军队住院伤病员管理信息系统的开发与性能优化

基于DELPHI软件开发平台和ORACLE数据库管理系统开发的军队住院伤病员管理信息系统，依托“军卫一号”医院信息系统数据库，实施对军队住院伤病员的在院管理。我们发现，在开发和测试中充分地考虑到系统执行的性能，是系统开发成功的要素之一。     

军队伤病员信息管理系统应用初探

本文主要介绍了由我院信息科根据医院实际管理情况，自主设计开发的用于管理军队住院伤病员的信息系统，描述了其功能与特点，并就其在医院的应用效果进行了初步分析与讨论。     

APMS开发应用过程中文档的建立及主要功能

军队住院伤病员信息管理系统（APMS）是本院落实从严治军精神，根据医院当前管理现状自主设计开发的一套针对医院军队伤病员的行政管理工具。在实施过程中，文档的建立与更新是容易被忽视的环节。本文就本院在AMPS设计与开发过程中应用系统建设文档、风险管理文档的建立及主要内容作一小结。     

我院微机网络建设的做法与体会

微机建设与应用概况我院自１９８４年开始把电子计算机技术引入医院管理，开始向全院范围联网。十几年来，医院先后研究开发了伤病员住院收费管理系统、工资管理系统、病案统计管理系统、病案微机检索系统、机关办公管理系统、中文图书流通微机管理系统、药库管理系统、医...     

医院医疗成本核算微机网络的开发与应用

在改革开放日趋深入的今天，计算机网络应用于医院信息管理越来越受到管理者的重视。随着社会主义市场经济的高速发展，将对军队医院的经济运行机制和管理模式产生深刻的影响。特别是军队医院在“皇粮”不足的情况下，为适应军队卫生改革形势和提高医院生存发展能力、“确保”为军队人员服务，计算机联网应用于医疗成本核算管理更富有现实意义。本文指出：建成医院计算机局域网络，实现医院信息共享，是医院创“三甲”、上等级、增效益必不可少的一环     

如何在Delphi开发环境中实现多线程的数据查询

本文结合AMPS（军队住院伤病员管理系统）中多线程的实例，阐述在Delphi环境下，如何使用多线程来加快数据库服务器的查询，以提高系统响应速度。     

确保"军队医院信息系统"费用信息准确性的做法及体会

1 前言 “军队医院信息系统”的运行使医院实现了全方位的卫生经济管理,不仅增强了收费的透明度,避免了欠费、漏费、错费的现象,而且实现了门诊收费、住院收费、计价录入、会计收费帐务管理、价表管理、自动分类记帐、转记帐、凭证生成、成本核算等一体化管理,形成了较为完整的医院卫生经济管理体系。 医疗费用信息主要指来源于病人就医过程所产生的费用数据,如住院、门诊收费、预交金管理,最终从收支经费     

"军卫一号"药局管理系统应用浅谈

”军卫一号工程”是军队医院信息管理系统，从2000年5月开始我院运行。促进了医院人、财、物的优化管理，推动了医院科学化、现代化、正规化建设，使药品管理实现质的飞跃，提高了我院的信息化建设和管理水平。2007年3月，我院完成普级版向高级版的切换，全面提高药品管理的科学性和实效性，住院药房是医院药品流通最广、最频繁、信息量最大的中转工作站，     

HIS系统的医院综合信息实时查询系统的设计与开发

本文介绍了依托军队医院信息化“一号工程”系统，为满足医院务级管理人员和业务管理部门实时查询网上各类信息而研制开发的《医院综合信息实时查询系统》。该系统的应用能够实现对门急诊、住院、手术、药品和医技等网上信息的实时查询和统计，解决了查询系统信息查询滞后的问题。     

“角型数字码”在军队医院信息系统中的应用

军队医院信息管理系统涉及到 2 70多个数据表 ,字典库就有 140多个。病人就诊、住院、收费、病案管理、统计报表等各类数据几乎都来自于这些字典 ,这些字典大都涉及到存贮码和输入码 ,输入码只起到输入作用。军队医院信息系统能否正常运行 ,在很大程度上依赖于各类字典的规范操作和快速录入。系统默认的输入方法是“拼音”输入法 ,易学易用 ,大多数操作人员不用培训即可上岗。但由于“拼音”输入法需用大键盘录入 ,且重码率较高 ,输入速度相对来说较慢。为了解决输入“瓶颈”,熟练快速应用军队医院信息管理系统模块 ,迅速、准确地找到所要的…     

雷达部队官兵心理健康状况与人格特征的研究

目的了解雷达兵部队心理健康状况与人格特征的特点，为增进雷达部队官兵心理健康提供理论与实践依据。方法应用症状自评量表（SCL-90）、《明尼苏达多项人格测查表-2》（MMPI-2）对7个雷达兵部队、342名官兵进行心理测评。结果受试者SCL-90除敌对和偏执因子外，其它因子得分均显著性高于中国军人常模（P〈0．05）；MMPI-2效度因子和临床因子得分均低于65分，与全国常模比较未发现显著性差异（P〉0．05）。结论雷达兵部队官兵心理健康水平较一般部队官兵差，有其自身的特点，应对其进行心理干预。     

复杂电磁环境下军队急救医疗设备防护技术探讨

目的：探讨复杂电磁环境下军队急救医疗设备的安全性能以及防护措施。方法：本文分析了目前军队急救医疗设备电磁防护现状,阐述了高功率电磁辐射对医疗设备的作用机制,并对设备的防护和加固技术进行了初步探讨。结果：目前军队急救医疗设备电磁防护较差,提高其抗电磁干扰性具有重大意义。结论：采用电磁防护和加固技术可大大提高急救医疗设备在复杂电磁环境下的生存能力。     

军医大学战士学员和无军籍学员综合素质评估比较

目的比较军医大学不同类别学员综合素质评估结果的差异,为有针对性地开展素质教育提供依据。方法根据已经建立的医科大学生综合素质评估指标体系,比较某军医大学战士学员和无军籍学员各项素质的差异。结果无军籍学员在思想道德素质、科学文化素质、专业素质、心理素质、基本能力素质以及综合素质项目得分高于战士学员(F=33.801,27.400,67.430,20.990,44.887,46.802;P=0.000),而战士学员在身体素质项目得分高于无军籍学员(F=7.077,P=0.008)。结论除身体素质外,军医大学无军籍学员的各项素质要高于战士学员。军医大学开展素质教育要注意提高无军籍学员的身体素质以及战士学员的思想道德素质、科学文化素质、专业素质、心理素质、基本能力素质。     

A new medical mission to El Salvador

El Salvador has a long history of human right abuses and a record of violations of medical neutrality and international humanitarian law. A civil war broke out between the Salvadorian armed forces and a guerrilla opposition, the Farabundo Marti Liberacion Nacional (FMLN) in 1979. To investigate and report on specific allegations of abuses of human rights and medical neutrality by both sides in the conflict, a medical mission visited El Salvador in early June, 1989. It was sponsored by Physicians for Human Rights. The delegation consisted of 5 physicians, an attorney, and an observer from the staff of the Select Committee on Hunger of the US House of Representatives. The mission explored violations of medical neutrality. It investigated the reported obstruction of civil health personnel and of the delivery of supplies to people living in congested rural areas, refugees, and displaced persons, allegations of assault, intimidation, harassment, and torture of health workers; reports of attacks on hospitals and clinics; and the impact of 19 years civil war on El Salvador's medical institutions. The Salvadorian public health system has been seriously damaged by the civil war. A network of "community health promoters"--Salvadorians trained to give simple prevention and curative care--has begun. This network serves primarily those in contested areas. Nearly all roads in rural areas are controlled by military road blocks. Health workers have reported military interference with vaccination campaigns. The Salvadorian army harasses people they believe support the FMLN and obstructs their access to the communities. In February, 1989, the Atlacatl Battalion of the Salvadorian army attacked FMLN medical personnel. The Nongovernmental Human Rights Commission of El Salvador claims to have identified 40 different kinds of torture. Medical education has suffered from budgetary restrictions and from the hostility of the Salvadorian government.     

Medical services of Croat people in Bosnia and Herzegovina during 1992-1995 war: losses, adaptation, organization, and transformation

During the 1992-1995 war in Bosnia and Herzegovina (BH), Croatian people in BH had 19,600 (2.6%) killed and 135,000 (17.6%) displaced persons, and 222,500 (28.9%) refugees. They lost around two thirds of both physicians and other health personnel, and were left with 8. 5% of prewar patient beds. Fortunately, the organized defence against Serbs was initiated in time and Croats defended the territories where they formed majority. The first defense unit established was the Medical Corps Headquarters (MCH), caring for soldiers and civilians alike. The MCH was soon incorporated in the Croatian Defense Council (CDC, armed forces of Croatian people in BH). The MCH had two chains of command. One went through the district commanders of medical services and their subordinated physicians to paramedics in military units, and the other directly to the commanders of 14 war hospitals. After its formation in 1993, the Ministry of Health took the jurisdiction over the civilian medical services and after the Washington Peace Agreement (April 1994) over the war hospitals, too, whereas the medical services within military units remained under control of the Ministry of Defense. Dayton Peace Agreement divided BH into the Federation of BH and Republic Srpska, each with their own army. The Federation of BH Army is composed of the CDC and Bosniac-controlled Army of BH, with overall numerical ratio 1:2.3 for Bosniacs, and organized in accordance with NATO standards. Military medical services are provided by the Logistics Sector of both Ministry of Defense and Military Corps Headquarters (Joint Command).     

Healthcare Spending and Performance of Specialty Hospitals: Nationwide Evidence from Colorectal-Anal Specialty Hospitals in South Korea

Purpose

Aim of this study is to investigate the characteristics and performance of colorectal-anal specialty vs. general hospitals for South Korean inpatients with colorectal-anal diseases, and assesses the short-term designation effect of the government''s specialty hospital.

Materials and Methods

Nationwide all colorectal-anal disease inpatient claims (n=292158) for 2010-2012 were used to investigate length of stay and inpatient charges for surgical and medical procedures in specialty vs. general hospitals. The patients'' claim data were matched to hospital data, and multi-level linear mixed models to account for clustering of patients within hospitals were performed.

Results

Inpatient charges at colorectal-anal specialty hospitals were 27% greater per case and 92% greater per day than those at small general hospitals, but the average length of stay was 49% shorter. Colorectal-anal specialty hospitals had shorter length of stay and a higher inpatient charges per day for both surgical and medical procedures, but per case charges were not significantly different. A "specialty" designation effect also found that the colorectal-anal specialty hospitals may have consciously attempted to reduce their length of stay and inpatient charges. Both hospital and patient level factors had significant roles in determining length of stay and inpatient charges.

Conclusion

Colorectal-anal specialty hospitals have shorter length of stay and higher inpatient charges per day than small general hospitals. A "specialty" designation by government influence performance and healthcare spending of hospitals as well. In order to maintain prosperous specialty hospital system, investigation into additional factors that affect performance, such as quality of care and patient satisfaction should be carried out.     

陆海野战演练陆军官兵心理健康状况调查

在特殊环境下执行重大任务 ,可能会遇到更多的心理应激。为了掌握军事演练过程中官兵的心理健康状况 ,了解演练时官兵的心理应激水平 ,为下一步进行心理干预提供依据。我们采用症状自评量表(ＳＣＬ - 90 ) [1] 、自拟的“应激源调查表”对陆军某部参加陆海野战演练官兵 (以下简称参演官兵 )进行心理测评和调查 ,现将结果报道如下。1　对象与方法1.1　调查对象调查陆军某部参演官兵共 136 5人。剔除资料填写不完整的无效答卷 10 6份 ,有效答卷为 12 5 9份。其中 ,干部 12 6人 ,士官 331人 ,士兵 80 2人。年龄 :1736岁 (2 2 .31± 3.6 8岁 )。…     

军队士兵健康人格与适应能力的研究

目的了解军队士兵的心理健康和适应能力以及影响因素,为部队开展心理健康和心理适应训练提供客观依据。方法采用明尼苏达多项人格量表（MMPI）和心理适应量表（MAS）对181名军人进行心理测评。结果①在轻躁狂项男兵显著高于女兵（P〈0．05）;独生子女显著高于非独生子女（P〈0．01）;②初、高中在抑郁和社会内向上显著高于大专以上（P〈0．05,P〈0．01）;③各级衔士兵适应能力达到一般以上的人数比例,士官1期最低（20．45％）,其次为义务兵（31．71％）,士官2期（46．34％）,军官最高（57．14％）;④健康人格与适应能力存在相关（r=-0．550,P〈0．001）。结论①绝大部分士兵（97．73％）健康人格为正常．但67．66％士兵的适应能力偏低;②影响士兵心理健康的主要因素是适应能力,级衔和文化水平。     

军校心理咨询来访者所在群体心理健康状况

目的 :对军校心理咨询来访者所在的主要群体心理健康状况进行分析与研究。方法 :根据学校心理咨询来访者资料记录 ,确定来访者所在的主要人群 ,采用艾森克人格问卷 (EPQ)与症状自评量表(SCL -90 )对其进行测试。结果 :EPQ结果示女学员的P、N量表分都显著低于男学员 ,而E量表分则高于男学员 ;SCL -90调查结果中除恐怖因子高于男学员外 ,女学员的强迫症状、人际敏感和焦虑因子分低于男学员 ;(2 )非独生子女EPQ结果中的P量表分高于独生子女 ,而其E量表分则低于独生子女 ,SCL -90显示非独生子女的抑郁、恐怖、精神病态因子分高于独生子女 ;(3 )地方委培学员的P、N量表分都显著低于军队学员 ,而E量表分则高于军队学员 ,地方委培学员的SCL -90调查结果中强迫症状、人际敏感、抑郁、焦虑和精神病性因子分低于军队学员。结论 :学员总体心理健康状况较好 ,但仍存在一些问题和差异 ,心理健康状况相对较差的男学员和军队学员在来访人群中所占比例较小 ,提示有一些需要心理帮助的学员可能并未来寻求咨询     

军队医院急诊科医护人员心理健康状况

目的：研究军队急诊科医护人员的心理健康状况。方法：采用SCL-90量表对军队急诊科医护人员进行心理健康调查。结果：军队急诊科医护人员SCL-90多项指标与普通医院急诊科医护人员类似，高于一般人群。结论：军队急诊科医护人员的心理健康状况明显差于一般人群。