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美国医院伦理委员会产生的原因探析 总被引:1,自引:0,他引:1
医院伦理委员会在促进现代医院管理、推进现代医疗卫生事业的发展和现代医学科学的发展以及现代社会的发展进步中发挥着特别重要的作用.美国是世界上医院伦理委员会产生最早的国家.文章就美国医院伦理委员会产生的原因进行了客观深入的探析,透视了美国医院伦理委员会产生的背景,这对推进我国医院伦理委员会的建设与发展必将有重要的启发. 相似文献
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面对复杂而又深刻的伦理冲突,分析了医院伦理委员会产生的背景和重要意义,通过阐述目前我国医院伦理委员会建设中存在的问题,提出了加强医院伦理委员会建设的对策和建议。 相似文献
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增强医院医德医风建设推进医院可持续性发展 总被引:3,自引:2,他引:1
本介绍了我院近年来不断加强医德医风教育,完善各项规章制度,在揭露矛盾、抓住难点、解决问题上做章,增强了医德医风建设的主动性、科学性和有效性,促进了医院的内涵发展,树立起军队医院良好形象。 相似文献
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Andereck WS McGaughey JW Jonsen AR 《Journal of healthcare management / American College of Healthcare Executives》2012,57(4):264-73; discussion 274-5
Ethics consultation has been occurring in various forms within hospitals for more than 30 years. These consultations constitute a clinical act, and as such, the qualifications of those who provide them must be verified by the hospitals at which the ethics consultants practice. The clinical nature of the practice exposes the participants to malpractice liability. The field of medical ethics has struggled to provide a clear set of knowledge and skills that characterize its practitioners. Hospitals are faced with the immediate task of assessing the qualifications of and ensuring malpractice coverage for individuals providing clinical ethics consultation. We offer one example of how a community hospital has addressed this challenge. 相似文献
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[目的]了解三甲医院门诊患者的非技术服务满意度情况并探讨其影响因素,提出门诊非医疗技术服务改进建议。[方法]从南京市域内三甲综合医院、中医院、妇幼保健院、专科医院中各选取1家医院进行问卷调查,调查对象共计820人,回收有效问卷762份,有效率为92.9%。[结果]门诊患者对非技术服务各维度的满意度得分依次为:就医设施及环境>就医便捷程度>费用水平>职业道德态度;年龄、对医患关系的态度为非技术因素各维度及总体满意度的主要影响因素;诊疗时间、取药等候时间为职业道德及态度满意度的影响因素;自付费用为费用水平满意度的影响因素;户籍来源、学历水平为就医设施环境满意度影响因素;挂号方式为就医便捷程度的影响因素;户籍来源、诊疗时间、取药等候时间为非技术服务总体满意度的影响因素。[结论]门诊患者对三甲医院就医设施环境满意度较高,对医务人员职业道德与态度及就诊费用满意度较低;总体来说,患者年龄越大、诊疗时间越长、取药等候时间越短对医患关系的态度越积极正面,非技术服务满意度越高。 相似文献
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杜文彬 《安徽卫生职业技术学院学报》2012,(5):93-94
当前,对实习医学生医德的培养教育工作,主流应该予以肯定。但是仍然存在一些问题,如医院对医德教育不重视;对实习生管理和考核比较松弛;医务人员榜样示范作用有待提高;医德考核机制形式化。这就需要带教老师主动培养医学生的崇高医德;开展医德讲座,树立医德模范;建立学校和医院为一体的严格的医德评价体系。 相似文献
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流行病学研究方法的伦理学研究 总被引:2,自引:0,他引:2
目的 探讨流行病学研究方法中的伦理学问题。 方法 利用医学伦理学的基本原则研究社区干预试验、临床试验和队列研究等流行病学方法中可能遇到的伦理学问题。 结果 不同研究方法存在的伦理学问题不完全相同 ,实验性研究比观察性研究更容易出现伦理学问题。 结论 本研究提示在流行病学研究中应控制伦理学问题 ,以保障人类的健康 相似文献
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吴江荣 《中国卫生标准管理》2022,(1):41-44
在现代医院管理制度下,构建医院医德医风智慧考评体系,能够有效实施医院医风医德评价活动,强化医风医德建设的结果,充分发挥公立医院的公益性质,提高员工对现代医院管理制度的认可度,促使医务人员行为导向得到正向的激励,进而提高医院医务人员的服务水平,为患者带来更好的就医体验,提高患者对医院医务工作的认可度,减少医患纠纷,建立和... 相似文献
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The main purpose of this study was to investigate the agency problem presented by the global budget system followed by hospitals in Taiwan. In this study, we examine empirically the interaction between the principal: Bureau of National Health Insurance (BNHI) and agency: medical service providers (hospitals); we also describe actual medical service provider and hospital governance conditions from a agency theory perspective. This study identified a positive correlation between aversion to agency hazard (self-interest behavior, asymmetric information, and risk hedging) and agency problem risks (disregard of medical ethics, pursuit of extra-contract profit, disregard of professionalism, and cost orientation). Agency costs refer to BNHI auditing and monitoring expenditures used to prevent hospitals from deviating from NHI policy goals. This study also found agency costs negatively moderate the relationship between agency hazards and agency problems 相似文献
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医院文化建设是医院发展的动力。医院把深入推动职业道德教育作为提升医院管理水平,建设医院文化的重要内容。在综合分析的基础上,不断强化医务人员的职业理想、职业责任、职业纪律和职业规范,把工作上、制度上的种种要求转化为医务人员的内心信念。在职业道德教育的影响下,医院不仅在硬件上为患者营造一个亲切温馨的就医环境,也在软件上形成了争先进、讲文明、看质量、比服务的良好氛围。 相似文献
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DRGs与我国医疗保险付费方式改革的探讨 总被引:4,自引:0,他引:4
DRGs体系,作为医疗费用预付制度,为医疗保险付费方式的改革提供了科学、先进而实用的措施。通过对DRGs概况的介绍,以及DRGs与医疗保险付费方式的改革关系的分析,意在帮助人们进一步了解DRGs的内涵,提高对DRGs在医疗保险制度改革方面重要意义的认识。 相似文献
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Brian S. Marcus Jestin N. Carlson Gajanan G. Hegde Jennifer Shang Arvind Venkat 《HEC forum》2016,28(1):35-52
We sought to evaluate whether health care professionals’ viewpoints differed on the role of ethics committees and hospitals in the resolution of clinical ethical dilemmas based on practice location. We conducted a survey study from December 21, 2013 to March 15, 2014 of health care professionals at six hospitals (one tertiary care academic medical center, three large community hospitals and two small community hospitals). The survey consisted of eight clinical ethics cases followed by statements on whether there was a role for the ethics committee or hospital in their resolution, what that role might be and case specific queries. Respondents used a 5-point Likert scale to express their degree of agreement with the premises posed. We used the ANOVA test to evaluate whether respondent views significantly varied based on practice location. 240 health care professionals (108—tertiary care center, 92—large community hospitals, 40—small community hospitals) completed the survey (response rate: 63.6 %). Only three individual queries of 32 showed any significant response variations across practice locations. Overall, viewpoints did not vary across practice locations within question categories on whether the ethics committee or hospital had a role in case resolution, what that role might be and case specific queries. In this multicenter survey study, the viewpoints of health care professionals on the role of ethics committees or hospitals in the resolution of clinical ethics cases varied little based on practice location. 相似文献