北京市2003年维持无脊髓灰质炎进展

为了解北京市2003年维持无脊髓灰质炎(脊灰)进展、急性弛缓性麻痹(AFP)病例流行病学特征和监测系统运转情况,对北京市2003年AFP病例进行分析,对AFP病例监测系统进行评价.结果显示北京市2003年共报告本地AFP病例20例,其中<1岁4例(20%),1～4岁7例(35%),>4岁9例(45%).口服脊灰疫苗(OPV)1次的2例(10%),≥3次的16例(80%),不详的2例(10%).共采集了40份粪便标本,未分离到脊灰病毒.2例AFP病例的4份粪便标本(10%)分离到非脊灰肠道病毒(NPEV).20例AFP病例最后分类为脊灰确诊病例0例,临床符合脊灰病例1例(5%),脊灰排除病例19例(95%).AFP病例监测系统评价指标均达到了卫生部的要求.表明北京市1985～2003年已连续19年无脊灰野病毒病例报告.AFP病例监测系统已具有监测出脊灰野病毒的能力,今后应进一步消除监测中的漏报和免疫空白点,保持北京市无脊灰状态.     

国内外医务人员职业满意度比较

目的 对国内外医务人员职业满意度进行比较分析,以期了解国内外差异,及时发现不足之处,为提高医务人员职业满意度提供理论依据.方法 以文献研究、小组讨论为主要研究方法,从定义、理论基础、测评量表、满意现状等方面对国内外医务人员职业满意度进行比较研究.结果 国内外医务人员职业满意度在定义、理论基础、测评量表和满意度现状等方面存在一定差异.结论 我国应借鉴国外的先进经验,去粗取精,有效提高医务人员的职业满意度.     

中国医疗器械产业技术创新战略联盟成立大会在京召开

2009年6月17日,中国医疗器械产业技术创新战略联盟（以下简称“联盟”）在北京召开成立大会。科技部、卫生部、中国食品药品监督管理局、民政部、总后卫生部、教育部、中国医疗器械行业协会、中国残联、中科院等部门代表和联盟相关成员单位200余名代表出席了会议。科技部副部长刘燕华出席成立大会并发表重要讲话。     

Medical audit in British hospital practice

The imposition of a rigid system of medical audit throughout the NHS would be inappropriate at this time; nevertheless, every hospital and general practice could usefully consider what informal methods of audit should be employed. Most hospitals should try weekly death and complication meetings in addition to their other postgraduate activities. Greater attention is required to ensure that the medical records are improved in both hospital and general practice. Metcalf's (1979) suggestion for auditing GP work seems feasible. As medicine becomes more complicated in terms of techniques and team activities there is a greater need for more systematic methods of defining and measuring standards of care and feeding back this information. Much more research is needed to determine whether process or outcome studies are preferable, and structure and patient risks must be taken into account. Whatever system is devised the medical profession will accept it provided it is fair, educational, and shown to benefit the patient.     

British Agencies for Adoption and Fostering in Scotland-Scottish Medical Advisers'' Survey

Children in local authority care (The survey was conducted before the term ‘in care’ was replaced by ‘looked after’ on The Children (Scotland) Act coming into force in October 1996) come from backgrounds of high incidence of mental illness, substance abuse and learning difficulties and have often suffered from neglect and/or abuse. They have a high incidence of medical problems affecting both physical and mental health. The Committee of the Scottish Section of the Medical Group of British Agencies for Adoption and Fostering (BAAF) were concerned about the provision and co-ordination of medical services for children in local authority care.The aim of the survey was to identify the current and evolving practice among medical advisers across Scotland. Questionnaires were returned from 40 Medical Advisers representing each of the local authorities in Scotland.The responses highlighted a variation in the implementation of practice in clinical services provided to children in care and by whom. It confirmed that difficulties in follow-up did exist and revealed widespread confusion surrounding co-ordination of medical services, absence of procedures and ignorance of legal requirements.The study confirms that involved medical practitioners need to have a pro-active role in co-operating closely with social work colleagues to provide a well co-ordinated service of medical supervision providing a comprehensive assessment of health care needs as part of the overall child care plan.     

基层医院医疗骨干人才职业规划指导

医疗市场的竞争就是人才的竞争,医院在注重发展的同时,要关注医疗骨干人才职业理想的实现。本文分析影响医疗骨干人才职业规划的因素,对医疗骨干人才进行职业规划指导,构建核心人才实现职业目标的有效平台,制定人才选拔、培养、任用、激励的政策措施,实现医院综合效益和员工职业发展的共赢。     

重点医疗器械生产企业座谈会在举行

2011年初,全国卫生工作会议的召开,加快了医药体制改革的步伐;2011年国家药监局将出台修订后的医疗器械监管条例及一系列配套法规,进一步确保医疗器械的安全和有效;科技部通过制订医疗器械产业十二五发展规划及科技金融产业政策,将整体推进医疗器械领域的科技创新和产业发展,中国医疗器械行业面临着新的机遇与挑战.     

The British Coal Medical Service in the Selby Coalfield

The British Coal Selby project involved the development of sixmine sites with interconnected underground workings. This paperdescribes the development of medical services and the extensionof the Board's occupational health service into the new coalfield.Although the project has unique features it is to be hoped thatthis paper will be of interest to occupational physicians, particularlywith those involved in the creation of new facilities. ⁰Requests for reprints should be addressed to: Dr G.C. Carreck, Area Medical Officer, British Coal, Barnsley Main, Oaks Lane, Barnsley, South Yorkshire S71 1HT.