跨省异地就医直接结算资金周转模式分析及优化路径

文章对省级和国家级两种资金周转模式进行了介绍的基础上,从周转效率、基金安全和经办负担三个维度,分析了现有两种跨省就医直接结算资金周转的成效和存在问题,并基于医保整合背景提出建立国家周转金账户、强化系统监管手段以及引入社会资源经办等建议。     

The NTID speech recognition test: NSRT®

Objective: The purpose of this study was to collect and analyse data necessary for expansion of the NSRT item pool and to evaluate the NSRT adaptive testing software. Design: Participants were administered pure-tone and speech recognition tests including W-22 and QuickSIN, as well as a set of 323 new NSRT items and NSRT adaptive tests in quiet and background noise. Performance on the adaptive tests was compared to pure-tone thresholds and performance on other speech recognition measures. The 323 new items were subjected to Rasch scaling analysis. Study sample: Seventy adults with mild to moderately severe hearing loss participated in this study. Their mean age was 62.4 years (sd = 20.8). Results: The 323 new NSRT items fit very well with the original item bank, enabling the item pool to be more than doubled in size. Data indicate high reliability coefficients for the NSRT and moderate correlations with pure-tone thresholds (PTA and HFPTA) and other speech recognition measures (W-22, QuickSIN, and SRT). Conclusion: The adaptive NSRT is an efficient and effective measure of speech recognition, providing valid and reliable information concerning respondents’ speech perception abilities.     

英国价值定价理念对我国医保药品报销政策的启示

本文在梳理英国医保药品报销政策的基础上,通过对价值定价理念的深入研究和理解,系统探讨其在报销政策制定过程中对药品目录遴选、价值测算、支付标准确定、医保基金平衡和报销效益评估的作用机制,并深入思考通过价值定价理念建立起的药物警戒体系与药品报销政策间的衔接机制。在此基础上总结价值定价理念的特点、应用阶段和具体操作方法,以期为我国提供借鉴。     

基金平衡视角下城乡居民基本医疗保险缴费调整方案研究

目的:通过分析使城乡居民医保基金维持收支平衡的缴费率和缴费调整方案,为城乡居民医保制度可持续发展和建立科学的筹资机制提供理论和数据支撑。方法:基于社会保险精算理论构建缴费率调整模型,对预测期内维持基金收支平衡的费率进行测算和分析。结果:(1)调整缴费率是实现城乡居民医保基金在预测期内平稳运行的关键。但相较一次性费率调整方案,渐进式调整方案对基金的年度压力更小,也更易于实施;(2)在上一步基础上引入控制措施或者提高补偿水平,均将影响预测期内基金的运行情况。并且,随着"全面二孩"生育意愿的提高,这种影响也更明显。结论:维持基金平稳运行,需建立科学的筹资机制,但同时应结合控制不合理医疗费用上涨和适度提高医疗补偿水平等措施。     

国家自然科学基金中医药肿瘤领域研究项目资助概况

该文对1986—2016年度国家自然科学基金中医药肿瘤领域研究项目资助情况进行回顾,从资助数量、资助经费、资助类别以及项目的主要研究内容等方面概述资助项目的特点,同时为项目申请提出建议,旨在为相关领域基金申请者提供参考。     

基于麦肯锡7S模型的医疗耗材规范化管理的探讨与应用

目的根据新形势下对医疗耗材规范化管理的要求,探讨麦肯锡7S模型在医院医疗耗材规范化管理中的应用,为提高医疗耗材管理效率提供探讨依据。方法通过将麦肯锡7S模型与实际情况结合,优化原有医疗耗材管理流程,并对比麦肯锡7S模型实施前后医疗耗材品项管理情况、耗材配送效率等对医疗耗材规范化管理效果进行评价。结果2017年以来,1021家医疗耗材供应商与我院建立知识图谱,《医疗耗材供应商廉政协议书》签署率达100%,资质合格率达100%;医院医疗耗材品种、品规的月库存量均得到显著性减少(P<0.05),耗材平均出库时间显著性减少(P<0.05);医疗耗材申请响应时间、订单下达时间、订单配送时间均得到显著性降低,耗材配送效率得到显著性提高(P<0.05)。结论麦肯锡7S模型的应用,在一定程度上加速了我院医疗耗材规范化管理的进程,加快了耗材采购过程中系统化、常态化、流程化、标准化、表单化等过程的建立,具有一定的研究和推广价值。     

中国全球基金疟疾项目管理经验与启示

2003—2013年,中国实施了5个全球基金疟疾项目。作为疟疾防治领域接受援助资金量最多、覆盖范围最广、执行时间最长的国际合作项目,中国全球基金疟疾项目在项目申请、执行、监督、评估等项目管理方面积累了丰富的经验,项目依托我国健全的卫生和疾控体系,制定了明确的工作计划与完善的管理制度,建立了基于绩效的资金拨付机制和贯穿项目全周期的监督与评估机制。依据当地疟疾防治规划编制的项目计划、基于绩效的项目管理和严格的财务管理理念、贯彻始终的监督与评估机制和规范的痕迹资料管理和广泛的多部门合作机制,保证了项目的规范执行,促进了中国疟疾从控制走向消除。本文旨在梳理中国全球基金疟疾项目的管理特点和经验,可为我国今后公共卫生援外项目管理提供借鉴意义。     

Prestimulus theta in the human hippocampus predicts subsequent recognition but not recall

Human theta (4?8 Hz) activity in the medial temporal lobe correlates with memory formation; however, the precise role that theta plays in the memory system remains elusive (Hanslmayr and Staudigl, 2014 ). Recently, prestimulus theta activity has been associated with successful memory formation, although its specific cognitive role remains unknown (e.g., Fell et al., 2011). In this report, we demonstrate that prestimulus theta in the hippocampus indexes encoding that supports old‐new recognition memory but not recall. These findings suggest that human hippocampal prestimulus theta may preferentially participate in the encoding of item information, as opposed to associative information. © 2014 Wiley Periodicals, Inc.     

Development of a measure of genome sequencing knowledge for young people: The kids-KOGS

Genome sequencing (GS) is increasingly being used to diagnose rare diseases in paediatric patients; however, no measures exist to evaluate their knowledge of this technology. We aimed to develop a robust measure of knowledge of GS (the kids-KOGS') suitable for use in the paediatric setting as well as for general public education. The target age was 11 to 15 year olds. An iterative process involving six sequential stages was conducted to develop a set of draft true/false items. These were then administered to 539 target-age school pupils (mean 12.8; SD ± 1.3), from the United Kingdom. Item-response theory was used to confirm the psychometric suitability of the candidate items. None of the Items was identified as misfits. All 10 items performed well under the two-parameter logistic model. The internal consistency of the test was 0.84 (Cronbach alpha value) indicating excellent reliability. The mean kids-KOGS score in the sample overall was 4.24 (SD; 2.49), where 0 = low knowledge and 10 = high knowledge. Age was positively associated with score in a multivariate linear regression. The kids-KOGS is a short and reliable tool that can be used by researchers and healthcare professionals offering GS to paediatric patients. Further validation in a clinical setting is required.