老年综合健康评估在军队干部保健工作中的实施建议

军队干部保健工作的主要对象是师以上在职及离退休干部。尤其是离退休干部的医疗保健工作,具有保健范围广、需求层次高、保健任务重等特点,特别是在“两高期”（高龄期、高发病期）时,不断提高老干部保健水平是工作的重点。量化评估保健对象健康现状、实施科学的健康管理,是干部保健工作的重要内容。     

提升干部保健服务质量的做法

近年来,为加强干部医疗保健工作,我们以海军保健模式改革为契机,通过加强保健队伍建设、完善保健制度建设、深化保健内涵建设等措施,提高了干部保健工作的质量。现将我们的做法报告如下。1适应形势任务,切实加强干部保健队伍建设     

军队干休所卫生所做好医疗保健工作的思考

军队干休所保健对象比较特殊,要求卫生所的医务人员在医疗保健中应树立"大保健观"意识,工作做到精细化、个性化、亲情化[1]。现就军队干休所卫生所做好医疗保健工作的相关问题思考如下。1军队干休所保健对象的特点1.1医疗保健起点高军队干休所保健对象均为离退休干部,享受师(团)以上干部待遇,个别保健对象享     

成都军区召开干部医疗保健工作座谈会

20 0 1年 12月 13日 ,成都军区保健委员会召开了干部医疗保健工作座谈会。军区保健委员会主任、军区屈全绳副政委出席会议并作重要讲话。会议由联勤部曾建国部长主持 ,参加会议的有军区保健委员会副主任、军区黄光汉副参谋长、政治部周安准副主任、装备部王晓蒂副部长及保健委员会成员部门的有关二级部领导 ,各大单位卫生处处长、门诊部主任、有关医院院长、保健科 (办 )科长 (主任 )等共 70余人。总后勤部卫生部保健局张敬礼局长到会指导。这次会议以江主席“三个代表”重要思想为指导 ,按照总部提出的“一个目标、两个重点、三项任务、四…     

部队师以上干部高血压病64例胱抑素C结果分析

提高部队干部健康水平和生活质量已成为部队医疗保健机构和医疗保健工作者的重要课题,因此,更早更快更准确地了解并掌握保健对象的患病情况,才能提高医疗保健工作的内涵质量和疾病的防治效果。张彤等调查研究证实,海军45岁以上干部检出疾病中高血压排首位。随着对慢性非传染性疾病的深入认识,认为高血压病一经确诊,不仅控制     

军队机关门诊部医疗保健工作的做法

1强化服务意识 （1）保健人员应牢固树立“保健工作无小事”的意识,把握保健工作的方向,把出发点和落脚点放在为机关官兵服务上;（2）抓好军队机关门诊部服务宗旨和服务方向的教育,提高医疗保健人员对医疗保健工作的认识,以高度的责任感和使命感做好医疗保健工作;（3）建立健全保健领导小组,保健指导小组、保健办公室等医疗保健组织,经常分析医疗保健工作的形势,研究解决存在的问题,     

干部保健中开展健康教育的做法

随着医学服务模式的转变,健康教育已成为医疗保健的重要手段。近年来,我们把健康教育作为提高干部人群健康水平的一项措施,有计划、有组织、有针对性地进行宣传教育,取得了较好效果。现将我们的做法报告如下。1注意健康教育方法(1)办好宣传栏。根据不同季节,以养生保健、膳食运动、心理调试等为重点,进行科普常识宣传,并在每年干部保健工作检     

北空后勤部举办医疗保健管理干部集训班

为进一步做好干部保健工作,北空后勤部于1997年5月20日～21日在空军北戴河疗养院举办了一期医疗保健管理干部集训班。来自所属军卫生处、各医院医务处分管保健工作的助理及各干休所医务室主任、门诊部(所)保健医生共20多人参加了这次集训班。集训班传达学习了上级有关文件精神,研究下一步干部医疗保健工作的任务,讨论修改了干部医疗保健工作规定和住院管理规定等。同时,     

6536例次中老年干部健康体检情况分析

为贯彻预防为主,落实防治工作“四早”措施,达到有病早治、无病早防、提高中老年干部健康水平,我院对收容体系的中老年干部每年进行一次健康体检。现就1992—1994年检查的6536例次中老年干部健康体检情况分析如下。1 对象与方法 受检对象均为领导干部及少数主任医师、高级工程师、演员等高级知识分子,绝大多数为男性,年龄45—87岁,多数已离休,少数在职工作。生活、营养及卫生条件均较好。组织体检小组,由各专科主治医师以上人员     

军区首次保健工作会议在西安召开

为加强我区干部医疗保健工作,适应精简整编。一大批老干部退居二线或离职休养的新形势,在军区保健领导小组和卫生部的领导下,我区首次保健工作会议于一九八五年十月二十五日在西安陆军学校召开。会议历时五天,参加会议的各单位保健部门的负责同志共六十一人。会议开幕时,军区后勤部副部长、保健领导小组副组长于溪元同志到会并做了重要讲话,他着重指出:要加强对保健工作的领导,各级业务部门、各医疗单位要对保健工作给予极大的重视,要不断提高业务工作能力,大力开展老年医学的研究,要花精力搞     

Health care reform in the USA: Recommendations from USA and non-USA radiologists

AIM: To compare the opinions and recommendations of imaging specialists from United States (USA) and non-USA developed nations for USA health care reform. METHODS: A survey was emailed out to 18 imaging specialists from 17 non-USA developed nation countries and 14 radiologists within the USA regarding health care reform. The questionnaire contained the following ques tions: what are the strengths of your health care system, what problems are present in your nation’s health care system, and what recommendations do you have for health care reform in the USA. USA and non-USA radiologists received the same questionnaire. RESULTS: Strengths of the USA health care system include high quality care, autonomy, and access to timely care. Twelve of 14 (86%) USA radiologists identified medicolegal action as a major problem in their health care system and felt that medicolegal reform was a critical aspect of health care reform. None of the non-USA radiologists identified medicolegal aspects as a problem in their own country nor identified it as a subject for USA health care reform. Eleven of 14 (79%) USA radiologists and 16/18 (89%) non-USA radiologists identified universal health care coverage as an important recommendation for reform. CONCLUSION: Without full universal coverage, meaningful health care reform will likely require medicolegal reform as an early and important aspect of improved and efficient health care.     

绩效考核评价体系在公立医院经营管理中的应用分析

目的：探讨绩效考核评价体系在公立医院经营管理中的应用价值。方法选取30所公立医院,自2011年1月～2013年12月均采取绩效考核评价系统为其经营管理手段,获取医护工作者的综合素质水平及医院的整体效益。结果公立医院通过运用绩效考核评价系统经营管理,医护工作者的综合素质水平较之前提高30％;医院的整体效益上升45％。结论公立医院经营管理中采用绩效考核评价系统,能显著提高医护工作者的综合素质水平及医院的整体效益,改善公立医院的医疗服务水平,为国家医疗卫生事业的进步产生了重大的推动作用。     

Radiology health services research: from imperative to legislative mandate

OBJECTIVE: In the era of health care reform, our value-added to patient care, its corresponding level of reimbursement, and the stature of radiology as a specialty will likely be grounded in the scientific evaluation methods of health services research. CONCLUSION: We need to create more opportunities for training, provide resources and incentives for the brightest candidates to enter this field, and cultivate enriching environments for health services research in all academic radiology departments.     

The Bulgarian Health Care Reform and Health Act 2004

Since 1997 post-communist Bulgaria has started structural and financial Health Care reform. The reform's framework is laid down by new health legislation. The main law regulating the broad framework of the health system is the Bulgarian Health Act (BHA) 2004 which came into force in January 2005. The aim of this paper is to introduce and analyze the main features of the Bulgarian Health Care Reform and Health Care Act 2004. Key issues in BHA include: organization and financing of health care; health protection; health promotion, patients' rights, accessibility and quality of health care, mental health, alternative medical services, medical education, medical profession and medical science, and administrative-punitive measures. BHA is a policy document justifying that Bulgaria is prepared and willing to meet the challenge to bring the health status of the Bulgarian population to the current average European health level, as well as that in the EU Member States.     

Who sees the young women? A resource-sharing model for providing comprehensive adolescent women's health care

Female adolescents are underserved in military medicine. This article describes an innovation in preventive care created to address the unmet health needs of female adolescents at a large military community hospital. A "Teen Women's Health Clinic" was created through shared resources between the Departments of Pediatrics and Gynecology. Female teenagers visited the clinic for routine gynecologic care, preventive health maintenance, acute care treatment for gynecologic and general complaints, and subspecialty referral consultation for adolescent medicine. The mean appointment fill rate from May 2001 through April 2002 was 93.8% (range, 63-127%). The mean no-show rate was 16% (range, 0-27%). There was minimal cost to the program. Comprehensive teen women's health with acute and preventive adolescent health care is achievable at the community hospital level at little expense through cooperation between departments. The clinic was well attended, on average working near full capacity, with a low no-show rate for teenagers. Reproduction of this model may be achieved throughout the Department of Defense at minimal cost.     

Mission, staffing, and budget data of flight programs in the United States

INTRODUCTION: Manage care and other health care reform initiatives have forced all hospitals to evaluate their work processes. In this era of cost containment, many flight programs are examining the structure of their programs to determined whether they are functioning in an efficient, cost-effective fashion. METHODS: A survey was sent to the chief flight nurse of 240 flight programs in the United States. RESULTS: Eighty-five programs (35.4%) responded. Data were collected on demographics, management structure, mission information, staffing issues, and budgets. Results in each program varied widely. CONCLUSION: Benchmark data are available against which programs can compare themselves. Such comparisons may allow the discovery of opportunities to enhance program efficiency and cost-effectiveness.     

The role of informatics in health care reform

Improving health care quality while simultaneously reducing cost has become a high priority of health care reform. Informatics is crucial in tackling this challenge. The American Recovery and Reinvestment Act of 2009 mandates adaptation and "meaningful use " of health information technology. In this review, we will highlight several areas in which informatics can make significant contributions, with a focus on radiology. We also discuss informatics related to the increasing imperatives of state and local regulations (such as radiation dose tracking) and quality initiatives.     

Interventional Radiology Delivers High-Value Health Care and Is an Imaging 3.0 Vanguard

Given the changing climate of health care and the imperative to add value, radiologists must join forces with the rest of medicine to deliver better patient care in a more cost-effective, evidence-based manner. For several decades, interventional radiology has added value to the health care system through innovation and the provision of alternative and effective minimally invasive treatments, which have decreased morbidity, mortality, and overall cost. The clinical practice of interventional radiology embodies many of the features of Imaging 3.0, the program recently launched by the ACR. We provide a review of some of the major contributions made by interventional radiology and offer general principles from that experience, which are applicable to all radiologists.     

Legal rights, constitutional controversies, and access to health care: lessons from Canada

This paper provides a critical analysis of the use of legal claims to assert rights to access health care. Using Canada's system of public health insurance as an example, the paper discusses two significant Supreme Court of Canada cases in which claimants use legal mechanisms to influence health care reform. While one case seeks to expand the range of services covered by public health insurance, the other challenges the government "monopoly" over health care and advocates an expanded role for private health care. These legal claims play out in an adversarial setting where the focus is on the rights claims advanced by individual litigants. Yet, the outcomes of these cases involve broad implications regarding allocation of scarce health care resources and the very structure of the health care system. This paper discusses the benefits and limits of using legal claims in this context and also considers the role of courts in making decisions that may have the effect of constraining policy options available to government decision-makers.     

Value-based insurance design: barriers to implementation in radiology

Expensive and steadily rising health care costs without a concomitant increase in quality have generated a search for solutions to fund health care in the United States. Recent health care reforms and proposals on the agenda have spurred debate about alternative payment plans for health care. Much of the talk centers on imaging, which is a fast-growing and expensive component of health care. Value-based insurance design (VBID), a "clinically sensitive" means of sharing the cost of health care, has been proposed as a means to control the runaway costs of health care management including diagnostic testing. A corollary of pay-for-performance initiatives in which physician incentives are aligned with evidence-based medical practices, VBID seeks to increase patient incentives to comply with evidence-based health care consumption. We previously reviewed the principles of VBID and provided examples of VBID in practice using diabetes management as a model, as well as suggested some areas in diagnostic testing that lend themselves to VBID benefit design. In this article, we summarize the barriers to implementation and outline potential solutions, with particular regard to radiology.