返贫,因病致贫现象还很普遍,农村是要求雪中送炭。因此,城里人看病难与农村人看病难有天壤之别。不区别城乡差别的现实,那解决问题就是盲人摸象。本文试图从造成群众看病难、看病贵的主要原因中,提出解决的对策。     

中国黄檗资源现状及可持续利用对策

阐述了黄檗的生物学和生态学特性,总结了中国黄檗资源的分布现状,分析了黄檗的濒危原因,提出了黄檗资源的可持续利用对策。人为严重破坏是黄檗濒危的外部原因,林下不能天然更新等生物生态学特性是黄檗濒危的内部原因。加强基础研究工作,逐渐建立新的药用模式,是解决黄檗保护与利用矛盾的根本出路。通过人工栽培获取中药材以及通过种植幼树获取药用原料,可以促进黄檗资源的可持续利用。     

我国磷矿资源贫化趋势与对策探讨

介绍我国主要磷矿区资源贫化趋势,对原因进行了分析。并针对低品位磷矿及伴生资源进行综合利用,提出了一些技术与政策思路。     

Multimorbidity and healthcare utilization among early survivors of pediatric cancer

Early survivors of pediatric cancer are at increased risk of experiencing chronic conditions; however, little is known about the morbidity burden in this population. In this observational cohort study of commercially insured pediatric cancer survivors in the United States (2009–2014), we find that 22.5% of survivors had one chronic condition, and 36.3% had multiple. Compared with survivors without chronic conditions, the presence of multiple conditions significantly increased the odds of an emergency department visit by 70% (odds ratios [OR], 1.7; 95% confidence interval [CI], 1.4–2.1) and of a hospitalization almost four‐fold (OR, 3.8; 95% CI], 2.5–5.5). Findings are important for informing pediatric survivorship care plans in the years following completion of therapy.     

基于Snell模型制定公立医院人才管理战略

公立医院传统的人事管理模式已愈来愈不适应医院发展的需要,创新已经成为管理者的共识.首先分析了目前我国公立医院人事管理中存在的问题,然后应用Snell模型对公立医院人力资源结构进行分类,提出公立医院人才管理战略.     

Palliative and hospice care in gynecologic cancer: A review

Despite the increasing availability of palliative care, oncology providers often misunderstand and underutilize these resources. The goals of palliative care are relief of suffering and provision of the best possible quality of life for both the patient and her family, regardless of where she is in the natural history of her disease. Lack of understanding and awareness of the services provided by palliative care physicians underlie barriers to referral. Oncologic providers spend a significant amount of time palliating the symptoms of cancer and its treatment; involvement of specialty palliative care providers can assist in managing the complex patient. Patients with gynecologic malignancies remain an ideal population for palliative care intervention. This review of the literature explores the current state of palliative care in the treatment of gynecologic cancers and its implications for the quality and cost of this treatment.