医院成本核算有关问题探讨

一、成本核算的性质 医院各科室的成本核算实行单独核算、自收全支、自负盈亏。科室成本核算属于二级核算,对医院实行报帐制。为了加强对各科室的经济管理,医院视情况可建立经济管理委员会或经济管理科,负责各科室的经济管理工作。同时,各科室应成立经济管理小组,一般由科主任或护士长兼任组长,并设1名核算员负责科内的核算工作。     

新医改形势下临床经营助理制的实践与探讨

在新医改形势下,针对医院临床科室管理中存在的普遍问题,河南省人民医院实施了临床科室经营助理制。临床经营助理主要通过对临床科室医疗资源配置效率分析、流程优化、绩效评估、运营创新、成本控制、预算管理、政策宣传等工作,强化科室经济管理意识,提高增收节支能力,从而不断提升医院整体经济运营效率。     

科主任在医院管理中的作用

1 科主任在医院管理中的基础作用 科室管理是医院管理的重要环节。科主任在科室管理、病区管理、人员安排使用,贯彻执行医院工作任务,执行规章制度、思想政治工作等方面应具有相当的管理知识和管理才能。 科室是医院组织的基础,医院各项任务、工作目标都要落实到科室。要提高这些基层组织的功能,就必须通过科主任加强科学管理。只有真正把科室管理搞好了,整个医院的管理才有坚实的基础和可靠的保证。2 科主任在医院管理中的规范作用 科主任要围绕医院的中心工作,组织全科人员开展医疗技术工作,使科室工作保持紧张而有秩序地正常运行。对全科各级专业技术人员的业务能力、技术水平,负有领导、指导、     

中层干部在医院发展中的引领作用

我国医院现行的领导体制是院、科两级负责制,科主任直接受院长领导,对院长负责。科主任是医院实行院、科两级管理的中间层,科室是医院实施医疗服务的主体,科室管理是医院管理的重要环节,科主任是医院的中层干部,是医院科室管理者,是科室业务活动的组织者,是科室学科带头人,是办院方向的体现者。科室是医院实施医疗服务的主体,科室管理是医院管理的重要环节,科主任作为医院中层干部,其工作方法、领导艺术对科室管理水平高低、医疗质量的好坏、科室成果的大小、科室人才成长的快慢关系极大,所以说,医院中层干部在科室建设与发展中起着引领作用。医院中层干部的地位与职能决定了科室的建设与发展取决于科主任工作能力和管理水平,也就是决定于科主任的引领作用。     

医院科室管理概论 第十四讲 国外医院科室管理简介

第一讲 医院科室的组织编制与机构设置 第二讲 医院科室的思想作风建设 第三讲 医院科室的业务技术建设 第四讲 医院科室的人才培养 第五讲 医院科室的质量管理 第六讲 医院科室的信息管理 第七讲 医院科室的卫生经济管理 第八讲 医院临床科室的管理 第九讲 医院医技科室的管理 第十讲 医院科室的科研管理 第十一讲 医院科室的护理管理 第十二讲 医院科室的实验室管理 第十三讲 医院职能科室的管理 第十四讲 国外医院科室管理简介 第十五讲 医院科室管理展望     

医院科室管理概论 第十一讲 医院科室的护理管理(上)

第一讲 医院科室的组织编制与机构设置 第二讲 医院科室的思想作风建设 第三讲 医院科室的业务技术建设 第四讲 医院科室的人才培养 第五讲 医院科室的质量管理 第六讲 医院科室的信息管理 第七讲 医院科室的卫生经济管理 第八讲 医院临床科室的管理 第九讲 医院医技科室的管理 第十讲 医院科室的科研管理 第十一讲 医院科室的护理管理 第十二讲 医院科室的实验室管理 第十三讲 医院职能科室的管理 第十四讲 国外医院科室管理简介 第十五讲 医院科室管理展望     

医院临床科室经济管理的思考

目的提高医院管理者对经济管理在医院临床科室中重要性的意识。方法通过增强成本意识,注重管理环节,规范制度建设等措施加强经济管理工作。结果通过加强经济管理工作,提高科室及医院的经济效益。结论医院管理者应重视经济管理工作,促使科室效益显著提升。     

医院科室管理概论：第十二讲 医院科室的实验室管理

第一讲 医院科室的组织编制与机构设置 第二讲 医院科室的思想作风建设 第三讲 医院科室的业务技术建设 第四讲 医院科室的人才培养 第五讲 医院科室的质量管理 第六讲 医院科室的信息管理 第七讲 医院科室的卫生经济管理 第八讲 医院临床科室的管理 第九讲 医院医技科室的管理 第十讲 医院科室的科研管理 第十一讲 医院科室的护理管理 第十二讲 医院科室的实验室管理 第十三讲 医院职能科室的管理 第十四讲 国外医院科室管理简介 第十五讲 医院科室管理展望     

医院科室管理概论 第十三讲 医院职能科室的管理

第一讲 医院科室的组织编制与机构设置 第二讲 医院科室的思想作风建设 第三讲 医院科室的业务技术建设 第四讲 医院科室的人才培养 第五讲 医院科室的质量管理 第六讲 医院科室的信息管理 第七讲 医院科室的卫生经济管理 第八讲 医院临床科室的管理 第九讲 医院医技科室的管理 第十讲 医院科室的科研管理 第十一讲 医院科室的护理管理 第十二讲 医院科室的实验室管理 第十三讲 医院职能科室的管理 第十四讲 国外医院科室管理简介 第十五讲 医院科室管理展望     

大型医院领导班子中应设置总会计师岗位

财务工作是一个专业性很强的工作。现在的大型医院实行的是经济型的企业化管理,随着国家医疗制度改革的不断深入,财政对医院的逐渐断奶,医院内部的财务管理、科室经济核算、社区门诊、双增双节等经济管理工作越来越多,越来越细。     

Calcium intake in the elderly: validation of a dietary questionnaire

Epidemiological studies of calcium and osteoporosis have been hampered by the lack of a suitable tool for assessing calcium intake. This report describes a new frequency and amount questionnaire for measuring present and past calcium intake in the elderly. The validity of the questionnaire was tested against two commonly used standards of dietary assessment, five-day duplicate diets and seven-day weighed dietary inventories. The resulting correlation coefficients were, respectively, r = 0.76 and r = 0.69, while that for repeatability was r = 0.84. Furthermore, the questionnaire categorized subjects into thirds of the distribution of intake with almost no gross misclassification. It is suggested that the present findings may be extended to the majority of normal, healthy elderly subjects, implying wide application for the questionnaire in the assessment of calcium intake in the elderly.     

Self-reported health problems among Swedish miners one year after unemployment

Unemployment is considered to be a public health concern sincedeterioration in the health of the unemployed is often anticipated.However, for some groups, such as miners, unemployment mightimprove health due to a cessation of potentially harmful occupationalexposures. This study evaluates the health of 79 miners in oneSwedish iron-ore mine, and 226 age-matched controls from thegeneral population, during one year after the closure of themine. The participants received a questionnaire regarding medicalhistory and subjective symptoms at the beginning of the studyperiod, and after one year. Statistically significant negativeeffects on self-reported health attributable to unemploymentwere not found, although neuropsychiatric symptoms were morecommon among the unemployed miners. The miners reported a statisticallysignificant improvement in grip force (p=0.031). They had asignificantly higher prevalence of symptoms associated withmining related exposures when compared with the population controls;pain in the upper extremities [relative risk (RR)=2.27, 95%confidence interval (Cl)=1.44–3.59), back pain (RR=1.84;Cl=1.237–2.75), vasospastic disease of the fingers (RR=2.05;Cl=1.18–3.57) and obstructive respiratory symptoms (attacksof dyspnea and wheezing: RR=3.67; Cl=1.167–11.6).     

Excès de cas humains et animaux de tularémie en France au cours de l’hiver 2007–2008 : émergence ou phénomène isolé ?

Context

Tularemia is a zoonosis affecting humans and hares in France. We describe the results of surveillance in both species, in 2007 and 2008.

Methods

Human tularemia cases are mandatorily notifiable in France since 2003. In hares, surveillance relies on volunteer hunter associations in all districts of the country. Data from mandatory reports and volunteer surveillance in 2007/2008 were analyzed and compared with previous results.

Results

In 2007/2008, 144 cases were reported in humans and 117 cases in hares. This was a 100% increase compared to previous years. Human cases differed from those of previous years only by the frequency of contact with breeding animals. Human cases without any documented risk exposure were also more frequent.

Conclusion

An increase of tularemia cases occurred in 2007/2008 in both species. Complementary studies are needed to identify the species reservoir in France to understand the causes of this peak of cases.     

Occupational health hazards in mining: an overview

This review article outlines the physical, chemical, biological, ergonomic and psychosocial occupational health hazards of mining and associated metallurgical processes. Mining remains an important industrial sector in many parts of the world and although substantial progress has been made in the control of occupational health hazards, there remains room for further risk reduction. This applies particularly to traumatic injury hazards, ergonomic hazards and noise. Vigilance is also required to ensure exposures to coal dust and crystalline silica remain effectively controlled.     

Manufacture and use of nanomaterials: current status in the UK and global trends

This paper provides an overview of the production and use of nanomaterials (NMs), particularly in the UK. Currently, relatively few companies in the UK are identifiable as NM manufacturers, the main emphasis being the bulk markets in metals and metal oxides, and some niche markets such as carbon nanotubes and quantum dots. NM manufacturing in the UK does not reflect the global emphasis on fullerenes, nanotubes and fibres. Some assumptions have been made about the types of NM that are likely to be imported into the UK, which currently include fullerenes, modified fullerenes and other carbon-based NMs including nanotubes. Many university departments, spin-offs and private companies have developed processes for the manufacture of NMs but may only be producing small quantities for research and development (R&D) purposes. However, some have the potential to scale up to produce large quantities. The nanotechnology industry in the UK has strong R&D backup from universities and related institutions. This review has covered R&D trends at such institutions, and appropriate information has been added to a searchable database. While several companies are including NMs in their products, only a few (e.g. manufacturers of paints, coatings, cosmetics, catalysts, polymer composites) are using nanoparticles (NPs) in any significant quantities. However, this situation is likely to change rapidly. There is a need to collect more information about exposure to NPs in both manufacturing and user scenarios. As the market grows, and as manufacturers switch from the micro- to the nanoscale, the potential for exposure will increase. More research is required to quantify any risks to workers and consumers.     

深圳公立医院管理体制改革制度设计

深圳公立医院管理体制改革实行政事分开、管办分开,在理事会架构下按法定机构模式组建市医管中心,落实公立医院运营管理自主权.作者从当前公立医院管理体制的弊端入手,介绍了深圳市进行公立医院管理体制改革的基本思路及改革方案设计的主要举措,深入剖析了的改革方案的特点,并对改革效果进行了预测.     

Effects of nitrogen dioxide on red blood cells of rats: Changes in components of red cell membranes during in vivo exposure to NO2

Red cell membranes, prepared from red blood cells of rats exposed to 4, 10, or 20 ppm nitrogen dioxide (NO₂) for 1 to 10 days, were examined for evidence of changes in membrane components. Appreciable changes were not found in contents of phospholipid and cholesterol during exposure to 10 ppm NO₂. By contrast, protein content altered with the time of exposure. Moreover, changes in protein composition were observed by employing sodium dodecyl sulfate — polyacrylamide gel electrophoresis. Twenty-four-hour exposure to NO₂ at the concentration above 10 ppm resulted in a marked increase in the percentage of lysophosphatidylethanolamine (LysoPE) to the total phospholipids. The prolonged exposure to 10 ppm NO₂ gave rise to a further increase in LysoPE, whereas the percentage of phosphatidylethanolamine (PE) showed a gradual decrease. A 1-day exposure to 4.0 ppm NO₂ also caused an increase in sialic acid content and decreases in those of PE and hexose. In addition to contents of these components the percentage of LysoPE increased 5 days after exposure and the elevated values were maintained up to the end of exposure period. These results demonstrate that red blood cells in circulation exhibit different membrane properties in terms of lipid and carbohydrate composition during 10 days of exposure to 4.0 ppm NO₂.     

Investigating clusters in the workplace and beyond

Clusters of disease are common and occur in the workplace and in the general community. They often arouse considerable concern among the population. Investigations have sometimes lead to exciting new knowledge, but in general the investigation of clusters is difficult and often unrewarding, especially for community clusters. In the workplace, investigations are more likely to find associations and even new causes, but still many clusters remain enigmatic. Despite this, there are many reasons for investigating clusters, including allaying community concern and identifying uncontrolled exposures. A structure for investigating clusters in the workplace is suggested.