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1.
永州市世界银行贷款结核病控制项目实施结果及评价   总被引:2,自引:1,他引:1  
目的 对项目的技术策略、实施成果和问题进行客观评价。方法 对项目期间各县区上报的报表进行分类统计,参考其他文献进行评价。结果 1993~2001年全市累计检查可疑肺结核病人77127人,可疑者年平均就诊率155.49/10万,全市涂阳病人平均发现率为30.06/10万。在10263例新发现涂阳病人中,15~54岁年龄组占74.15%;初治涂阳病人平均治愈率为92.77%,复治涂阳病人平均治愈率为89.35%,初、复冶比例逐年下降,病死率逐年下降:结论 提示病人发现、治疗与管理工作在项目实施前后有了质的变化。  相似文献
2.
乡镇卫生院建设项目的数据包络分析评价   总被引:1,自引:0,他引:1  
目的:通过对“乡镇卫生院建设”项目单位的有效性评价,审视项目效率,发现成绩和问题,对今后的乡镇卫生院建设提出政策建议。方法:采用分层随机抽样方法,从河南省的1000个“乡镇卫生院建设”项目单位中抽取100个为样本,运用数据包络分析(DEA)方法测算项目单位在项目前后的数据包络分析(DEA)有效率变化。结果:数据包络分析(DEA)有效的决策单元构成比例从22%增加到30%,一般乡镇卫生院从14%增加到34%,中心乡镇卫生院从30%下降到26%;数据包络分析(DEA)得分频数分布为正偏态。结论:项目效果显著。以后乡镇卫生院建设应提高针对性:对县级配套区别对待,对中心乡镇卫生院应控制规模,加强内涵建设,加大对乡镇卫生院防保需要投入。  相似文献
3.
乡镇卫生院建设项目评估   总被引:1,自引:0,他引:1  
目的:通过评估四川省乡镇卫生院卫生建设项目,了解建设项目的筹资、效果和存在问题等。方法:采用现场调查并进行筹资分析和效果分析方法。结果:受调查单位共筹资6027.55万元进行了房屋、设备和人员等方面建设,极大地改善了乡镇卫生院的服务条件和服务功能。结论:通过建设项目实施,能较好地引导地方政府对卫生院的建设,目前仍需加强投入与管理,以促进建设项目的发展。  相似文献
4.
婴儿培养箱的质控与研究   总被引:1,自引:1,他引:0  
俞晔  金伟 《医疗卫生装备》2011,32(1):110-111
目的:通过对婴儿培养箱的质控检测,掌握在用婴儿培养箱的性能现状,并提高其使用的安全性和准确性。方法:采用Fluke专业的质控设备对婴儿培养箱各项指标进行检测。结果:总结出了涉及婴儿培养箱检测不合格的相关因素。结论:提出了预防性保养以及使用过程中的注意事项和改进方法,以提高设备的整体性能。  相似文献
5.
农村社区高血压防治项目效果评价   总被引:1,自引:0,他引:1  
目的探索农村地区开展高血压社区防治的模式,为防治高血压病提供依据。方法以户为单位为村民建立健康档案,按一般人群、高危人群、患者人群分类管理,实施不同的干预措施。结果项目实施后,一般人群健康行为有所改善,但健康行为符合率仍不到1/5;入组患者高血压KAP各项得分高于非入组患者(P〈0.001);人群分类健康教育活动显示,一般人群受益比例最低(30.1%),患者人群最高(60.3%);管理患者和管理高危人群的血压水平均有程度不同的下降,其中管理患者的血压控制效果达优良等级达53.3%,管理高危人群有56.5%转为正常血压(〈130 mmHg/85 mmHg)。结论在农村社区开展高血压防治服务,廉价有效。高危人群干预是关键抓手,可以起到事半功倍的效果。  相似文献
6.
基于项目理论的评估对儿童健康干预评估的启示   总被引:1,自引:1,他引:0  
干预项目具有长期性、复杂性,对其进行适宜的评估是推动其可持续发展的关键.基于项目理论的评估在评估内容和方法上的综合性,不仅有助于对项目运行过程"黑匣子"的破解,提升评估研究的专业水平,同时也对项目评估研究和项目管理水平的提高有不容忽视的促进作用.我国儿童健康状况与发达国家仍有一定差距,且地区间发展不平衡问题较为突出.目前针对儿童常见疾病、健康生活方式、生长发育、儿童看护人保健认知和就医行为以及妇幼保健机构基础能力建设等开展了一系列干预项目,但项目评估相关研究较为欠缺,在评估思路和方法上存在不足.本文在对基于项目理论的评估和国内外儿童健康干预评估现状进行梳理和分析的基础上,提出转变传统儿童健康干预评估观念、从注重结果的鉴定性评估转向重视过程的诊断性评估、对儿童健康干预评估结果及时进行反馈与运用、注重加强儿童健康干预项目评估能力建设等建议.  相似文献
7.
目的 评价芜湖市实施“中国结核病控制-日本援助项目”效果,探讨结核病控制的可行方法。方法 对“项目”基础登记资料及日常督导检查记录进行总结分析。结果 涂阳病人发现率从“项目”实施前5年的平均发现16. 88 /10万上升到36. 29 /10万、市区DOTS策略覆盖率为100%、涂阳病人的治愈率从“项目”实施前的35. 00%上升到85. 78%。结论 芜湖市实施的现代结核病控制策略有较好效果。  相似文献
8.
ABSTRACT: Palliative care might be described as a movement within the healthcare systems of many countries which has a strong voluntary backing in the wider community. Much of the developments in Australia have taken place in the metropolitan areas with 'cinderella' services attempting to make provision in rural and remote parts of the country. This paper describes and reviews an action research project designed to provide a support and learning network for palliative care workers in a country area of South Australia, using the telephone and interactive video conference facilities for communication purposes. The lessons of the project have applicability for other healthcare providers in rural and remote parts of Australia.  相似文献
9.
Penney GC  Brace V  Cameron S  Tucker J 《Public health》2005,119(11):1031-1038
OBJECTIVES: To compare clinical practice relating to testing for, and management of, genital Chlamydia trachomatis infection in the Lothian and Grampian regions of Scotland as part of an evaluation of a Government-funded health demonstration project in Lothian, Healthy Respect. STUDY DESIGN: Clinical audit against standards developed from a national clinical guideline. METHODS: Clinical practice relating to testing for, and management of, genital C. trachomatis infection was assessed against standards for good quality care developed from a national clinical guideline (Scottish Intercollegiate Guidelines Network Guideline 42). Audit methods comprised: postal survey of primary care clinicians; review of referral letters from primary to secondary care; and review of primary and secondary care patient case records. Findings from Lothian and Grampian were compared. RESULTS: Questionnaires were returned by 167 primary care clinicians in Lothian and 96 in Grampian. Clinicians in Lothian and Grampian gave similar responses relating to: testing of symptomatic patients (87 vs 88%); offer of testing for asymptomatic young patients (55 vs 55%); choice of antichlamydial agent (47 vs 42% azithromycin as first line); and follow-up strategies (50 vs 51% offer follow-up in primary care). Clinicians in Lothian were significantly more likely to participate in partner notification work (57 vs 44%; P=0.04) and to agree with statements reflecting 'perceived self-efficacy' in chlamydia-related care (57 vs 48%; P=0.006). Referral letters from primary to secondary care were reviewed for 31 women with genital symptoms in Lothian and 28 in Grampian. More women in Lothian were tested for chlamydia prior to referral (65 vs 39%; difference not significant). Review of primary care records for consultations in young people (145 in Lothian; 203 in Grampian) showed a higher level of chlamydia testing in Grampian (Lothian, 14%; Grampian, 34%; P<0.0001). However, review of secondary care records (n=39) showed a much higher level of testing in Lothian (Lothian, 75%; Grampian, 9%; P<0.0001). Review of secondary care records relating to proven chlamydia-positive women (n=159) suggested better care in Lothian in relation to ensuring antibiotic treatment (Lothian, 91%; Grampian, 74%; P=0.004), and use of the preferred antibiotic, azithromycin (Lothian, 78%; Grampian, 37%; P<0.0001). However, documented referral to a health adviser appeared to be better in Grampian (Lothian, 32%; Grampian, 48%; P=0.048). CONCLUSIONS: During the period of activity of the Healthy Respect demonstration project, few differences were detected between clinicians in Lothian and Grampian with regard to chlamydia-related practice. In both regions, clinicians appeared to be very aware of the need to test for chlamydia in patients with relevant symptoms, but were less likely to offer opportunistic testing to young patients without specific symptoms. These findings suggest that Healthy Respect in Lothian has had little impact on clinicians. However, these findings must be considered within the context of a broader evaluation, and it is noteworthy that the few significant differences that were detected tended to suggest better practice in Lothian.  相似文献
10.
目的评估联合国人口基金支持慈利县艾滋病防治项目执行情况。方法收集已有项目管理、经费管理和日常工作资料,对行为资料进行现场问卷补充调查,用计算机分析获得的资料。结果项目县建立了协调领导机制,依托部门现有网络开展宣传和干预,性工作者、性病病人、大众人群、学生4类目标人群艾滋病预防知识水平显著提高,本地娱乐场所安全套使用率明显上升。结论项目县完成了预定目标,但应该考虑将项目与现有工作结合保证工作持续开展。  相似文献
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