North Philadelphia Health System employs handhelds to check data

Quality control professionals typically do their work after patients have been seen and treated. But North Philadelphia Health System (NPHS) in Philadelphia, PA, is using wireless technology to collect and analyze data while the patient is still in the hospital, giving the quality control department the opportunity to improve care on the spot.     

生命早期的健康管理

生命早期的营养环境以及生长发育状况,对成年后期的健康有独特而重要的影响,尤其是对慢性非传染性疾病的影响.健康管理需从生命早期开始,通过减小疾病风险,预防疾病的发生、发展,实现人人享有健康.     

Quality check

Meaningful use and pay-for-performance are shining a spotlight on quality measures. There are hundreds of measures in use, but most fall within three broad categories.     

谈初期糖尿病患者的健康教育

糖尿病是一种以高血糖为特征的慢性终生性疾病 ,受先天和后天的许多因素影响。随着人民生活水平的提高 ,营养过剩、运动不足 ,加上生活节奏快 ,各种压力大 ,糖尿病患者的发病率正在以惊人的速度上升。多数初期患者因工作需要只能在家中治疗 ,因此 ,对他们的健康教育十分必要。笔者就这一问题谈点粗浅体会。糖尿病基础知识教育1 帮助患者正确认识糖尿病　初期患者由于对糖尿病不了解 ,一经确诊便迫不及待地寻找名医妙方 ,恨不能药到病除。需要向这些患者介绍糖尿病的基础知识 ,如什么是糖尿病、糖尿病的起病原因、治疗方法 ,急慢性并发症及…     

我国社区卫生服务发展存在的主要问题

城市社区卫生服务是解决看病难、看病责问题的有效途径,对于构建和谐社会具有重要意义。目前,国家各级政府高度重视社区卫生服务的发展,社区卫生服务的发展已经迈进了一个新阶段,取得了优异的成绩。但是,在其发展过程中也暴露出了许多问题,如人、财、物管理等方面都需要进一步完善。通过在卫生经济研究所工作期间的调研工作．对其存在的问题进行了分析,希望能对社区卫生服务的发展起到一定的促进作用。     

围生期健康教育对初产妇分娩方式影响的研究

目的 探讨围生期实施健康教育对初产妇分娩方式的影响.方法 选取2010年9月至2011年5月在本院定期接受产前检查,并计划分娩的孕龄为15～20孕周的初产妇289例为研究对象,随机纳入研究组(n=116,于本院门诊孕妇学校接受系统全面的产前健康知识教育讲座,妊龄为28,30,32,34孕周时接受特色围生期健康教育及家庭待产病房一对一分娩期健康教育)和对照组(n=173,于本院门诊孕妇学校接受系统全面的产前健康知识教育讲座及围生期常规产程观察和护理).两组初产妇分娩时年龄、胎龄、胎先露、骨盆外侧量等情况比较,差异无统计学意义(P>0.05)(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准,得到该委员会批准,分组征得受试对象本人的知情同意,并与之签署临床研究知情同意书).结果 研究组自然分娩率为(71.55%)明显高于对照组(49.13%)(P<0.01),剖宫产率、阴道助产率分别为21.55%,6.90%,显著低于对照组(36.42%,14.45%)(P<0.05).研究组产程明显短于对照组,两组比较,差异有统计学意义(P<0.01).结论 实施围生期健康教育可降低剖宫产率、缩短产程,对促进自然分娩具有积极意义.     

Health effects of transitions in work schedule, workhours and overtime in a prospective cohort study

OBJECTIVES: The aim of this study was to examine the longitudinal relationship between transitions in work schedules, workhours and overtime and changes in several self-reported health outcomes (general health, fatigue, need for recovery, and psychological distress). METHODS: Three-year follow-up data from the Maastricht Cohort Study on fatigue at work were used. Gender-stratified logistic regression analyses using generalized estimating equations were conducted for each of the dichotomized health outcomes, with control for a range of possible confounding factors. RESULTS: In this study, transitions in worktime arrangements were prospectively related to changes in several self-reported health outcomes. Substantial and significant associations were found for transitions in work schedule and the incidence of prolonged fatigue and for the need for recovery among men. Moreover, transitions in workhours affected the need for recovery among men, while they influenced general health and psychological distress among women. Finally, transitions in overtime were significantly associated with the incidence of the need for recovery among both men and women and with the incidence of psychological distress among men only. CONCLUSIONS: Transitions in worktime arrangements are related to changes in health, and studying transitions might be an important means of gaining insight into a possible causal relationship between employment and health. Given the considerable impact of worktime arrangements on the individual worker, employers, and society and the high frequency in which transitions within worktime arrangements can occur, these findings underline the need for interventions addressing worktime arrangements in order to reduce or prevent their impact on employee health.     

Fee schedule analysis

Simply stated, the fee schedule is th single most important financial tool within the medical practice. And contrary to general consensus, what a practice charges has a dynamic impact on future allowable calculations. A medical practice is no different from any other business in this respect; and, as with other industries, the fee schedule should reflect the value of the practice's services. Neglecting the fee schedule or, even worse, allowing payors to dictate the value of those services is tantamount to failure. Through the use of analytics by applying sound econometric models, such as true costs, market dynamics, competitive factors, and value-based pricing, the healthcare organization will optimize its revenue potential. While these concepts may sound foreign to some, the fact is, they are well within reach. Through the application of basic business techniques, every practice has the ability to develop and maintain a fee schedule that will meet or exceed its financial needs.