Telemedicine effects: Cost,quality, and access

Following a brief review of lessons learned from first generation telemedicine projects, an analytical framework for assessing the potential effects of telemedicine on cost, quality, and accessibility of health care is provided. It is proposed that the effects of telemedicine on cost, quality, and accessibility are interconnected, and a comprehensive assessment should incorporate all three aspects, each considered from the perspectives of clients, providers, and society.     

开放获取质量管理与政策要素分析

目的:研究开放获取质量管理政策,分析开放出版质量管理的积极因素与消极因素,评估开放存储的数字内容所处的政策环境,为我国制定开放获取质量管理政策提供借鉴.方法:论述开放获取质量管理方式,梳理相关政策要素及其内容.结果:开放获取质量管理的核心在于具有质量保障的开放获取政策内容,这种政策内容对质量管理的支持力度决定了开放获取...     

Telemedicine protocols and standards: Development and implementation

Telemedicine is likely to adopt rather than create most of its protocols and standards as it becomes an integral part of medical practice. To optimize this process, it will be necessary to understand how to use existing protocols and standards, and influence the development, evaluation, and modification of new ones. We have identified key participants in standards setting activities under the titles of international government, United States government, professional certifying organizations, and independent institutes. We have reviewed their roles in establishing standards for identification of patients and providers, content and structure of patient records, terminology and codes of medical information and records, and transfer of messages and data. We have addressed requirements for storing and viewing images, the impact of image resolution on accuracy of clinical interpretation, the choice of communications protocols to satisfy transmission requirements, the need to link images and text data, and the evaluation of telemedicine systems.     

Prevention, treatment, and recovery supports for those with substance use problems: opportunities for enhanced access and quality of care

Substance use disorder is one of our nation's most significant public health problems. If unaddressed, an individual's addiction will negatively impact the family, community and the health care system. Despite major strides in the field of addiction treatment, major barriers still exist preventing the problem to be addressed. We propose some recommendations to help improve access to care.     

基于成本核算与质量考核基础上的薪酬组合策略

介绍了为适应医疗服务市场的新形势，加强医院管理、降低医疗成本、强化医疗质量、提高工作量、更好地为患者服务、提高医院经济效益和社会效益设计的医院职工分配制度，讲述了以成本核算与质量考核为基础薪酬组合策略——绩效工资。绩效工资的实施有效地实现了成本控制，围绕“优质、高效、低耗”的目标，最大限度地调动职工的积极性，减少了浪费，提高了医疗服务质量。进一步降低了药品和高值耗材在医疗费用中所占的比例，全院药品比例控制在40％以内，高值耗材比例控制在4％以内，降低了病人医疗费用。