近距离解析Medical Mall

<正>杭州"全程国际医疗商城(Medical Mall)"的医疗资源共享模式在全国尚属首次出现,创新的地方在哪里?医疗设备实现共享全程国际Medical Mall是由各类门诊部、诊所组成的医疗综合体,目前已入驻12家医疗机构,杭州全程健康医疗门诊部则是其中科目较为齐全的医疗机构。前期,江干区卫生计生局在现场勘查和资料审查过程中发现,该项目每层建筑面积只有1400余平方米,除了     

我国Medical Mall空间设计初探

概述了Medical Mall的概念、模式及推动因素,从地理位置、建筑形态、业态分布和"医疗+商业"融合方面对其进行了总结。并围绕功能流线和个性化医疗空间两个方面对Medical Mall的空间设计特点进行分析,旨在为我国Medical Mall的建设与发展提供参考。     

How international is Medical Education?

AIMS: To consider Medical Education's claim to international status in terms of the extent of international authorship within published articles, the degree to which authors draw on the international literature to support their work, and its self-citation rates and publication decisions. METHOD: We examined 6 journals' citation rates for the period 1997-2001 to see if there was evidence of national publication bias; we calculated their self-citation rates to see if this had any influence on impact factor, and we examined Medical Education's management files for trends which might indicate publication bias due to country of origin of authors. RESULTS: All 6 journals exhibited a bias in favour of citing journals from their own countries. The US journals were more likely to cite journals from their own country. Medical Education was most likely to cite journals from non-UK countries. Self-citation rates did not appear to affect impact factors. The ratio of UK to non-UK papers published in Medical Education has not changed significantly over the period studied although non-UK submissions increased sharply in 2002 and the number of North American submissions has doubled since 1998. CONCLUSION: Medical Education is justified in calling itself an international journal to the extent that the majority of papers it publishes are from countries other than the UK, and it is more likely than other journals in the field to publish papers which cite work in journals published outside the UK. Nevertheless, there is some evidence of publication bias in the journal and more work is needed to discover why this is the case. Various strategies to address the issue of national bias in Medical Education are discussed.     

Medical humanities — arts and humanistic science

The nature and scope of medical humanities are under debate. Some regard this field as consisting of those parts of the humanistic sciences that enhance our understanding of clinical practice and of medicine as historical phenomenon. In this article it is argued that aesthetic experience is as crucial to this project as are humanistic studies. To rightly understand what medicine is about we need to acknowledge the equal importance of two modes of understanding, intertwined and mutually reinforcing: the mode of aesthetic imagination and the mode of analytical reflection.     

Medical Devices术语的定义和翻译

ＭｅｄｉｃａｌＤｅｖｉｃｅｓ术语的定义和翻译ＤｅｆｉｎｉｔｉｏｎａｎｄＴｒａｎｓｌａｔｉｏｎｏｆ“ＭｅｄｉｃａｌＤｅｖｉｃｅｓ”中国药品生物制品检定所（北京１０００５０）奚廷斐白硕佳ＮａｔｉｏｎａｌＩｎｓｔｉｔｕｔｅｆｏｒｔｈｅＣｏｎｔｒｏｌｏｆＰｈ...     

网上临床医学信息资源：Medical Matrix

ＭｅｄｉｃａｌＭａｔｒｉｘ──医源，是由美国医学信息协会管理的一个Ｉｎｔｅｒｎｅｔ临床医学信息资源数据库，它收集了分布在全球的Ｉｎｔｅｒｎｅｔ临床医学信息资源，分层进行组织。目前约有２７００个入口，由Ｓｌａｃｋ公司（ｈｔｔｐ：／／ｗｗｗ．ｓｌａｃｋ．ｉｎｃ．ｃｏｍ／ｍａｔｒｉｘ）负责管理服务器，向用户提供网上查询服务。该数据库可通过ｗｗｗ浏览器Ｎｅｔｓｃａｐｅ访问，收集的信息资源能够以联机文本文件方式或超文本超链接数据库方式提供。本文将对ＭｅｄｉｃａｌＭａｔｒｉｘ的信息资源类型、访问方式、组织结…     

Medical Students’ Attitudes Toward Underserved Patients: A Longitudinal Comparison of Problem-Based and Traditional Medical Curricula

Medical education has been shown to negatively influence student attitudes toward certain types of patient populations. Past research does not inform current educational practice because today’s medical school environment is different from when most of the published research was conducted. There are more female students, curricular innovations such as problem-based learning have changed the framework for educational delivery, and longitudinal studies, which could inform when interventions may be needed, are uncommon. The purposes of this longitudinal, prospective cohort study were to compare the attitudes of Problem-based learning and Traditional curriculum students toward providing care for medically indigent patients as they progressed through the four-year undergraduate medical education curriculum, and to determine if gender differences were apparent and persisted over time. Attitudes of one cohort of students enrolled in separate curricula were studied. The outcome measure was the Medical Student Attitudes Toward the Underserved questionnaire, which was administered three times. A linear mixed effects regression analysis was performed to examine changes in factor scores over time and whether these changes differed between Problem-based and Traditional students, and males and females. Longitudinal findings revealed that commitment to caring for the medically underserved was greater when students entered medical school than when they graduated. Students in both curricula, as well as male and female students, experienced increasingly negative attitudes over the four year period. Decline in attitudes toward medically underserved patients was similar to previous research results. This study showed that attitudes of students were not influenced by the preclinical curriculum they experienced.     

Medical humanism: pragmatic or personalist?

Those in health care practice and research must depend on humanism for guidance in making difficult judgments and decisions that involve the individual patient's dignity and value. But what kind of humanism will inform those choices? Pragmatic humanism tends to view dignity in terms of human functioning: One is human because he or she acts, produces, thinks, achieves. The comatose, the insane, the hopelessly senile, fetuses and the newborn may be accorded human dignity as well, but only because society grants it to them. Thus such dignity can be manipulated or diminished in the name of overall human progress or the common welfare. By contrast, personalist humanism holds that human dignity is rooted in "being human" rather than in "doing human things." An individual has full human value simply by being a living person. This humanism suggests that health care providers must use their capabilities even for nonproductive patients. This may be difficult in the face of today's cost-benefit analyses. But if the individual's basic value is not defended, human dignity will vary in direct ratio to a person's social usefulness. And that would be obscene.     

Handling Cases of ‘Medical Futility’

Medical futility is commonly understood as treatment that would not provide for any meaningful benefit for the patient. While the medical facts will help to determine what is medically appropriate, it is often difficult for patients, families, surrogate decision-makers and healthcare providers to navigate these difficult situations. Often communication breaks down between those involved or reaches an impasse. This paper presents a set of practical strategies for dealing with cases of perceived medical futility at a major cancer center.