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城镇社区卫生服务信息化建设的主要障碍探析 总被引:1,自引:0,他引:1
社区卫生服务信息系统是社区卫生事业管理的工具和手段。目前,我国95%的地级以上城市、86%的市辖区有3400个社区卫生服务中心,12000个社区卫生服务站。只有通过现代信息技术才能做到信息有效及时的上通下达,对信息进行科学的分析和处理,实现信息的科学管理和卫生事件的有效应急管理。加强社区卫生服务信息管理,不仅有助于完善和规范社区卫生服务的功能、提高社区卫生服务质量、推动社区卫生服务体系的深入发展,而且有助于促进卫生信息系统的整体进展、加快卫生信息化建设步伐。 相似文献
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社区卫生服务机构收支两条线改革的实践及思考 总被引:14,自引:1,他引:14
我国社区卫生服务经过多年的发展,目前已初具规模,但是不同地区不同模式运行效果差距甚大,特别突出的问题有:政府投入不足、重医轻防、过度服务行为、工作效率低下,等等。为此,杭州市下城区开展了社区卫生服务机构收支两条线改革,通过完善社区卫生服务机构运行和补偿机制,以期建立起一个以社区卫生服务为基础,社区卫生服务机构与医院、预防保健机构分工合理、协作密切,高效、经济、公平的新型城市社区卫生服务模式,努力满足广大人民群众日益增长的医疗卫生服务需求。 相似文献
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《山东卫生》2006,(5):24-25
一、优化资源配置
我区是济宁市城市核心区,各类医疗卫生机构较多。1997年我们在认真调查研究的基础上,提出了“三级联建、多元重组,发展社区卫生服务”的工作思路。在政府主导下,区、街道、社区协调推进,通过合理布局、科学调整、优化配置,将市区1家二级综合医院、3家专科医院、19家厂企一级医院和部分卫生室(所)进行资源整合与功能转化。先后投入300多万元新建、改建了一批社区卫生服务机构。目前,共设置社区卫生服务站51家,全部通过了市级验收,其中有2个社区卫生服务站通过省级验收,被命名为省级示范社区卫生服务机构。从2003年开始,安排社区卫生服务专项经费,对每个达到省级示范社区卫生服务机构标准的补助3万元,从人力、物力、政策、资金等方面对社区卫生服务倾斜支持。 相似文献
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发展城市社区卫生服务是我国卫生体制改革的重大内容,是21世纪我国城市卫生服务的发展方向。我市的城市社区卫生服务工作按照“引入竞争机制、拓宽筹资渠道、坚持依法准人、强化监督服务”的发展思路,经过了探索、整顿、创新三个发展阶段,形成了目前“疾控办社区”与公立医疗机构办社区并存的模式。本研究旨在摸清我市城市社区卫生服务开展情况,探索新形势下发展社区卫生服务的有效途径。 相似文献
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社区卫生服务培训需求评价 总被引:1,自引:1,他引:0
目的:研究社区卫生服务培训需求,方法:深入访谈与问卷调查相结合。共走访了成都和攀枝花市的卫生管理干部和社区医生18人,了解社区卫生服务开展状况,用分层定额抽样的方法抽取了3个成都市的社区,入户调查居民1041人,了解其卫生服务需求和利用情况,以及对社区卫生服务的态度。结果:社区卫生服务内容以常见病的诊疗为主,预防保健,计划生育等服务较少,且缺乏协调,社区卫生服务模式多样,社区医生与服务对象的关系及服务方式正在发生转变,社区医生未能完全适应此转变,医院对社区卫生服务的认识存在误区,社区卫生服务缺乏有效的激励机制,多数居民尚未能接受目前的社区卫生服务。结论:社区卫生服务培训应与社区卫生工作者的实践相结合,社区卫生服务培训应区阶段,分层次,有目的,有针对性地开展,培训对象应包括:管理干部,师资,社区医生和社区护士。 相似文献
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中国城市社区卫生服务模式探讨 总被引:7,自引:0,他引:7
总结中国城市社区卫生服务历程,探讨了目前国内社区卫生服务的诸多模式,尤其是网络模式,是当前的发展主流。本文探讨的城市社区卫生服务模式,为推进我国城乡联动的社区卫生服务发展起到重要的作用。 相似文献
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Trends in meningococcal disease in Italy in 1988 总被引:1,自引:0,他引:1
Meningococcal disease in Italy decreased 15% in 1988 from the previous year (290 vs. 342 cases). The decline was particularly evident in military cases (1.7/100,000 in 1988 vs. 5/100,000 in 1987) reflecting the full coverage of bivalent serogroup (A + C) meningococcal polysaccaride vaccine in army recruits, achieved since January 1988. The highest proportion of cases was seen in people older than 25 years of age (25%). Serogroup C constituted 60% of the isolates, while 19% belonged to serogroup B. The proportion of strains resistant to sulphonamides was 45%, while 15% were resistant to Minocycline and none to Rifampin. Out of the five military cases, only one (due to serogroup C) was attributable to the vaccine failure. A single coprimary case, but no secondary cases occurred among civilians. These findings are consistent with the trends reported in Italy in the previous years. 相似文献
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C L Rümke 《Nederlands tijdschrift voor geneeskunde》1985,129(51):2469-2471
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Leon Braier Ashley Levy Klaus Dror Asher Pardo 《American journal of industrial medicine》1981,2(2):119-123
Determinations of benzene concentration in blood and of phenol in urine were made by head-space gas chromatography techniques on samples taken near the end of the work day from two groups of workers potentially exposed to low levels of benzene in the work-place atmosphere. Preliminary results suggest that benzene in blood is more reliable than phenol tests for assessing both exposure and uptake of benzene. Normal values of phenol in urine (10 mg/liter or less) were found in nearly all those cases in which benzene was detected in the blood. 相似文献
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Nurses are known to be exposed to occupational stress. However, occupational stress is not well documented for nurses in psychiatric institutions in Taiwan. A cross-sectional study was conducted to explore the work-related stress and risk factors of nurses in psychiatric institutions in Taiwan. A structured questionnaire was distributed to nurses at five state-owned psychiatric hospitals in Taiwan in 2001. Demographic information, working environment, and personal health status were inquired. Occupational stress was assessed based on the Chinese version of Job Content Questionnaire (JCQ). General health status and mental health were evaluated by the International Quality of Life Assessment Short Form-36 (IQOLA SF-36). A total of 573 questionnaires were disseminated to nurses and 518 (90.4%) were satisfactorily completed by nurses, including 408 female full-time nurses who had been in their current work for more than 6 months. In the past one month, 17.2% of nurses reported being under significant stress often or always. Assault episodes were reported by 45.1% of nurses in the past 6 months. Among the nurses, 16.9%, 25.2%, 50.0%, and 7.8% belong to the "High strain", "Low strain", "Active", and "Passive" groups, respectively. Perceived occupational stress was associated with young age, widowed/divorced/separated marital status, high psychological demand, low workplace support, and threat of assault at work. Lower general health score was associated with low job control, high psychological demand, and perceived occupational stress. A lower mental health score was associated with low job control, high psychological demand, low workplace support, and perceived occupational stress. We concluded that nurses in psychiatric institutions are under significant stress related to work factors. 相似文献
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This historical and bibliographic study aimed to understand how Nursing was organized to support care in transplantation. The HISA, LILACS, BDENF, PERIENF and DEDALUS databases were consulted, and thirteen references were found, ten of which were scientific articles, two were master's dissertations and one was a doctoral thesis. The span of time chosen for study ranges from the date of the first kidney transplant in Brazil (1965), to the date of publication of the last scientific article found in the databases mentioned above (2003). After reading these articles, the ones that were similar in topic were grouped together, thus creating the thematic axis for the presentation of the results. The results showed that the Nursing profession has played an important and active role in transplants ever since the first procedure in 1965. 相似文献
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恶性肿瘤已成为中国居民的主要死因之一。近些年来,中国政府积极推进肿瘤预防和控制领域的研究工作,取得了很大的进步。本文简要汇总中国在肿瘤流行病学领域的研究进展,具体包括2019年的肿瘤负担、癌症危险因素及其干预、筛查和早期发现、癌症防治专项行动(2019-2022年)方案等方面,以期为我国肿瘤防治工作的有效开展提供技术支撑和理论依据。 相似文献
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目的 了解绵阳市2012年市售蔬菜中农药残留情况,为食用蔬菜监管提供依据.方法 全部样品均按照GB/T 5009-2003的方法进行农药的残留检测.依据GB 2763-2005《食品中农药最大残留限量》进行判定.结果 2012年共检测蔬菜165份,农药检出率和超标率分别为72.12%和23.64%.豆类、根茎类、叶菜类、瓜果菜类和食用菌类蔬菜检测农药残留超标率分别为8.00%、23.53%、36.00%、5.26%和27.03%,差异有统计学意义(x2=11.41,P<0.01).不同种类农药超标率差异有统计学意义(x2 =62.42,P<0.01).夏季和冬季蔬菜农药超标率差异无统计学意义(x2=3.44,P>0.05).结论 绵阳市叶菜类蔬菜中农药残留情况较为严重,应采取有效措施,加强蔬菜的监督管理,从源头禁止高毒农药的使用,加大蔬菜种植、销售环节的监测,确保市民食用蔬菜的安全. 相似文献