论军队医院由单纯医疗型向研究型转变

由单纯医疗型医院向研究型医院转变,是军队医院适应国内外发展形势、中国特色军事变革的必然要求,是贯彻落实科学发展观、提高卫勤保障能力、有效履行军队“三个提供、一个发挥”历史使命的客观需要。军队医院要以增强发展力、竞争力、凝聚力为重点,加强基础设施建设和精细化管理,不断提高科研创新能力,扎实推进研究型医院建设。     

军队医院委托管理乡镇卫生院的实践

为深化驻地农村医疗卫生体制改革,推进城乡卫生统筹发展,构建城乡医疗卫生一体化发展格局,本院在农村医疗卫生体制改革过程中,对驻地两个卫生院实行托管,探索“城市带乡镇、乡镇带村组、大院带小院、城乡同发展”的“造血式”医院托管模式,为推进驻地城乡医疗资源均等化起到作用.     

医院文化是医院发展之魂

医院文化是医院发展之魂,是医院可持续发展的动力之源。作为一种柔性的生产力,它在推动医院建设和发展过程中的作用越来越受到人们的重视。本文从医学与文化、医院与文化、医务人员与文化、人文与文化等方面,阐述培育优秀的医院文化对提高医院综合实力和持续健康发展的重要性。     

医院文化是医院发展之魂

医院文化是医院发展之魂,是医院可持续发展的动力之源.作为一种柔性的生产力,它在推动医院建设和发展过程中的作用越来越受到人们的重视.本文从医学与文化、医院与文化、医务人员与文化、人文与文化等方面,阐述培育优秀的医院文化对提高医院综合实力和持续健康发展的重要性.     

新形势下军队医院文化管理

作者论述在新形势下部队医院文化建设应关注的几个方面：一是围绕＂主题主线＂,营造军队医院鲜明的政治氛围;二是适应＂打赢＂需要,构建军队医院保障有力的战斗氛围;三是保证安全稳定,突出军队医院文化的和谐氛围;四是兼顾市场,渲染部队医院富有朝气的竞争氛围;五是立足长远发展,营造军队医院富有时代特点的创新氛围;六是吸收中国传统文化之精髓,彰显＂以人为本＂的温馨氛围。     

医药分家后医院内部运行工作的思考

为贯彻《关于城镇医药卫生体制改革的指导意见》(简称《指导意见》);阐述了贯彻《指导意见》的措施：截断药品生产、销售与医疗机构的直接利益联系能否从根本上解决药费过快增长的问题;药品统一招标采购问题;非盈利性医疗机构门诊药房改为药品零售企业问题。     

Hospital autonomy: the experience of Kenyatta National Hospital.

An increasing number of countries are exploring the introduction or expansion of autonomous hospitals as one of the numerous health reforms they are introducing to their health system. Hospital autonomy is one of the forms of decentralization that is focused on a specific institution rather than on a political unit. It has gained much interest because it is an attempt to amalgamate the best elements of the public and private sectors in how a hospital is governed, managed and financed. This paper reviews the key elements of the concept of hospital autonomy, the reasons for its expanded use in many countries and a specific example of making a major teaching hospital autonomous in Kenya. A review of the successful experience of Kenyatta National Hospital and its process of introducing autonomy, with regard to governance, operations and management, and finances, lead to several conclusions on replicability. The legal framework is a critical element for successfully structuring the autonomous hospital. Additionally, success is highly dependent on the extent to which there is adequate funding during the process of attaining autonomy due to the length of the transition period needed. Autonomy must be granted within the context of the national health system and national health objectives and be consistent with those aims and their underlying societal values. Finally, as with decentralization, success is dependent upon the preparation done with the systems and management necessary for the proper governance and operation of autonomous hospitals.     

关于解决"院中院"问题的思考

20 0 0年 2月 ,国务院办公厅转发了国家体改办等 8部门制定的《关于城镇医药卫生体制改革的指导意见》(以下简称《指导意见》) ,提出建立新的医疗机构分类管理制度。根据这一要求 ,2 0 0 0年 7月 ,卫生部、国家中医药管理局、财政部、国家计委联合下发了《关于城镇医疗机构管理     

公立医院改革对军队医院发展的挑战

军队医院作为体现公立医院公益性的一支重要力量,理应在新一轮医改中发挥更加重要的作用。由于体制的特殊性,军队医院在公立医院改革体系中在人事制度改革、管理体制改革、区域卫生规划、补偿机制改革、引入社会资本等方面面临着诸多的挑战,探索既符合改革趋势,又适合军队特点的军民融合发展道路任重道远。     

Hospital of the future

What will hospitals look like a decade from now? In this futuristic look at hospital care, the authors offer their vision of where technology may lead.     

Pseudomonas in the Hospital

From the kitchen to the mist therapy unit, the hospital provides numerous ecologic niches for this pathogen, as well as a high concentration of appropriate human hosts. Although P. aeruginosa is still the major troublemaker, P. cepacia is increasing in importance; it can grow even in disinfectants. The role of in-house epidemiology in controlling outbreaks of pseudomonas infection is spelled out.     

Diagnosing the Hospital Team

The process of teaming offers an expanded resource for diagnosis and problem solving. The interaction of team membres will reflect both system and patient care problems. But those interaction also tend to pull the team apart. In order to survive, the team needs to understand the ways in which it conflicts reflect unresolved contradictions and paradoxes in society, in the patient, and in the health care system. Institutional support for health care teams will depend on the extent to which those in power come to rely on a collaborative process to fulfill their own objectives.     

Hospital of the future

It's the year 2002. How have America's hospitals changed over the past 10 years, and what are the pressing problems? Has the healthcare system been "reformed"? A special section takes a look at the issues making headlines and what one public hospital and one suburban hospital are doing to adapt to the new challenges and address the healthcare needs of their communities.     

公立医院还是国有医院

公立医院原本是一个清晰的概念,按照权威的解释：公立医院是政府拥有并由政府提供运营经费的医院。在一些国家,公立医院作为承担政府医疗卫生职责的载体为民众提供免费或低费用的医疗服务,这也是我们建国至上世纪80年代公立医院的主要运营模式,自然也成为部分国人心目中对我国公立医院改革的期盼。然而,始自20世纪80年代的开放改革,中国的公立医院并未按照这一模式继续发展,取而代之的是以“为民众提供医疗服务获取医院发展资金”,也即“医院靠收费维持自身运营”的模式,这一模式在新的一轮医改中被喻为“医疗服务市场化改革”而遭受质疑。     

医院文化与医院品牌

医院文化与医院品牌两者相辅相成．其目的都是为了提升医院的美誉度与老百姓对医院的信任度。医院文化建设与医院品牌建设对于促进医院发展具有重要的意义。医院品牌打造要与医院文化创新并重。