开展卫勤指挥员任职培训的教学实践和体会

近几年来,第二军医大学卫生勤务学系承担了大量卫勤指挥员的任职培训任务.通过几年的理论研究和实践摸索,在教学的组织、管理、实施、保障等方面积累了一些经验,获得了一些具体的体会.我们认为要做好卫勤指挥员的任职培训教学必须明确培训目标,科学制定教学方案,精心安排教学内容,做好施训教员的培训,并在教学中注重合理运用教学方法,特别是要做好下部队调研,切实提高教学实效.     

Integrating children's services in England: national evaluation of children's trusts

Background Poor co‐ordination of services can have severe consequences for disadvantaged children with complex needs. Since 2003 national and local governments in England embarked on sweeping reforms aimed at improving and integrating local health, education and social services for children. These were to be organized locally by children's trusts and piloted by 35 children's trust pathfinders. Methods This study described and compared the experience of integrating children's services in all 35 children's trust pathfinders, covering 20% of children in England. It had a prospective mixed‐methods design. Over 3 years we interviewed 147 managers and professionals working in the children's trusts, including 172 semi‐structured interviews, carried out two questionnaire surveys of the 35 children's trusts and analysed official documents. Results In most areas different agencies jointly commissioned children's services, especially for mental health, disabilities and multi‐purpose children's centres, and increasingly pooled finances. Provision of multi‐agency and multi‐professional services was increasing. Professionals generally supported these changes but found them stressful. All children's trusts appointed directors of children's services and established boards representing multiple agencies. Systems for sharing information about individual children were mostly in place but were still underused. Health services were generally less involved in joint work than were local authorities' education and social care services, with notable exceptions. Areas where local authorities and health authorities shared geographical boundaries made most progress. Some children's trusts made few changes beyond their statutory obligations. Conclusion Children's trusts enabled major changes to services in areas where local actors and organizations were motivated and empowered. In other areas the remit of children's trusts was often too broad and vague to overcome entrenched organizational and professional divisions and interests. Policymakers need to balance facilitation of change in areas with dynamic change agents with methods for ensuring that dormant areas and agencies are not left behind.     

SOS抢救护理小组的组建与实施

介绍了上海交通大学附属一院SOS抢救护理小组的组建、运营和管理,提高了抢救病人的医护应急速度、效率和质量、并有利于护理队伍的培养和急救护理学的发展。     

上海现代医疗卫生服务业发展现状分析

该文在对现代医疗卫生服务业进行概念界定的基础上，综合分哲了现代医疗卫生服务业的特点，以及上海加速发展现代医疗卫生服务业所具备的有利条件和面临的制约因素.     

论以服务对象为中心的医院管理道德原则

以服务对象为中心，就是医院管理者在医院工作管理过程中，从维护病人和服务对象的利益出发，将以为服务对象服务，满足服务对象合理医疗保健需求作为医院各项工作的中心，把服务对象至上、一切为了病人和服务对象的医院管理道德要求落实到各项管理措施之中。     

联勤后我分部医院开展优质服务的做法

为探讨军队医院联勤后开展联勤优质服务工作的管理，本介绍了我分部所属医院开展优质服务的做法，即：端正服务态度，增强服务意识，狠抓内涵建设，提高服务质量，改善医疗设备，美化诊疗环境，完善制度措施，加强监督管理等落实联勤优质服务。     

贫困山区育龄妇女健康状况调查分析

育龄妇女的健康状况。可以反映一个地区的社会经济发展水平，也可反映当地医疗保健服务的水平以及群众利用服务的能力。通过对贫困山区岳西县555名育龄妇女的健康状况及影响因素进行分析，发现常见病、多发病仍威胁贫困山区育龄妇女的健康，同时家庭经济状况直接影响农村育龄妇女对卫生服务的利用。     

特需医疗服务机构中护士工作满意度的调查分析

目的：了解目前从事特需医疗服务工作的护士对自身工作的满意程度及其影响因素，探讨提高护士工作积极性及护理管理效率的途径和方法，为护理人力资源的有效管理提供依据，方法：采用自行设计的问卷对61名相关的临床护士进行问卷调查。结果：被调查护士的工作满意度为中等水平，影响满意度的原因由强到弱依次为个人发展机会少、福利待遇低、工作负荷过重、专业交流机会少等。此外，针对特需医疗服务的特点，对如何提高该领域护士工作满意度提出了建议。     

再论医院后勤服务社会化的可行性

目前，经济高速发展，服务体系和水准相对滞后，加上管理者素质的提高，现代管理技术的应用，以及后勤管理体制的改革，为医院后勤工作向社会分离提供了条件，也为推进医院后勤服务社会化提供了机遇。但规范卫生服务市场体系是后勤服务社会化的保障，故要建立：卫生物质流通、后勤人才流动、经济信息市场及卫生建设筹资机构。在推进后勤服务社会化时尚需解决：①支持条件；②实施集团联盟；③注意经营定位等问题。     

武汉市武昌区精神发育迟滞卫生服务调查

目的 了解武汉市武昌区精神发育迟滞的卫生服务利用和需求以及满意度。方法 对108例一胎精神发育迟滞与正常儿童进行1：1对照入户调查。结果 就诊医院以附属医院和省级医院为主；就诊科别集中在儿科。最需要的服务机构是专科门诊、特殊教育学校。遗传咨询比例约50％。自费比例为37．96％，没有医疗保险。对医院满意度调查中一般57．41％，不满意26．85％，很满意15．74％。结论 有必要对高危人群宣传遗传咨询。要加强专科门诊建设和特殊教育发展规划，并从社会保险、医疗保险和商业保险以及社会救助中重视这一以前忽略的领域。