朱忠华厅长在全省卫生监督与疾病预防控制体制改革研讨会上的讲话

当前，在全省上下认真学习贯彻十五届六中全会精神的形势下，省卫生厅今天在鄂州召开两项体制改革研讨会。这是我们为深化两项体制改革召开的一次专门会议，具有很重要的意义。今年，全省各地通过认真学习国务院办公厅转发国务院体改办等八部委《关于城镇医药卫生体制改革的指导意见》和经国务院同意，卫生部下发的《关于卫生监督体制改革的意见》以及省政府办公厅去年批转的《湖北省卫生监督和疾病预防控制体制改革的实施意见》，普遍提高了对两项体制改革重要性的认识，明确了改革方向。 省厅党组十分重视两项体制改革工作，多次听取汇报…     

政府主导与引入市场机制关系初探

“十一五”规划期间是我心全面构建和谐社会的关键阶段，也是会面落实“以人为本”的科学发展现和促进杜会经济可持续发展的重要时期。在医疗卫生事业发展过程中，如何发挥政府主导作用，适当引入市场机制，促进卫生事业健康发展，全面构建和谐社会，已日益成为人们关注的话题。本文试图浅析在医疗卫生事业发展过程中．政府主导与引入市场机制的关系。     

试论市场机制和政府调节在卫生服务领域的作用

市场机制和政府计划从来就是相互依赖的经济调节手段 ,二者都存在靠自身力量无法克服的缺陷 ,其有机结合、优势互补 ,才能消除市场和政府的双重失灵 ,确保经济的健康发展。党的十四大确立了我国经济体制改革的目标模式 ,即建立社会主义市场经济体制 ,使市场在政府宏观调控下对资源配置起基础性作用 ,医疗卫生服务行业也随之进入市场[1] 。党的十六大己将全民族健康素质的明显提高 ,形成比较完善的全民健身和医疗体系作为全面建设小康社会目标的重要内容。随着我国全面进入小康社会 ,以及加入WTO后我国市场经济的快速发展和卫生体制改革的…     

卫生改革与发展必须实现市场机制和政府调节的优化组合

该文根据经济学理论,以现代社会存在的市场失灵、政府失灵现象及其在卫生服务领域的表现进行了分析,提出了克服失灵、深化卫生改革的建议。     

市场机制、政府调节在卫生服务领域的功能与角色

医改的前提,是要界定和区分清楚,哪些事该由政府做,哪些事该交给市场调节。本文拟从经济学角度,剖析市场机制与政府调节在卫生服务领域的功能与角色定位。     

医疗卫生事业发展中政府与市场机制的定位分析

该文从卫生服务分类、公平与效率的关系和目前卫生改革目标三个角度分析了政府和市场机制主导地位选择的问题，认为发展我国医疗卫生事业应以政府主导为基础并引入市场机制。     

市场机制和政府调节在卫生服务领域的功能与角色定位

根据经济学理论,对现代社会存在的市场失灵和政府失灵现象及其在卫生服务领域的表现进行了分析,认为单纯利用市场机制无法使卫生行业健康发展,需要政府适度管制。在社会主义市场经济条件下,政府的主要责任是保障居民基本医疗服务,促进健康公平。     

政府主导市场引入努力构建新型医疗卫生服务体系

当前医疗卫生体制改革始终涉及三个方面的问题,一是资源,二是公平,三是效率。最理想化的模式是资源充足,保证公平,效率最优。作为政府,主要是在三者之间权衡,寻求一个三者都能兼顾的选择。在具体互作中,既要防止统得过死,使医疗机构变成一潭死水;又要防止放的过宽,使医疗机构成为一盘散沙。     

公立医院改革中引入市场机制的探讨

运用新公共管理等有关理论，分析了国际上医疗行业引入市场机制的主要做法，提出了在公立医院改革中引入市场机制的主要领域和内容，希望能对我国的公立医院改革有所借鉴。     

发展比薪水更重要

留住人才不只是钱的问题.<亚洲华尔街日报>和知名HR咨询机构翰威特联合进行的"亚洲地区最佳雇主"的调查结果显示,中国上海的雇员一致将培训和职业发展列为雇主应该提供的两种最重要的东西,其热衷程度甚至超过了对薪水和福利的渴求.     

Nothing is more important than a child]

As part of its 100th-anniversary celebration, the Pan American Health Organization has named 12 persons as "Public Health Heroes of the Americas" in recognition of their noteworthy contributions to public health in the Region of the Americas. Over the course of this year, the Revista Panamericana de Salud Pública/Pan American Journal of Public Health will be carrying pieces written by or about these heroes.     

The Plasmodium falciparum chloroquine in vivo test: extended follow-up is more important than parasite counting

349 in vivo tests of the susceptibility of Plasmodium falciparum to chloroquine, 25 mg/kg, were analysed. In some surveys, standard in vitro tests were also carried out. The proportions of sensitive and resistant infections in different areas found by the 2 methods were similar, but, within a given area, correlation between the two methods was often poor. Two RI cases and one RII/RIII case were sensitive in vitro, and it is suggested that the extended in vivo test may sometimes be more sensitive than the in vitro test, and that even in endemic areas, where reinfection is possible, patency on day 14 will nearly always be due to resistance. Parasite density data were analysed by calculating the geometric mean of each day's parasite density as a percentage of the day 0 parasite density + 0.1. Most resistant and sensitive infections attained minimal values on day 4, and it is proposed that assessment of sensitivity based on parasite densities should use day 4 values. Contrasts between materials were more clearly defined statistically when comparisons were based on ranking in vivo test classifications, than when based on day 4 parasitaemia. It is therefore suggested that, for epidemiological purposes, extension of tests to at least 14 d is more important than parasite counting. Parasitaemia above 20-25% of the day 0 value on day 2 in a severely ill patient, or persistent patency on day 4 in a symptomatic patient, are both indications for a change of treatment.     

Iron deficiency is a more important cause of anemia than hemoglobinopathies in Kuwaiti adolescent girls

Anemia is the most prevalent nutritional problem worldwide, due mainly to iron deficiency. Studies of anemia are less common in adolescents than in women and children. We examined anemia prevalence in adolescent Kuwaiti schoolgirls, and its association with hemoglobinopathies as well as the most common environmental cause, Fe deficiency. A cross-sectional sample of 1051 healthy adolescent schoolgirls was studied. Sample size was based on WHO criteria. Anemia, Fe deficiency and hemoglobin (Hb) variations were studied by Hb concentration, erythrocyte protoporphyrin (EP) and an HPLC quantitation, respectively. Of the subjects sampled, 30% were anemic. Mildly elevated EP values were found in 68%. Girls with high EP levels were more likely (P < 0.001) to be anemic than girls with normal EP. Up to 25% of the girls may have had Fe deficiency anemia. Hemoglobinopathies were neither prevalent nor significantly associated with anemia. These data indicate that environmental factors play a significant role in anemia among healthy, well-to-do Kuwaiti adolescent girls.