医院后勤服务社会化实践中的几点思考

就医院后勤服务社会化的实际操作中的几个问题进行了论述,指出实行后勤社会化服务,必须有相应的外部环境;后勤部门实行企业化管理,必须有相配套的政策作保障;实施商品化服务,必须有对等的经济意识;加大后勤服务化的力度,必须有果敢超前的决策意识。     

加入世界贸易组织后我国实验动物行业社会化、商品化趋势

加入世界贸易组织(WTO）是我国经济融入世界经济，参与全球化竞争的必由之路。我国实验动物商品化程度很低，产权不明晰，管理理念陈旧落后，提供的实验动物服务质量、数量、效率都很低。难以支撑现代科学技术运转需求，如不进行改革，在渡过入世五年的调整期后，中国的实验动物服务体系难以与国际同行抗衡。本就改变现阶段我国实验动物行业不适应市场经济和科研条件的状态，主动寻找产生这种现状的根源与对策，充分利用和发掘现有资源，把实验动物管理与服务职能分离，探求实验动物行业商品化经营的策略和应对的措施。     

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。     

医院后勤服务社会化的思考

医院后勤服务社会化是医院后勤改革的关键,面对改革的趋势,我们必须认真研究、悉心思考、统一认识、采取措施,改变目前医院后勤管理中不适应市场机制和现代医院管理的落后状态,主动寻找对策,充分利用和发掘现有后勤资源,在保证医院中心工作、“一切以病人为中心”为目标的前提下,把医院后勤管理和服务职能分离,认真操作、大胆探索,加快医院后勤服务社会化进程     

Enfermement carcéral,confinement socio-sanitaire et moyens d’évasion. Danser sa peine et au-delà…

Jail incarceration and social confinement due to a sanitary stay-at-home law against the ongoing COVID-19 pandemic are compared to the introduction of dance workshops for imprisoned women charged with long sentences, then followed by an outside performance Soul Kitchen. The whole experience, organized by a famous contemporary choreographer Angelin Preljocaj, is filmed by Valérie Müller, producing Danser sa peine (To dance her sentence/her sorrow), nominated for an award. The sessions are planned: two hours and a half, 2 times a week, for four months, no technique required. A group of five women start with ordinary easy functional movements, gaining in innovative and expressive qualities, spatial perceptions, feelings and interpersonal interactions, lead by A. Preljocaj in a helpful and empathic mood. At the same time, he discovers the cooking authorization in their jail cell. The relevant results shift into a dynamic successful piece Soul Kitchen (2019) performed in town (Dance Festival in Montpellier, south of France) with dancing and cooking occurrences on stage. It makes sense, specially about self-esteem, body image and positive opinion from the audience. The women's physical and psychological states linked with a long lack of space and sensitivity… move to a better self-balance and feelings of well-being. In a similar state of mind, the French confined population – youth to elderly – try to find different and imaginative strategies at home as moving in a restrictive area, enjoying family cooking… through trainings provided by Internet, looking for reducing anxiety, depressive disorders and other social problems. A panel of situations goes from deleterious conflictual relationships, dramatic isolation, to funny and positive ones using creativeness to escape, facing the disruption of daily life.     

The Control of Smoking: Smoking Rate in Designated Smoking and No-Smoking Areas

Unobtrusive measurements were taken over a 5-day period at three hospital areas designated as smoking permitted and three designated as no-smoking. A surprisingly high degree of compliance was observed in the no-smoking areas. Of particular significance is the absence of any reported patient complaints or criticisms in regard to the controlled-smoking policy. The practical advantages of a comprehensive, hospital-wide sign program designating smoking and no-smoking areas are discussed.     

Attachment in African American and European American older adults: The roles of early life socialization and religiosity

The significance of attachment relationships in later life has recently emerged as an important topic of study. Yet little attention has focused on attachment dynamics among older minority adults. This paper extends the literatures on ethnicity, attachment, and later life by examining attachment patterns in two large community-dwelling samples of older (65 + years) African American (n=671) and European American (n=447) adults. Data gathered during face-to-face interviews included demographic information, adult attachment, early rearing experiences, and current religiosity. Hierarchical regression analyses revealed that adult attachment dimensions were differentially predicted by childhood socialization patterns and current religiosity. Significant ethnic differences in relations between adult attachment and childhood socialization practices also were found. The results highlight the importance of examining contextual differences in attachment in later life.     

Mental health and social participation skills of wheelchair basketball players: A controlled study

The aim of this study was to assess differences in psychological well-being, symptomatic psychological disorders and social participation, between competitive wheelchair basketball participants and those non-participants. Forty-six wheelchair participants, 24 Basketball players (aged 35.60 ± 7.56) and 22 non-players (aged 36.20 ± 6.23), completed three validated self-report questionnaires: Participation Scale (PS), Psychological Well-Being Scale [PWBS] and Symptom Checklist 90 R [SCL-90-R]. ANOVA showed significant overall differences between the two groups. The social restriction score, evaluated by PS, was significantly higher in the non-basketball participants (p = 0.00001) than the basketball participants. The PWB Scale showed significant differences in all 6 dimensions: positive relations with others, environmental mastery, personal growth, purpose in life and self-acceptance (p < 0.01), and autonomy (p < 0.05), with better scores in the basketball participants. The SCL-90-R scores were significantly lower for the basketball group in the following 6 symptomatic dimensions: depression, phobic anxiety, and sleep disorder (p < 0.01), somatization, interpersonal sensitivity and psychoticism (with p < 0.05). It was concluded that competitive wheelchair basketball participants showed better psychological well-being and social skills than those non-participants.     

医院后勤社会化问题的思考

医院后勤社会化改革是医院发展的重要内容,本文从医院后勤社会化的必要性入手,介绍了当前医院后勤改革的两种主要模式,结合医院后勤社会化改革的实践情况,对医院后勤社会化改革进行了探索。