严格执行国家政策强化军队医院物价管理

就军队医院物价管理的现状,阐述了完善军队医院物价管理工作的必要性,分析了军队医院物价管理的难点,提出了提高物价管理认识以构建有效的价格管理体系、建立健全医疗收费的规章制度以使物价管理工作步入正轨、发挥计算机网络化管理作用以增强医疗费用透明度、加强收费审核以杜绝不合理收费、提高物价管理人员的综合素质以规范医院物价管理5项强化军队医院物价管理的措施.     

完善物价管理体系维护医患双方利益

物价管理工作在贯彻执行政府物价政策、降低医疗成本、提高医院经济效益中起着重要的作用.此文就该院如何深化医院物价管理,提高经济效益,从四个方面进行了论述:一是加强宣传教育,树立物价管理意识,提高全院人员对物价管理的认识;二是针对新业务、新技术的开展,及时制定合理合法的收费标准,增加医院的经济增长点;三是加强物价信息系统管理,提高收费准确率;四是强化成本核算,低耗高效,减轻患者经济负担.     

对加强医院物价管理工作的思考

在医疗收费日益成为社会关注焦点的同时,如何加强医院内部的物价管理,越来越被重视。当前医院的物价管理存在领导认识不足以及实际操作不规范等问题,原因主要是医院片面追求经济效益以及操作中不规范。紧密结合医院近年来物价管理工作的实际,特别是2011年以来物价管理工作规范化、制度化工作建设的实际,围绕物价管理部门的重要性、物价检查管理力度、物价管理的制度、物价的监督体系等问题进行初步探讨。将医院物价管理的工作重点放在加强医院内部的监督检查上,建立医院内部物价监督检查的长效机制,增强行业自律性。     

规范医疗收费行为 提升物价管理水平

针对当前医疗收费常见问题,从建立健全物价管理体系,加强监管;加强人员培训,提高行业规范意识;明确规范收费重点;完善网络系统,实现收费实时监管;落实奖惩,持续改进等5方面进行了探讨,规范了医疗服务收费行为,有效遏制了违规收费、误收费、漏收费等现象,提升了物价管理水平。     

对医院物价管理工作的点滴思考

医院物价管理工作包括医疗收费成本核算、医疗收费定价管理、医疗收费公开化管理、医疗收费内部监督管理等。其中的医疗收费内部监督管理是最具主观能动性的,如何将医疗收费中存在的问题解决好,是医院物价管理的重要内容。     

网络模式下的医院物价管理

加强医院物价管理,规范医疗合理收费,是当前各级医疗机构的重要工作。运用微机网络设备进行管理,通过网络动态监控,来规范医院的医疗收费,以适应卫生市场经济的要求,促进卫生改革和卫生事业的发展,控制医疗不合理收费。     

医院物价管理工作流程再造

<正>随着医疗保障体制改革的不断深入,医疗机构规范医疗收费行为的工作越来越重要。作为医疗机构内部的物价管理部门责任重大,既要依法监督管理医疗机构的医疗收费行为,     

规范医疗行为 加强医院物价管理

物价管理是医院经济管理和医疗业务管理的重要组成部分,是医院应该重视和加强的一项重要工作。规范医疗服务价格项目,建立健全各项规章制度,杜绝医疗机构收费行为不规范问题,可以有效减少医患矛盾,减轻患者经济负担。     

浅议公立医院的物价管理

物价管理是财务管理的一项重要内容。搞好医院物价管理工作，严格执行收费标准，不仅会给医院带来良好的社会效益，还会给医院带来可观的经济收益。反之，如果医院不能严格执行国家的物价政策，多收费、乱收费，不但会损害广大人民群众的利益，而且会影响医院的声誉，甚至威胁医院自身生存和发展。     

加强物价计算机管理以保障医院规范收费的做法

为保障医院制订的一系列物价管理制度落实和规范,仅靠事后监督不能真正有效。必须依靠计算机手段强制执行,完善计算机在收费管理中的应用。自1 998年开始至今我院陆续开发并上线50余个软件管理模块,在每一个管理模块中。除规范了医疗业务流程外,还加强了物价计算机管理以保证医院规范收费。医院物价管理的责任科室是价格管理科,     

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.     

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.