基于岗位设置管理构建医院行政管理人员激励机制

目前,关于对医院激励机制的研究多侧重于医护人员,对于管理岗位人员的激励是医院管理者容易忽视的问题。本文从目前医院行政管理人员普遍存在的几个问题入手,结合岗位设置中的热点问题,探讨构建医院行政管理人员激励机制的对策。行政管理人员激励机制的建立对消除行政人员的职业倦怠,提高专业工作水平和能力,增强竞争意识,提高医院管理效能有着积极的意义。     

从医院科主任选拔与聘用谈人力资源管理

科室主任是医院的核心竞争力，是医院人力资源重要组成部分。从以下几方面探讨了医院科主任的选拔与聘用：①做好科主任岗位职务分析；②建立公平、平等、竞争、择优的科主任选聘制度；③实行任期聘用制，建立科学、公正、客观的绩效考核制度；④建立职责明确，有效放权的岗位责任制；⑤建立公正、公平、合理的薪酬体系。     

国内医院岗位绩效相关研究综述

为全面了解国内当前有关医院岗位绩效方面的研究现状,梳理医院岗位绩效方面的总体脉络,为更深入研究医院岗位绩效提供参考。文章通过文献研究,主要从医院岗位绩效研究相关的医院绩效、医院岗位、医院岗位绩效这3个主要层面进行了系统的梳理,初步归纳了医院岗位绩效有关这3个领域研究的基础理论、方法技术、现状和趋势等。结合相关国内研究,发现当前有关医院岗位绩效基础理论的系统性研究不多,而现有的研究从医院具体岗位的层面讨论绩效较少,主要集中在医院整体和部门层面的绩效研究。     

医院岗位聘任运行机制研究

专业技术岗位竞争聘任是医院人才管理的重要组成部分,作者阐述了岗位设置的基本要求,分析了岗位聘任中具有特色的三级聘用与评议制度,对医院岗位聘任实施的阶段性效果进行评价,并对今后岗位聘任工作的改进提出建议.     

医院专业技术人员岗位设置竞聘“532”模式的实践与思考

巴中市中医院积极探索并完善科学规范的专业技术人才评价与使用机制,在岗位设置竞聘中结合医院人才梯队结构、目标规划、学科建设和人才队伍建设的需要,坚持评聘分开、公开公平、竞争择优的原则,探索建立了以落实岗位目标责任制为主线,以突出强化能力、强化业绩、强化贡献为主要内容的专业技术人员岗位设置竞聘"532"管理模式。笔者对该模式的基本内容、工作路径、主要做法等进行客观真实阐释,并就医院在新常态下如何提高岗位设置管理水平、健全岗位竞聘机制提出了想法和建议。     

岗位设置在医院人力资源管理中的导向性探讨

在知识经济时代,人才竞争更加激烈,高素质人才对医院的发展产生的作用也更加突出.在医疗体制改革的进程中,医院更加重视人力资源管理工作,通过岗位设置的方式来加强人力资源管理,优化医院人力资源配置,促进医院的健康发展.本文从医院岗位设置的内涵及原则出发,主要分析岗位设置对医院人力资源管理的导向性作用,以促进医院管理水平的提升.     

基于岗位分类的医院药学绩效评价研究

目的：在岗位评价基础上，对医院药学岗位进行科学分类分层，构建药学岗位绩效评价标准。方法：应用因素比较法对医院药学岗位进行分类分层并确定岗位价值系数；应用德尔菲法、层次分析法构建药学岗位绩效评价指标体系并确定绩效评价标准。结果：医院药学岗位分为临床药师、研究药师、静配药师、调剂药师和采购药师5类岗位。从服务、流程、质量、成本4个维度确定药学岗位绩效评价指标与权重，建立以合理用药为导向的药学岗位绩效评价标准。结论：药学绩效评价体系建设符合新医改对药学服务转型发展的要求，有利于提升药学人员积极性，提高药学服务效率与效益。     

深化人事制度改革促进医院可持续发展

人事制度改革是医院各项改革的瓶颈，做好人事制度改革、建立新型的人事管理机制是党和各级政府人事部门在新时期对医院人事工作提出的一项战略措施，同时也是医院适应市场经济需要、实现可持续发展的重要保证。近5年来，我院人事制度改革坚持以十六大精神和三个代表重要思想为指导，以建立有效的竞争激励机制和科学、规范的人事管理机制为目标，以重点先行、稳步实施、积极推进、注重实效、确保质量为原则，开展了一系列人事改革工作，完成了岗位设置、岗位说明书制定、后勤社会化、干部竞争上岗、全员聘用、岗位考核奖惩措施落实、人员分流等工作，取得了人事改革的初步成效。     

医院岗位设置管理工作的实践与探索

岗位设置工作是我国卫生事业单位人事制度改革的重要内容,是收入分配制度改革的前提和重要基础,也是完善医务人员职称评定制度及实行岗位绩效工资制度的需要。医院以开展岗位设置和聘用工作为契机,实行人力资源优化配置,打破身份管理、实行岗位管理,使人才结构在竞争中得到不断优化,并充分调动职工工作的主动性和创造性,使其更好地发挥各自的才能,促进医院更加健康、科学、快速地发展。     

结合医院实际浅析医院现金管理内部控制制度

现金是所有资产中流动性最强的资产，诱惑力最大的资产，最容易被人挪用和侵吞的资产。医院应在严格遵守国家现金管理的各项规定的基础上，结合医院实际，加强和健全现金的内部控制制度，减少和札绝发生差错、舞弊、欺诈、贪污和挪用的机会。出纳岗位、门诊挂号收费岗位、住院结帐岗位和会计稽核岗位的现金管理内部控制制度。     

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.