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近两年,随着我国政府对医药市场的严格监管和药品限价、招标采购、反商业贿赂等系列政策相继推出,医药企业的生存环境得到改善,环节众多的流通渠道使曾经风光无限的代理制遭到重击。招商难,招商后的维护更难是所有走代理制企业最头痛的事。终端铺货、终端销货、终端维护仅靠代理商来做已经远远不够,于是越来越多的企业有了直达终端的必然需求。终端大包会已经成为医药企业实现增量,把握市场的一个重要的营销工具。  相似文献   

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A discussion of voluntary organizations contributions to health efforts identifies the challenges for the 1990s. Questions are posed which will determine the voluntary organizational effort will be subverted. The emerging needs and new directions indicated are ones which voluntary organizations are committed to pursuing in the decades ahead. The role of the voluntary health sectors will be determined by increasing self-reflection and a collective effort. Voluntary organizations direct their efforts to broader social and societal dimensions of health than do governmental health agencies. Voluntary is distinguished from nongovernmental in order to avoid the confusion between voluntary and for profit groups. It is also important to recognize that citizen efforts are just as much a part of the government system as those of the government system as those of government functionaries. The term primary health care is also avoided, because it denotes primary actions devoted to individuals. The term community health is preferred, as it shifts the focus to individual, group, community, and societal action. Voluntary organizations, thus, are committed to awareness building and autonomy, demystifying education, participatory decision making processes, community building processes, and creative means of challenging and going beyond the conflicts of interest groups. The assumption is that alternative health care is a necessary part of providing health for all in an "alternative socio-political-economic-cultural system." The goals have been materialized as a de-emphasis on the over professionalism of skills and knowledge an a de-emphasis on the focus on physical health only. Lobbying efforts are directed to changing health and medical policy to meet the health needs of the people and to be accountable. Examples of voluntary groups in India are the Medio Friends Circle, Kerala Shastra Sahitya Parishad, All India Drug Action Network, Lok Swasthya Parampara Samvardhan Samithi, and All India Peoples Science Network. One of the questions posed was whether the government was purposefully obscuring the differences between the profit and not-for-profit sectors. The Policy Delphi analysis in 1992 forecasted the need for a new philosophical framework and identified 11 basic goals, such as preferential treatment for the poor and marginalized. An overview is given of how the voluntary sector operates, and its activities are indicated.  相似文献   

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公立医疗机构改制是医疗机构管理体制改革中的重要环节,本文在文献归纳的基础上讨论了公立医疗机构产权改革的形式--债权法、股权法和拍卖法,并列举了改制过程中的几种融资渠道,阐述了改制中应予以重视的问题.  相似文献   

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目的:为了解某冶炼厂工伤事故现状及其预防对策的研究。方法:采用资料分析法对该企业近18年来所发生的生产事故进行了分析。结果:虽然总事故数在近5年内已明显下降,但重伤、死亡事故所占比例有上升趋势,进一步分析发现以年龄<25岁、工龄<5年的青年浇铸工、冶炼工、天车工和钳工等引起发生的脚、手烧、灼、烫伤为多,且以上白班者的自伤和意外伤为主。结论:该企业今后的安全生产应以抓好青年职工的安全生产教育及重要场所的安全管理为主。  相似文献   

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目的 了解矿山工伤事故的发生现状并研究其预防对策,方法 采用回顾性调查方法分析了该矿近6年来所发生的83起轻、重、死亡事故,结果 虽然该矿各类事故构成平均每两年以12.65%的速度在下降,但井下重伤死亡事故构成在逐年上升,尤以钻工,司机,钳工等工种引起的机械事故,物体打击,车辆事故,顶板松石事故而致的脚,手伤害为主,且以自伤为多,结论 该企业今后的安全生产应抓好井下重伤与死亡事故控制,生产机械安全管理,主要工种的安全技能提高和生产环境安全防护等工作。  相似文献   

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