我国医疗机构开展公私伙伴式合作的可行性分析及适用模式探析

鼓励医疗机构开展公私伙伴式合作(PPP)模式是当前政府的一项重要举措。由于法律法规不健全及监督管理机制缺失,公立医疗机构开展PPP模式尚存在着诸多问题和阻碍。文章阐述了PPP模式的涵义、特点及分类;结合我国经济发展、政策环境、国民需求与供给现状分析了公立医疗机构开展PPP模式的必要性和可行性以及PPP模式推进中可能存在的阻碍和风险;在上述结论的基础上探讨了当前适合我国公立医疗机构的PPP模式;最后从法律法规的建设、监督管理和评估机制的建立、风险分担与利益分配机制的构建等方面为公立医疗机构开展PPP模式提供了政策建议。     

PPP模式助力我国医疗卫生领域发展的问题及对策分析

为解决困扰医疗卫生领域供需不均衡的矛盾,通过引入PPP模式助力我国医疗卫生领域更快更好发展。通过对医疗卫生领域的现状深入分析,针对我国医疗卫生法律不完善、运作体系不健全、人才培养缺位及PPP模式尚未涉及医疗核心和医疗PPP模式投资风险大两大痛点等问题,提出完善法律体系、运作模式、人才培养及解决当前医疗PPP模式两大痛点的具体政策建议,以期PPP模式打破医疗领域的限制,激发医疗行业的活力和创造力。     

我国医疗卫生领域引入PPP模式的问题与对策分析

从法律制度、运作体系、人才建设入手梳理了我国医疗卫生领域引入PPP模式存在的主要问题,并提出了建议,包括:提高对PPP模式的理性认识;加强政府引导,完善相关法律、法规及政策;加强医院PPP项目人才队伍建设。以期为促进我国医疗卫生PPP项目建设提供借鉴。     

垃圾处理公私合营模式PPP新形势下的思考

垃圾处理设施采用PPP模式将成为一种常态。从垃圾焚烧发电、餐厨垃圾处理、垃圾分类等PPP模式推行情况、存在问题及其模式下对设计咨询单位需求及地方配套政策的不足进行思考,并针对问题给出建设性意见。     

英国医院政企合作开发模式研究及启示

政企合作（Public-Private Partnership,PPP）是英国医院建设的主要模式,通过对英国医院PPP模式主要内容和发展历程的分析和总结,得出对我国医院PPP的启示。     

基于PEST-SWOT整合模型的公立医院PPP适用性分析

随着政府与社会资本合作(Public Private Partnership, PPP)模式在我国医疗卫生领域大量应用,提高供给改善服务的同时也出现了很多困难和挑战。为了解决这些问题,通过PEST-SWOT整合模型,对公立医院应用PPP模式适用性进行分析,从政府和公立医院视角,进行外部环境条件机会与挑战分析和内部因素优势劣势识别,并提出相应的PPP模式应用策略,从而确保PPP项目物有所值,实现项目目标,为公立医院应用PPP模式提供理论依据和参考。     

PPP模式怎样发挥最大潜力?

正卫生服务领域如何通过社会资本解决现实问题,PPP模式是其中一种重要的方法。2013年12月26日召开的全国财政工作会议揭开了全国推广PPP模式的序幕,时至今日,我国有近7000多个PPP项目,投资规模约达8万亿元。从世界各国来看,医疗服务是通过PPP模式发挥社会资本作用的一个重要领域,医疗领域如何利用好这一方式值得思考。对PPP的理解各不相同目前,世界各国专家学者对PPP     

以公私合作伙伴关系模式推进公立医院改革的探讨

介绍了公私合作伙伴关系(PPP)模式的概念及内涵,探讨PPP模式在医院产业发展中的应用。认为在深化公立医院改革过程中,采取PPP模式化减部分医院债务,既可减轻地方政府和医院债务的压力,又可调动社会资本的力量来加大、加快医疗卫生建设,并且取得更好的资金使用效率。同时扩大了社会资本的办医空间,符合医改精神,有利于实现多方共赢。     

公立医院建设运营PPP模式思考

笔者从医院管理者的角度,结合近几年来国家提倡和推行公立医院建设运营实施PPP模式,介绍了实施的PPP模式的背景、流程和要点及建设实例。并就如何在新医改政策下,合理引用社会资本方与政府合作,参与医院的建设和后续运营管理进行深层思考。     

基于HALL模型的大型医疗PPP项目建设与运营集成管理框架研究

为缓解政府投资压力,满足多样化的医疗服务需求,引入PPP模式参与医院建设,但是在实践中医疗PPP模式仍然存在一些问题。文章在总结分析医疗建设项目和PPP项目特点的基础上,在HALL三维模型理论的基础上创新性加入空间环境维度,构建四维医疗建设PPP项目建设与运营集成管理框架模型,并对四个维度进行分析,期望能够促进我国医疗PPP的发展,为社会提供优质高效的医疗健康服务。     

我国公立医院导入PPP机制的思考

思考我国公立医院导入PPP机制的适配性,对物有所值的认识,分析PPP机制与我国公立医院体制的冲突和对策。     

Efficient allocation of resources to prevent HIV infection among injection drug users: the Prevention Point Philadelphia (PPP) needle exchange program

The objective of this study is to determine the allocation of resources within a multi-site needle exchange program (NEP) that achieves the largest possible reduction in new HIV infections at minimum cost. We present a model that relates the number of injection drug user (IDU) clients and the number of syringes exchanged per client to both the costs of the NEP and the expected reduction in HIV infections per unit time. We show that cost-effective allocation within a multi-site NEP requires that sites be located where the density of IDUs is highest, and that the number of syringes exchanged per client be equal across sites. We apply these optimal allocation rules to a specific multi-site needle exchange program, Prevention Point Philadelphia (PPP). This NEP, we find, needs to add 2 or 3 new sites in neighborhoods with the highest density of IDU AIDS cases, and to increase its total IDU client base by about 28%, from approximately 6400 to 8200 IDU clients. The case-study NEP also needs to increase its hours of operation at two existing sites, where the number of needles distributed per client is currently sub-optimal, by 50%. At the optimal allocation, the estimated cost per case of HIV averted would be dollar 2800 (range dollar 2300-dollar 4200). Such a favorable cost-effectiveness ratio derives primarily from PPP's low marginal costs per distributed needle.     

Temporary work incapacity in the workers of the heat-treatment shops of the metallurgical industry due to diseases of the digestive system]

Transitory disablement in 5886 workers engaged for the whole year into heat treating metallurgy was compared during 5 years (1981-1985) with that in 291 workers engaged into repairing mechanical occupations so as to reveal metallurgical occupational factors influencing on gastrointestinal morbidity. Metallurgical occupational hazards harm the health status in workers engaged into heat-treating metallurgy, induce the gastrointestinal disorders, which are demonstrated by the elevated transitory disablement. The workers engaged into heat treating metallurgy showed higher gastrointestinal morbidity rate than those engaged into repairing mechanical work.     

加入WTO对卫生系统影响的分析

我国加入WTO在即，入世将给我国卫生服务部门带来新的发展机遇，同时也不避免带来巨大冲击。本文详细介绍了世界其他国家尤其是欧洲、美洲、非洲国家加入WTO后对卫生系统的影响，以期对我国入世后卫生系统的影响研究提供参考。     

Managing the care of health and the cure of disease--Part I: Differentiation

The clinical methods used in health care and disease cure are easily understood. Yet when combined into institutions and broadened into social systems, the management of them becomes surprisingly convoluted. Part I of this article presents a framework to help understand how this happens.     

《船舶压舱水公约》生效后的影响及检验检疫对策研究

目的了解《国际船舶压舱水和沉积物控制与管理公约》（简称《船舶压舱水公约》）生效后对我国的影响并在此基础上提出应对的检验检疫对策。方法从生效条件、一般责任和对压舱水的管理等方面对《船舶压舱水公约》进行分析,重点分析该《船舶压舱水公约》生效后对我国的影响。结果《船舶压舱水公约》生效后对我国将产生积极和不利的影响。结论《船舶压舱水公约》生效后对我国将产生重大影响,检验检疫部门应加强检验检疫对策研究。     

《药物学》名词教法探讨

认识事物总是从概念开始,而概念往往又以名词的形式出现,对《药物学》的认识也不例外。探讨《药物学》名词的教学方法不论是对于教师的"教",还是对于学生的"学",都具有重要的意义。该文对《药物学》名词教法进行初步的探讨,并将其名词的教法概括为:概要法、比较法、扩展法、类推法、剖析法和创新法。     

Transfer of urea from the blood to the rumen of sheep

1. The rate of transfer of plasma urea-nitrogen to rumen ammonia was measured by infusion of 15NH4Cl and [15N]urea into sheep given brome grass (Bromus inermis) or lucerne (Medicago sativa) pellets. Urea was infused into the rumen or abomasum of two sheep given brome grass in order to increase the concentration of rumen ammonia. 2. From 6.2 to 9.8 g/d of plasma urea-N were transferred to the rumen of sheep given brome grass pellets and a measurement of 1.3 g nitrogen/d was obtained for a sheep given lucerne pellets. When urea was infused into the rumen of sheep given brome grass pellets the transfer was only 2.8--3.7 g N/d. 3. There was a significant negative correlation between the rate of transfer of plasma urea-N to the rumen and the concentration of rumen ammonia.     

农村居民慢性病费用纳入新农合基金管理的模式研究

为进一步将慢性病费用科学的纳入新型农村合作医疗基金管理,文章对其必要性和可行性进行了深入分析。研究发现,强化新型农村合作医疗对慢性病的管理是非常必要的,而且通过筹资水平的不断提高,进一步将慢性病费用纳入新型农村合作医疗的基金管理也是可行的。建议通过建立慢性病保障基金等方式加强对慢性病患者的补偿,并通过建立健康档案对慢性病患者进行分级管理。     

Metabolism of fatty acids and the levels of ketone bodies in the livers of pyridoxine-deficient rats.

Lipid metabolism was examined in rats fed a high-protein pyridoxine-deficient diet, and their livers were found to contain large amounts of lipids, mainly in the forms of triglycerides and cholesteryl ester. The contents of ketone bodies in the livers of pyridoxine-deficient and the control rats were similar. Their NAD+/NADH ratios, calculated from the amounts of ketone bodies, were also similar in pyridoxine-deficient and control groups when the animals were fed, but the ratio in pyridoxine-deficient rats was lower than that of control rats when the animals were starved. After injection of 14C-linoleic acid, the amounts of expired 14CO2 in pyridoxine-deficient and control rats were similar. The pattern of incorporations of 14C-linoleic acid into various lipid components of the livers were examined; incorporation into the phospho-lipid fraction was similar in control and deficient rats, but the incorporation into the triglyceride fraction was slower, and the incorporation into cholesterol was faster in deficient animals than in controls.