医院图书馆面向患者的拓展服务——真人图书馆

分析医院图书馆的优势及面向患者开展真人图书馆服务的必要性,对医院图书馆开展真人图书馆服务进行设计,包括采访、宣传、分类、编目、流通、保存等内容,探讨医院图书馆开展真人图书馆服务的评估模式,以期为患者提供最便捷、直观的优质资源,发挥图书馆促进知识交流与实现资源共享的职能。     

医院图书馆患者健康信息服务实践

目的：分析图书馆服务满意度的影响因素,为今后更好地开展医院图书馆患者服务提供借鉴和思路。方法：对221例住院患者提供健康信息服务并对服务患者进行满意度调查。采用Logistic回归模型分析患者相关特征,以及图书馆服务需求及满意情况的影响因素;采用IPA法评价图书馆开展患者服务的满意度情况。采用SPSS 19.0统计软件进行分析。结果：不同性别、年龄和受教育程度对图书馆服务的重要性和满意度影响差异无统计学意义（P>0.05）。总体重要性和满意度均较高;通过IPA法分析,发现患者虽然认为图书馆个性书目的定制和科室自编的健康小册子重要性高,但满意度却较低。结论：患者对图书馆开展信息服务的总体满意度较好,但是对个性书目的制定和健康小册子的编制表现为高重要性和低满意度,因此仍需提高图书馆员的服务能力,鼓励更多的医务人员参与到为患者提供信息服务工作中。     

日本患者图书馆概述

基于“阅读”在患者康复过程中的重要作用,介绍了日本患者图书馆的历史、现状、服务形式、服务业务、服务对象以及人才培养方法,相关团体和个人的积极带动,以推动我国医院患者图书馆的建立和发展。     

国内外医学图书馆延伸服务

基于医学图书馆转型发展需要和公众健康信息需求,对国内外医学图书馆延伸服务现状进行总结,采用文献调研和网络调研的方法对MedlinePlus网站、灾害医学信息服务、患者图书馆等国外典型医学图书馆延伸服务案例进行介绍,以期为我国医学图书馆开展延伸服务提供借鉴。     

医院图书馆阅读推广实践研究

阐述医院图书馆院内推广阅读和院外推广阅读的实践,着重介绍向患者及家属开办读书会情况,从书目选择、医院心理辅导员、患者阅读引导员以及图书馆参与度等方面总结患者团体共读的经验。     

我院图书馆为患者服务的实践研究

欧美发达国家患者图书馆历史悠久,成为医疗服务中不可缺少的一部分。而在我国,患者图书馆事业还未兴起。介绍了广东省人民医院图书馆通过让图书馆员与患者接触,到病区现场提供服务,并发放医院图书馆对患者服务需求问卷等多种方式为患者提供相关服务。指出医院图书馆为患者服务具有很大的需求市场,但全面开展患者服务条件尚不成熟。     

浅谈医院图书馆开展对患者的读者服务工作

医院图书馆开展对患者的服务工作,对加强医院管理,深化医院图书馆读者服务工作具有重要意义,也是新形势下社会发展的必然趋势。然而医院图书馆为患者的读者服务,恰恰长期被忽视。所以,应该引起医院领导和图书馆工作人员的高度重视。     

医院图书馆开展患者服务的实践研究

目的：本研究在患者需求调查的基础上,为患者开展患者服务,并分析图书馆服务满意度的影响因素,为今后更好地开展医院图书馆患者服务提供借鉴和思路。方法：对2015年11月至2016年10月期间于绍兴市人民医院康复科和放疗科住院的患者开展信息服务,并对服务患者进行满意度调查。采用logistic回归模型分析患者相关特征与图书馆服务需求及满意情况的影响因素;采用IPA法评价图书馆开展患者服务的满意度情况。所有统计分析采用SPSS19.0统计软件,显著性水平为P＜0.05。结果：图书馆共对221例患者提供信息服务,并进行满意度调查,回收有效问卷220份,其中男151例(68.6%),女69例(31.4%)。不同性别、年龄和受教育程度对图书馆服务的重要性和满意度影响差异无统计学意义(P>0.05)。总体重要性和满意度均较高,均值分别为4.28和4.80;通过IPA法分析,Q3(图书馆为您制定个性书目)和Q5(科室提供自编健康小册子)表现为高重要性低满意度,应当集中精力解决。结论：患者对图书馆开展信息服务的总体满意度较好,但是对个性书目的制定和健康小册子的编制表现为高重要性和低满意度,仍需提高图书馆员的服务能力和鼓励更多的医务人员参与。     

精神专科医院图书馆的服务创新

针对精神专科医院图书馆工作环境和服务对象的特殊性,对医院图书馆的服务创新进行了探索,使其更好地服务于医院的工作人员、患者和家属,充分实现图书馆的核心价值。     

国外医学图书馆延伸服务案例分析

在医学图书馆转型发展需要和公众健康信息需求背景下,对国内外医学图书馆延伸服务现状进行总结,选取国外MedlinePlus、灾害医学信息服务、患者图书馆案例进行分析,以期为我国医学图书馆开展延伸服务提供借鉴。     

Is there an advocate in the house? The role of health care professionals in patient advocacy

It remains unclear what patient advocacy actually entails and what values it ought to embody. It will be useful to ascertain whether advocacy means supporting any decision the patient makes, or if the advocate can claim to represent the patient by asserting well-intentioned paternalistic claims on the patient's behalf. This is especially significant because the position of advocate brings with it certain privileges on the basis of of presumed insight into patient-perceived interests, namely, entitlement to take part in clinical decision making and increased professional standing. Three issues related to patient advocacy will be explored: are patient advocates necessary; what does advocacy entail, and who ought to represent patients in this way-arguments for and against prospective candidates will also be covered. The paper considers whether advocates are necessary since not only can they be dangerously paternalistic, but the salutary values advocacy embodies are already part of good professional health care.     

Cost Effective Patient Location Monitoring System Using Webcams

This paper details the development of a simple webcam joystick, a wireless, or rather cableless, and contactless pointing device by using a webcam and a simple flexible non-electronic joystick. Such a system requires no power source on the joystick, allows for light, robust and very mobile joysticks, and can be extended into a large array of applications. This paper proposes the use of small webcam joysticks as sensors for recording movement, the way wireless sensors are used. Specifically, it could be used as a simple navigation and monitoring system for patient movement in medical wards, where knowledge of patient location and movement could provide instant assistance, pre-emptive action and also hinder untoward patient mix-ups. Experiments and discussions in this paper highlight how a successful implementation is possible, and emphasize the flexibility of such an implementation in a low cost medical environment.     

Flexible nursing staff planning with adjustable patient demands

The objective of this paper is to present a mathematical model for flexible staff planning when patient demands are uncertain and adjustable. The demand level before adjustment is considered a distribution on a daily basis. The adjustment is done by increasing or decreasing the average and the standard deviation of the daily demand level, with the assumption that the total patient demands for a week are identical. The adjustment of patient demands can be achieved by cooperating with an inpatient admission system to control the patient mix and the variation of an admitted census. Then, the nursing workforce can accommodate patient needs efficiency and economically with quality assurance in an uncertain demand environment.     

肿瘤标志物在泌尿生殖系统癌诊断中的应用

肿瘤标志物（tumor marker TM）是反映肿瘤存在的生物物质,他们在某一肿瘤组织中特异性地表达或分泌,而在其他肿瘤组织或正常组织不表达或低表达、低分泌。肿瘤标志物主要用于肿瘤诊断、分类、肿瘤预后判断、治疗后随访、化放疗敏感性判断等,其研究已成为临床肿瘤诊断的热点。本文就泌尿生殖系统癌诊断中肿瘤标志物的应用做一综述。     

Obstetric handling of a deaf patient

We report our experience of obstetric handling of a deaf pregnant patient antenatally, in labor and postpartum. The patient was deaf from childhood. The attending obstetrician had no training in the necessary skills for communication with the deaf. Fortunately, the patient could read and write English very well and communication was carried out through pen and paper. This proved to be difficult, time-consuming and required a lot of patience. The clinical, psychological and human aspects of the management were gratifying. The patient brought up interesting aspects that need to be considered when dealing with similar patients. Experience of deaf mothers and their ingenious approaches in dealing with babies, in the postpartum period, are quoted in this communication.     

The nature of confidentiality.

This paper examines confidentiality and its nature and analyses the guidelines laid down by the Hippocratic Oath as well as the British and World Medical Associations for maintaining such confidentiality between doctor and patient. There are exceptions to practically any code of rules and this is true also for confidentiality. Some of these exceptions make it appear that very little is confidential. The three values implicit in confidentiality would seem to be privacy, confidence and secrecy. Each of these values is discussed and developed in this paper. In conclusion, the question is suggested that maybe in the face of death, doctor and patient need to re-examine the pre-suppositions of privacy, confidence and secrecy on which the confidential relationship is based.     

Tacit components of medical ethics: making decisions in the clinic.

When a patient visits his doctor there is, as well as a spoken dialogue, also an unspoken, or tacit, dialogue between them. This may not be evident unless that dialogue breaks down when the psychological or moral terms of reference of each are seen to be different. The author of this paper tries to elucidate the framework in which physician and patient think, and in so doing allow an understanding of why the physician may appear to be rigid and authoritarian in his dealing with his patients and the patient uncooperative.     

A clinician''s guide for conducting randomized trials in individual patients.

In determining optimal treatment for a patient conventional trials of therapy are susceptible to bias. Large-scale randomized trials can provide only a partial guide and have not been or cannot be carried out for most clinical disorders. However, randomized controlled trials (RCTs) in individual patients (N of 1 RCTs) may in some circumstances provide a solution to this dilemma. In an N of 1 RCT a patient undergoes pairs of treatment periods (one period of each pair with the active drug and one with matched placebo, assigned at random); both the patient and the clinician are blind to allocation, and treatment targets are monitored. N of 1 RCTs are useful for chronic, stable conditions for which the proposed treatment, which has a rapid onset of action and ceases to act soon after it is discontinued, has shown promise in an open trial of therapy. The monitoring of treatment targets usually includes quantitative measurement of the patient's symptoms with the use of simple patient diaries or questionnaires. Pairs of treatment periods are continued until effectiveness is proved or refuted. The cooperation of a pharmacy is required for the preparation of matching placebos and conduct of the trial. Formal statistical analysis may be helpful for interpreting the results. The practical approach presented in this paper allows clinicians to conduct their own N of 1 RCTs.     

Patient confidentiality and telephone consultations: time for a password

Although telephone consultations are widely used in the delivery of healthcare, they are vulnerable to breaches of patient confidentiality. Current guidelines on telephone consultations do not address adequately the issue of confidentiality. In this paper, we propose a solution to the PROBLEM: a password system to control access to patient information. Authorised persons will be offered the option of selecting a password which they will use to validate their request for information over the telephone. This simple yet stringent method of access control should improve security while allowing the continuing evolution of telephone consultations.     

医院网络预约挂号系统的构建

医院门诊挂号排队一直是制约医院提高服务质量的问题,尤其是在一些医疗技术水平较高的大型综合性医院,门诊挂号排队更属于极其普遍的现象。在互联网迅猛发展的今天,网上挂号成为分流的重要途径。提出了医院网络预约挂号系统的构建方案,患者只需要利用互联网就能够实现提前预约挂号,减少排队挂号的等候时间,还能够掌握不同医生擅长的治疗方向。通过信息技术使医院可以为患者提供更优质、更便捷的服务,同时也有效提高了患者对医院的满意度。