以病人为中心 创新后勤服务新模式 无锡市妇幼保健院实施后勤社会化整体外包成交显著

医院后勤社会化整体外包是一场旨在改变医院后勤管理体制和运行机制的改革.后勤社会化整体外包有效地优化医院人力资源配置,提高了后勤员工的整体素质,降低了后勤管理成本。而医院从原有的"办后勤"模式向"管后勤"顺利过渡,初步实现了"统一管理、统一配备、统一标准、统一服务"的医院后     

医院后勤精细化管理现状与展望

文章针对医院后勤管理的现状,从管理制度、维修服务流程、物资采购流程、成本核算、人力资源、应急管理等方面阐述了后勤精细化管理的内容,认为培养与储备后勤管理人才、实行后勤服务成本核算和后勤服务"社会化"等措施必将成为后勤精细化管理的必然趋势。     

医院后勤团队建设的研究与实践

随着医疗事业的不断进步和发展,医院医疗服务越来越离不开医院后勤服务的支持,但长期以来"后勤工作谁都能干"的意识和"只出不进"的后勤人事政策严重影响了医院后勤队伍的专业化建设,也导致了后勤部门的人力资源匮乏。医院后勤的发展要与时俱进,与医院同发展,文章结合当前医院后勤发展的实际情况,研究医院如何进行后勤团队建设,提出优化后勤班组结构、创新制度、构建全员认同的后勤文化等建议。     

浅谈医院后勤人员人力资源管理

现代医院管理是以人力资源为核心的管理,医院后勤人员人力资源管理就是要以人为本,尊重人的价值和创造价值,激发人的主观能动性,增强医院的凝聚力,使员工的自我实现价值与医院的整体战略发展目标达到和谐统一。医院后勤部门是医院正常运转的保障和支持系统,后勤管理工作的好坏直接影响后勤服务质量,提高后勤工作质量需要一支有良好专业技术素质和思想道德素质的后勤队伍。     

医院后勤管理运行专业化策略与途径研究

新医改形势下,加快推进医院后勤服务社会化是当前医疗卫生体制改革的一项重要任务;探索现代医院后勤管理运行的新模式、新机制是医院管理者面临的重大课题。文章通过分析医院后勤改革实际,调研国内外医院后勤外包情况,就医院后勤服务社会化强强合作途径进行探讨,提出医院后勤管理核心组织架构变革及以IB中心助推医院后勤联动运行新模式,总结出医院后勤管理运行专业化策略与途径。     

医院后勤服务社会化的思考

医院后勤服务社会化是医院后勤改革的关键,面对改革的趋势,我们必须认真研究、悉心思考、统一认识、采取措施,改变目前医院后勤管理中不适应市场机制和现代医院管理的落后状态,主动寻找对策,充分利用和发掘现有后勤资源,在保证医院中心工作、“一切以病人为中心”为目标的前提下,把医院后勤管理和服务职能分离,认真操作、大胆探索,加快医院后勤服务社会化进程     

创新机制推动后勤服务社会化改革

我院为降低后勤服务成本，提高服务质量，积极进行了后勤改革探索。充分利用医院现有的人力资源和物质资源，优化配置，形成后勤行政管理与企业管理并存的新型后勤服务体系，创造出两个效益。     

医院后勤科学化管理的思考与建议

后勤管理直接影响医院的有序运转,关系到医院工作的全局,后勤的建设发展程度及服务能力一定程度上决定了医院发展的现代化程度。当前公立医院改革正深入推进,在此背景下从运行机制、体系构建、人才建设等方面探讨后勤科学化管理,对提升后勤能力建设,加快后勤发展,积极推进并适应后勤管理模式改革具有重要意义。     

医院后勤物资“零库存”管理的实践与思考

创新后勤管理方式是医院实现从传统的＂大收大支＂向着集约化、精细化的现代医院管理转变的重要举措。本文总结了杭州市属医院后勤物资＂零库存＂管理的主要内容、取得成效,分析了其中存在的不足,并提出了建议,以期为积极探索医院后勤管理提供有益的借鉴。     

积极推进总务查房 提升后勤服务效率

从总务查房出发,对查房服务过程中的各项问题进行分析,并基于实践经验提出相应优化方案及措施,以进一步提升医院管理效益,提高后勤部门的服务意识和理念,合理配置与规划医院后勤人力资源,加强后勤队伍的技能与素质的培养,推行后勤服务向职业化、专业化、科学化、社会化转变,构筑新的医院后勤管理体制。     

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.     

The occurrence of antimicrobial substances in toilet,sink and shower drainpipes of clinical units: A neglected source of antibiotic residues

Antibiotics represent one of the most important drug groups used in the management of bacterial infections in humans and animals. Due to the increasing problem of antibiotic resistance, assurance of the antibacterial effectiveness of these substances has moved into the focus of public health. The reduction in antibiotic residues in wastewater and the environment may play a decisive role in the development of increasing rates of antibiotic resistance. The present study examines the wastewater of 31 patient rooms of various German clinics for possible residues of antibiotics, as well as the wastewater of five private households as a reference.To the best of our knowledge, this study shows for the first time that in hospitals with high antibiotic consumption rates, residues of these drugs can be regularly detected in toilets, sink siphons and shower drains at concentrations ranging from 0.02?μg·L^?1 to a maximum of 79?mg·L^?1. After complete flushing of the wastewater siphons, antibiotics are no longer detectable, but after temporal stagnation, the concentration of the active substances in the water phases of respective siphons increases again, suggesting that antibiotics persist through the washing process in biofilms. This study demonstrates that clinical wastewater systems offer further possibilities for the optimization of antibiotic resistance surveillance.     

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.