医院人力资源培训方案的探讨

人力资源培训是医院医疗服务质量不断提高的需要，是医院发展的需要，是丰富医院员工职业生涯业务技能的需要，对目前医院人力资源培训现状进行了分析，介绍了医院人力资源培训方案设计的要求、方法，以及组织实施评估的步骤，对医院各级各类人力资源培训目的、内容以及培训的方式等方面作了初步探讨。     

试论医院管理的人格力量

在知识经济时代里，医院之间的竞争实质上是人力资源的竞争。人是医院最宝贵的财富，哪个医院拥有一支高素质的专业技术人才队伍，哪个医院就能迈进健康、全面、协调发展的快车道，并最终在医疗市场竞争中立于不败之地。于是，“人才强院”的战略意识成了当今医疗卫生行业的主流意识，各级医院人力资源管理基点也自然从普通型的职工身上转移到贡献型的职工身上。     

黑龙江省各级医院管理人员现状分析与管理对策

目的 了解黑龙江省各级医院管理人员的现状，为卫生行政主管部门制定相应政策提供科学依据。方法 分析国内外近5年医院管理人力资源研究的文献资料，分层抽样调查黑龙江省5个市的57家医院中管理人员的基本情况、医院管理情况等，采用Excel2000和Epidata3．02软件建立数据库，使用SPSS13．0软件包进行统计分析。结果 黑龙江省各级医院的管理人员中绝大多数的专业背景是非管理专业，管理人员普遍缺乏基本的医院管理知识和技能。结论 黑龙江省各级医院管理人员综合素质与相应管理岗位的要求有相当距离。     

试论绩效考核在兵团第八师团场医院人力资源管理中的运用

在医院人力资源管理中,绩效考核是最重要的环节,为了保证组织目标的实现,有效的绩效考核管理是最有效的支撑和手段。目前,在很多医院中,考核流于形式,绩效管理并没有形成科学的考核体系和指标,考核效果也并不理想,本文作者结合在兵团第八师团场医院工作实际情况,通过分析团场医院在人力资源管理中对平衡计分卡的运用,从考核流程、标准、目标和机构入手,提出了解决人力资源管理问题的办法和思路。     

潍坊医学院附属医院

潍坊医学院附属医院始建于1971年，前身是山东省建设兵团二师医院，1975年建设兵团撒制改建为潍坊医学院附属医院。历经沧桑近三十载，医院已发展成为集医疗，教学，科研，急救，预防，保健于一体的现代化省属综合必医院。[第一段]     

军队医院护理人员排班研究

目的为探讨刍：队医院护理人力资源的利用现状，合理配置现有护理人力资源，使工作效率达到最大化。方法借助卫生经济学、卫生经济管理学及现代护理管理学的有关理论，采用了对部分医院临床科的军人护士和聘用护士进行问卷调查的方式。结果不同等级的医院、不同的科室工作量和工作效率并不完全相同，忙闲不均，各级护理人员在多数操作项目中没有层次差别，因而人力资源的能级浪费与不适宜服务并存。结论对护理人员的班次进行合理编排，形成最佳的能力结构和职称结构，真正实现以病人为中心的整体护理。     

北京地区50所医院护理人力配置现状调查分析

卫生人力资源是发展卫生事业的重要资源，科学的护理人力资源配置是当前护理专业、护理管理改革的重要方面。我们从护理人员的数量、学历及职称层次3个方面对北京地区二三级医院护理人力配置现状进行了调查分析。为北京市卫生行政管理部门宏观管理和各级医院合理配置护理人员提供出科学依据。     

广东省公立医院卫生人力资源配置特征分析

目的旨在通过分析广东省公立医院卫生人力资源配置特征,为政府制定人力资源发展政策以及医院人力资源管理提供依据。方法通过整群抽样选取广东省21个地级市254家公立医院,采用统一设计的调查表进行函调,并选取5个地级市7所三级医院10所二级医院进行研究现场,对140余名有关人员进行深度访谈。结果2005年,广东省各地各级公立医院卫生技术人员数量比2000年有了明显增长,珠三角地区卫生技术人员数量和增长速度比非珠三角地区有明显优势。医院卫生技术人员专业构成无明显地区差异,而珠三角地区各级医院比非珠三角地区同级别医院拥有更多高职称人员。结论广东省公立医院卫生人力资源数量增加,区域发展不平衡:高级专业人员集中于珠三角地区大型医院。     

对医院人力资源会计的探讨

医院人力资源会计是指把人作为有价值的组织资源，以医院的人力资源为核算对象，确认、计量和报告医院的人力资源信息，以货币和中介变量的形式反映、控制医院人力成本、价值和效用，为医院管理者和外部信息需求者提供人力资源现状及变动信息的一种会计分支。医院人力资源会计是医院财务会计的重要组成部分，包括医院人力资源成本会计和医院人力资源价值会计两个部分。医院人力资源成本会计反映医院为取得和开发人力资源占用或耗费的资本即人力资源的投入值；医院人力资源价值会计是人力资源本身具有一定智能的劳动力资源的价值，反映医院人力资源在其整个效益期间所做出的贡献值即人力资源的产出值。     

宁夏各级医院人力资源编制现状研究

1978年颁布的医院人力资源编制标准中医院床位数量是根据医疗服务需求设置的,而且工作量多少与床位数量有直接的关系。但随着医学科学技术的不断发展,医疗服务需求发生重大变化,目前的人力资源编制标准已经远远不能适应现代医院发展的需要,而且出现种种弊端。研究通过调查宁夏各级医院人力资源编制和资源配置现状,分析现有编制标准中存在的问题,为医院人力资源编制标准的改革提供理论依据。     

论“清远模式”——一个腾飞于规模经济注重效益的模式

清远市人民医院拼搏１０年，升华的“优质高效低耗”模式，对中国医院的发展提供了宝贵经验，“清远模式”产生于特殊的历史条件，县改市为医院扩大规模提供了机遇，在规模经济中实现了两个效益的统一。     

现阶段我国全科医生培养模式探讨

全科医生的培训是我国现阶段社区卫生服务发展的当务之急。本文对目前国内几种全科医生培养模式进行了分析，探讨适宜我国国情和教育现状的全科医生培养模式，以促进我国全科医学教育和社区卫生服务的健康、稳定发展。     

促使社区卫生服务可持续发展的政策研究概述

“促使社区卫生服务可持续发展政策研究”项目的研究结果包括目前社区卫生服务功能被重视和提供的程度,社区卫生服务功能落实存在的关键问题,问题的根源和作用机制,促使社区卫生服务可持续发展的政策思路,社区卫生服务可持续发展的宏观、中观和微观的政策配套内容。     

医药经济核算与我国医药总费用初步分析

为了按照市场经济规律,正确地分析医药消费的宏观经济形势,制定符合我国国情的基本药物政策,本文试图对目前世界卫生组织推荐的医药费用核算体系和医药总费用指标体系作简要介绍,并利用卫生总费用测算结果所得数据,对我国医药总费用进行概略测算与初步分析,以便建立医药费用核算体系和医药总费用指标体系,开展医药总费用测算与分析。     

推进城市社区卫生服务合理利用卫生资源

针对城市卫生服务体系改革与发展社区卫生服务,合理利用卫生资源,对盐城市社区卫生服务供需状况进行了系统的调查,对收集到的数据进行了分析和研究,并结合盐城市的实际情况,提出了相应的对策及建议。     

Determinants of general practitioner use among women in Australia

This study investigates the use of general practitioner services by women in Australia. Although there is a universal health insurance system (Medicare) in Australia, there are variations in access to services and out of pocket costs for services. Survey data from 2350 mid-age (45-50 years) and 2102 older (70-75 years) women participating in the Australian Longitudinal Study on Women's Health were linked with Medicare data to provide a range of individual and contextual variables hypothesised to explain general practitioner use. Structural equation modelling showed that physical health was the most powerful explanatory factor of general practitioner use. However, after adjusting for self-reported health, out of pocket cost per consultation was inversely associated with use of services. The out of pocket cost was generally lower for women with low socioeconomic status but cost was also directly related to geographical remoteness. Women living in more remote areas had higher out of pocket costs and poorer access to services. Women who reported better access to care were more likely to be satisfied with their most recent general practice consultation and less likely to be sceptical of the value of medical care. These results show the need for health policies that improve the equitable use of general practitioner services in Australia.     

四类农村地区卫生人力配置效率的现状分析

利用１９９３年国家卫生服务总调查资料,结合农村改良医院规划模型的计算结果,参照１９８９年卫生部颁布的《医院分级管理办法》,分析我国农村卫生人力的配置效率及影响因素的现状;提出了全国农村及四类农村地区生力配置效率均有待提高,Ⅰ,Ⅱ,Ⅲ类地区病床使用率有待提高,Ⅳ类地区平均住院天数有待缩短Ⅰ类地区床工比有所降低。     

The mental health care delivery system in greece: regional variation and socioeconomic correlates

BACKGROUND: In Greece, the functional capacity of the mental health care system until 1980, was totally inadequate to meet the increasing mental health needs of the population and to provide efficient and community-based services. This situation was brought to the attention of the Commission of European Communities and a special EEC Regulation No 815/84 provided the financial technical support for an extended psychiatric reform programme. The psychiatric reform programme initiated in 1984 and ended in 1995. AIMS OF THE STUDY: This study compared the geographical distribution of neuropsychiatrists and the mental health care delivery system structural components (psychiatric beds, extramural mental health units and places in rehabilitation services), according to the regional socioeconomic development for the years 1984, 1990 and 1996. Additionally the possible effects of the operation of community-based mental health services on the psychiatric hospitalizations were examined. METHODS: Data on the geographical distribution of neuropsychiatrists in the previously mentioned years were drawn from local Medical Association from each of 54 prefectures of the country. The corresponding distribution of the mental health care delivery system components was made available from the database of the Monitoring and Evaluation of Mental Health Services Unit. Pearson product moment correlations of the regional distribution of neuropsychiatrists and the various components of the mental health care system, as population-based ratios, with the corresponding socioeconomic development in the form of the general index of development were performed. Mental hospital age standardized rates were collected from the Hospital Central Register for the periods 1984-1987 and 1990-1993. Discharge rates were elaborated according to the existence of mental health services in specific regions. RESULTS: A wide regional variation in neuropsychiatrists per 100000 population was found in all three years, with the majority of them working in the greater Athens and Thessaloniki areas. In the geographical distribution of health regions, there is an uneven significant decrease in psychiatric beds between 1984 and 1996. However in almost all regions an increase in extramural services between the two critical periods was noticed, as part of the implementation of the psychiatric reform programme. A parallel and more dramatic increase in the places of rehabilitation in 12 out of 13 regions has been observed during the implementation of the reform programme. At the level of prefectures, the changes across time, in the mean ratios of beds, extramural services and rehabilitation places were not found to be significant. A significant decrease of discharges in prefectures covered by newly established extramural services for the period 1990-1993, compared to discharge rates during the period 1984-1987, when none of these services were in operation in these prefectures, was noticed. The intercorrelation matrix between the various mean values (1990-1996) of the mental health care system components in the 54 prefectures and the local general index of development scores produced statistically significant correlation coefficients. It seems that the greater the level of local socioeconomic development the higher the degree of mental health care delivery system growth. DISCUSSION: Our results have shown uneven regional distribution of neuropsychiatrists, as well as extramural mental health units and rehabilitation places, despite the current reorganization of the whole mental health care delivery system. The positive correlation between the various structural components of the system in the 54 prefectures and the local socioeconomic conditions could be interpreted as follows. Urban areas of higher socioeconomic growth had a long history of development of inpatient services in mental hospitals. In these several community-based alternatives have been established for their transformation into modern ones. Urban areas exhibit also higher psychiatric morbidity and therefore increasing mental health needs. Additionally in several cities local University Psychiatric Departments have developed a variety of mental health and rehabilitation services. Many new services highly specialized and complementary to existing mental hospitals were established in urban areas. Rural areas are mostly uncovered by mental health care facilities. However it seems that the establishment of community-based services could have an effect on mental hospital utilization. CONCLUSION: It becomes evident that after the implementation of the psychiatric reform programme in Greece significant progress in the areas of decentralization of mental health and rehabilitation services has been observed. However there are still areas in many prefectures, mainly rural or semirural, lacking the appropriate delivery of mental health care. IMPLICATIONS FOR HEALTH CARE AND POLICY FORMULATION: Our results suggest that flexible models of services should be introduced for the benefit of population living in areas lacking the necessary socioeconomic resourses. IMPLICATIONS FOR FUTURE RESEARCH: Mental health services research in Greece should focus on quasi-experimental studies on the effectiveness of various models of mental health care in areas of different socioeconomic growth.     

积极探索医疗改革的新思路

阐述了近年来医疗机构运行出现的新特点，即《中共中央，国务院关于卫生改革与发展的决定》实施后，大医院在国家重点扶持和技术优势的作用下，困难有所缓解；农村基层卫生机构由于国家投入的重点倾斜，合作医疗制度的重建和乡村两级卫生机构一体化的推行，困难也开始减轻，唯独处在中间层次的医院和一些企业医院的困难没有改善。     

广东省社区卫生服务的理论与实践研究

本文对广东省1989年以来开展的社区卫生服务理论与实践探索进行总结,我们在全省6个市的17个社区建立了社区卫生服务中心,制定了开展社区卫生服务工作程序,总服务人群为18万多人。通过理论与实践探索,作者认为要做好社区卫生服务必须重视:高校参与,教育先行,加强全科医学教育;开展社区卫生服务的科学研究;发展信息管理与信息服务,开发《社区卫生服务管理与评价系统(软件)》;理顺社区卫生服务与初级卫生保健、全科医疗的关系;应用健康多维评价技术进行社区卫生服务的规划、实施与评价。