江门市卫生系统反应性研究

目的 利用世界卫生组织提供的测量工具对江门市卫生系统反应性水平进行分析,旨在提高江门市卫生服务反应性,并为其评价提供依据.方法 采用WHO制定的＂卫生系统反应性调查＂问卷,对过去一年接受过医疗服务的786名患者进行问卷调查.数据采用Epidata双录入核对并设置合法值,用SPSS16.0软件处理.结果 江门市卫生系统反应性各要素频数分布为门诊很好或好的前三位和住院一样,均为社会支持、尊严及保密.认为门诊差或很差的前三位是基本环境质量、选择性、及时关注.住院则是基本环境、交流、及时关注.结论 加强各级支付对卫生系统的拨款,改善各级医院就医环境,注重和患者的有效沟通交流,合理配置卫生,提高各级医院的整体反应水平.     

广东省江门市卫生系统反应性系列研究概述

目的对广东省江门市医疗结构卫生服务反应性水平进行测量,比较不同人群间反应性差距。方法采用WHO制定的“卫生系统反应性调查”问卷进行调查,数据用EPIDATA双录入逻辑校对。结果研究显示江门市卫生系统反应性评价总分值为7．16分,最需改进的是及时关注,有效交流和就医环境。结论加强医护人员的人文医学教育,树立尊重病人和以病人为中心的理念,完善各级医疗机构管理机制,提高卫生系统的反应性。     

江门市某三甲医院和私立医院反应性比较分析

目的 通过对公立和民营医疗机构反应性的评价,比较它们之间反应性的差距.方法 随机抽取接受过公立医院和私立医院医疗服务的236人和95人进行调查,采用Likert五级评分法,数据使用Epidata双录入,用SPSS16.0软件完成数据处理.结果 公立医院除了在＂社会支持＂、＂就医环境＂、＂尊重＂方面优于民营医院外,其他方面在＂自主权＂、＂保密＂、＂及时关注＂、＂交流＂、＂选择性＂方面均差于民营医院.结论 加强医院管理,关注群众期望,提高公立和民营医院的反应性.     

江门市某三甲医院住院病人反应性测量分析

目的了解江门市某三甲医院在非医疗因素服务水平与住院病人合理期望值之间的差异,探讨影响因素,提供决策建议。方法采用随机抽样调查过去一年在江门市某三甲医院住院部接受医疗服务的人员236人,数据采用Epidata录入系统进行双录入,由SPSS11．5软件完成数据分析。结果该三甲医院住院病人反应性总体水平7．94分,尊严得分最高,及时关注得分最低。结论重视病人的合理期望,可改善医院的就医环境,提高医院的管理能力。     

公开选聘卫生院院长深化农村卫生系统人事制度改革

2002年以来,灌云县卫生局为贯彻落实国务院《关于农村卫生改革与发展指导意见》和本省《关于深化全省卫生事业单位人事制度改革的实施意见》精神,先后在伊芦、杨集、白蚬、东王集、南岗、穆圩等6个乡镇卫生院公开选聘院长,取得了较好效果。现将有关情况报告如下。     

广州市某三甲医院住院患者卫生系统反应性的研究

目的：探讨广州市某三甲医院患者住院服务的卫生系统反应性,为医院改善医疗服务质量提供理论依据。方法：自行设计反应性调查问卷,调查广州市某三甲医院500例住院患者。结果：医院的卫生系统反应性总评分达到7.43分。在各要素中,医护人员在患者的尊严（8.15±0.07）、自主权（8.05±0.08）、交流（7.79±0.07）方面做得比较好,在就医环境（7.19±0.07）、保密性（7.08±0.11）、及时性（7.04±0.08）、社会支持（6.88±0.08）、选择性（6.53±0.10）这几方面需进一步的提高。结论：医院的反应性处于中上水平,人口特征对其有一定的影响。医院应改善就医环境,提供宗教服务与场所,简化服务流程,提高服务的及时性,充分尊重患者的隐私权、选择权,以不断提高医院的服务质量和竞争力。     

某企业医院供需双方反应性调查与分析

目的通过对企业医院供需双方反应性水平的测定,改善和提高企业医院服务能力、扩大企业医院服务能量,提高工作人员的服务品质,满足患者多层次、多样化的医疗卫生服务需求。方法采用关键知情人物调查问卷对医务人员和就诊人员248人进行面对面现场调查,并对调查结果进行统计分析。结果该企业医院反应性水平指数为7.198分,医务人员反应性指数为7.135分,就诊人员为6.586分。在反应性8个部分打分中,社会支持网络分值最高,为8.495分,其次为保密性,为7.849分;及时性、自主性、选择性和基础设施质量分值较低,基础设施质量最低,为5.575分。供需双方在自主权、选择性、沟通和基础设施质量方面评价有统计学差异,表明在认识上二者有差异;在保密性、尊严、及时性和社会支持网络方面没有统计学差异。结论在满足基本医疗服务的前提下,企业医院应转变观念,开展人性化服务;努力倡导人文精神,实现医患和谐与理解,使患者得到实实在在的好处,也使医院在激烈的市场竞争中立于不败之地。     

西藏卫生系统反应性初探

由世界卫生组织发布的《2000年的世界卫生报告》主题是"卫生系统改进绩效"。在这篇报告中,WHO提出对卫生系统绩效的评价主要集中在健康状况的改善、卫生筹资的公平性和反应性3个方面。在新的评价框架中,卫生系统反应性是一个全新的概念,是在健康(水平、分布)和筹资公平性不足以及对卫生系统绩效进行全面评价的情况下提出来的,并对当时191个成员国的卫生系统绩效进行了评价和排位,其结果对各国尤其是排名较为落后的国家     

徐州农村妇女产褥期行为现状、问题及对策研究

目的了解农村妇女产褥期行为现状及存在的主要问题,探讨对策方案。方法采用整群随机抽样的方法,在徐州市六县范围内,抽取683例产后2～6个月的农村妇女,进行访谈和回顾性问卷调查。结果产后2周内每天不换内衣、内裤占70．05％,冬季门窗紧闭及1个月不洗澡者分别占83．45％、78．33％,饮用1个月红糖水占83．0l％,每天摄入10个以上鸡蛋占61．93％,产后不按时复查和避孕者分别占77．16％、71．46％。结论目前农村妇女产褥期存在诸多不良行为,促进健康行为的教育和指导势在必行。     

我国农村公共卫生体系现状及宏观改革措施

文章分析了我国农村公共卫生体系存在三级医疗预防保健网关系松散、卫生投入严重不足、资源闲置与效率低下并存、公共卫生功能弱化、缺乏较高素质的医务人员等问题,为了加强农村公共卫生体系建设,提出了需强化政府职能、加强财政投入、调整卫生资源结构、建立大病统筹制度等宏观政策措施.     

随县2012～2013年新农合资金及患者流向分析

目的对随县农村合作医疗资金及患者流向进行分析,为随县新农合政策调整提供依据。方法采用描述分析方法对随县2012～2013年农村合作医疗相关数据进行对比分析。结果资金及患者流向有待改进,利用率有待提高。结论应加大对各类定点医疗机构的管理。     

The use of pictograms in the health care: A literature review

BackgroundThe ability of patients to understand pharmacotherapy information is critical to the successful use of medications. One of the risk factors that may predispose the patient to non-adherence is the low retention of verbal information. Thereby, one way to facilitate the understanding of patients regarding prescribed pharmacotherapy is to incorporate pictograms to transmit information in a clear, expeditious, and simple manner.ObjectiveTo evaluate literature on the use of pictograms for health professionals and assess their impact on helping patients increase the understanding of and compliance with medical instructions.MethodsSearches were conducted from February to March 2012. We searched articles in databases, using the keywords: “pictograms,” “health,” “health care professionals,” “medication” and “pictorial representation.” After this step, we performed a manual sorting, evaluating titles and abstracts. The articles were carefully examined according to the following variables: (1) geographic location and setting of the studies; (2) study design; (3) number of pictograms used; (4) education; (5) sample size; (6) age of participants; (7) function of pictograms; (8) limitations described in the literature evaluated.ResultsThe research identified 136 published studies. After the exclusion process, 24 studies met inclusion criteria and from those, 50% were conducted in Africa, and 51.4% were considered effective. In the evaluation of the function of the pictograms, to verify their utility, 23 studies used to educate patients on the use of medications. The translation and cultural adaptation of pictograms was performed in five studies, and one study considered this process as validation.ConclusionIn this review, the literature contained only a few studies employing pictograms by health professionals, and most of these were meant for the use of medications. Moreover, the specific results reinforce the need for more studies in this area to provide a more complete approach about pictograms in the heath care.     

农村产褥期妇女保健知识认知状况调查与分析

目的了解目前农村产褥期妇女保健知识认知状况,分析影响其认知的相关因素,探讨切实可行的健康教育措施。方法采用分层整群抽样的方法,以县区经济状况优、良、差分为3级,每级抽取6个乡镇,共抽取18所乡镇医院,将分娩24 h后的农村产妇(排除严重心身疾患和残障者)作为调查对象。对调查对象进行问卷调查,并对数据进行统计学处理。结果农村产褥期妇女对个人卫生、饮食及营养、休息与活动的平均认知率分别为37.71%、34.34%、43.45%,其中不知道产后避孕时间及方法、性生活恢复时间和产后复查时间者分别为76.93%、52.39%、60.81%。结论农村产褥期妇女保健知识认知程度较低,应开展多种形式的健康教育。     

Assessing the responsiveness of the Asthma Quality of Life Questionnaire with pharmaceutical care

OBJECTIVE: To assess the responsiveness of the Asthma Quality of Life Questionnaire (AQLQ) in the context of pharmaceutical care delivery New Zealand community pharmacy setting. SETTING: Community pharmacy practices in three locations in the Otago and Southland region of New Zealand. METHOD: About 62 patients with asthma (17-80 years of age) were recruited in five community pharmacies in the Otago and the Southland region of New Zealand. Patients were randomly assigned to two groups (Group 1 and Group 2). The AQLQ and a study-specific outcomes questionnaire were administered to both groups at baseline (T1), then again (with an additional global Self-Assessment of change question) 3 months later (at T2) after providing the service to Group 1. Responsiveness of the AQLQ was assessed by measuring the ability of the AQLQ to detect within-subject change in patients who subjectively indicated change, and to distinguish between two groups of patients: those who indicated change and those who indicated no change. Additionally, the correlation between the change of the AQLQ scores at T2 and the patients' self-assessment of change at T2 was estimated and used as means for assessing the AQLQ responsiveness. MAIN OUTCOME MEASURE: Asthma-specific quality of life as measured by the AQLQ and change in quality of life as perceived by participants. RESULTS: The results supported the responsiveness of three out of the four domains of the Asthma Quality of Life Questionnaire. The fourth domain, Environmental stimuli, showed weaker responsiveness, and the reasons of this were discussed. CONCLUSION: This study provided data supporting the responsiveness of the AQLQ when used in the context of pharmaceutical care. However, while the AQLQ's Activity Limitation, Symptoms and Emotional domains reflected adequate sensitivity to change in QoL over time, its Environmental domain was less sensitive. Researchers conducting longitudinal studies utilising the AQLQ in pharmaceutical care interventions should bear this in mind, and should consider the possible reasons for this apparent lack of responsiveness, and its implications.     

南充市高坪区城镇居民基本医疗保险制度实施情况调查

目的了解南充市高坪区城镇居民基本医疗保险的实施现状以及居民对医疗保险的评价、意见和建议,为完善城镇居民基本医疗保险制度提供政策建议。方法通过随机抽样方式抽取156名已参保居民,采用自编问卷进行现场问卷调查。结果 64.83%（94/145）的参保居民是因为参保能减轻医疗负担而参保,77.24%（112/145）的居民认为居民医疗保险能减轻医疗负担,80.69%（117/145）参保居民对医疗保险定点机构尚满意,84.83%（123/145）的参保居民认为参加居民医疗保险是必要的。结论城镇居民基本医疗保险制度在一定程度上减轻了参保者的医疗负担,但仍有一些需要改进的地方,如提高医保待遇、加强社区医疗卫生建设等,以进一步完善医疗保险制度,促进医疗卫生事业的发展。