无线技术在医疗行业中的应用

目前,随着无线技术的发展,WLAN、RFID、WWAN等技术在医疗领域的应用逐渐广泛。无线医护的应用减少了医疗差错、节省了医护专业人员的时间、降低了数据录入成本。本文在介绍无线技术的基础上,主要深入探讨了无线技术在医疗行业中的应用。     

无线传感网在智慧医疗护理中的应用

提出了无线传感网用于医疗护理的2种基本形式,详细介绍了无线传感网在智慧医疗护理中的应用情况,指出了传感器节点等无线传感网关键技术的解决将有效提高老龄化社会家庭或者医院医疗护理的质量和效率。     

无线医疗设备的应用及安全

本文介绍了无线通信技术在医疗领域的应用情况,分析了电磁干扰与医疗安全的相关性,针对无线医疗设备应用的安全性研究,给出了无线医疗设备应用的注意事项。     

光纤传感器在智慧医疗领域的应用综述

介绍了光纤传感器的工作原理和特点,综述了光纤传感器在癌症治疗、医学成像、人体内压力监测等领域的应用现状,分析了光纤传感器在智慧医疗领域应用中存在的不足和发展前景。指出了随着技术的日益成熟和制备工艺的逐步完善,光纤传感器将会推动智慧医疗进一步发展。     

移动医疗：一场新变革

移动医疗应用将带动百亿元的产业规模，其影响将不仅仅限于医疗服务行业本身，还将直接触动包括网络供应商，系统集成商，无线设备供应商，电信运营商在内的利益链条，从而影响通信产业的现有布局，并已经给无线，网络，存储，安全，软件，集成等领域带来巨大商机和挑战。     

无线生理传感器网络的新挑战

无线生理传感器网络在提高医院医疗服务、社区卫生保健的质量和效率上有着显著的潜力。保障用户生命健康的宗旨和为用户提供满意的医疗服务的目标,对无线生理传感器网络的性能提出了特殊、严格的要求。本文概述了当前该领域的研究进展,展示了国内外从事无线生理传感器网络研究的研究人员和工程师所面临的新机遇与新挑战。     

医疗物联网中无线网络的接入应用实践

无线接入是医疗物联网连接感知层到网络层的基础性环节,本文对此提出了多功能网关、无线组网、终端分布等关键技术的解决方案。通过应用实践实现了异构无线网络与有线网络的互联互通,移动医疗设备、通信设备与手持智能终端无缝连接。医院应用实践证明无线移动技术的应用为确保医疗安全,提高医疗工作的质量与效率发挥了重要作用。     

无线传感器网络的生物医学应用

探讨无线传感器网络（WSN）在生物医学工程领域的应用前景,指出可以提高医疗设备的使用效率,提升实验数据的精确和可信度,是计算机工程、信息工程与生物医学工程相结合的热门研究。     

基于树-簇形的医疗设备无线传感器网络研究

针对医院区域环境的特点,提出一种适合医疗设备动态管理的无线传感器网络,基于树-簇形的网络结构结合医院现有的有线网络,可将无线传感器网络覆盖延伸至医院的各个角落,保证网络的实时性和可靠性,并对网络软硬件节点实现进行了设计。     

信息技术，颠覆医疗？

“医学正面临着一场无法回避的颠覆式变革。”一本热销的《颠覆医学》提出了整个医疗体系都将重新构建的论断。现代科技的高速发展，尤其是无线传感器、基因组学、成像技术以及健康信息等数字化医院领域的超级融合，创造性的破坏由此产生。信息技术真的可以颠覆医疗吗？     

健康管理现状与发展思考

目的：探讨健康管理改进途径,有效利用有限资源预防疾病、维护健康,提高健康管理水平。方法通过梳理国内外健康管理发展现状,分析我国健康管理特点与问题。结果我国健康管理水平逐渐提高,有社区卫生中心、医疗机构和体检中心模式,但健康管理产业仍需改进。结论加速健康管理产业三个转变;完善学科教育体系;加快健康管理信息服务平台建设;开展健康危险度评估。     

Performance measures: are we measuring what matters?

BACKGROUND: The ultimate intent of healthcare performance measures is to improve health status by stimulating improvements to healthcare quality. This report evaluates how well current performance measurement sets address the leading causes of illness and death in the United States, using the Health Plan Employer Data and Information Set (HEDIS) as an example. METHODS: We assessed whether HEDIS measures exist for the leading causes of illness and death according to five commonly used indices: physiologic cause of death, underlying cause of death, disability-adjusted life years, healthcare expenditures, and missed work days. RESULTS: Fewer than one half of the leading causes of morbidity and mortality are addressed by current measures. CONCLUSIONS: The opportunities for using accurate and meaningful measurement for disease prevention and health promotion are substantial, yet this potential remains only partly realized and depends on further expansion of performance measurement efforts.     

How To: How to Improve Patient Education

The need to manage medical information in healthcare delivery requires that information technology be optimized in diagnosing diseases; in planning and administering treatment; and in monitoring patient outcomes, services, and costs. The goals of this article are twofold: (1) to identify healthcare-specific software that addresses specific parameters set forth by the World Health Organization (WHO) for healthcare information systems and (2) to identify issues that managers should keep in mind when choosing an integrated information systems software package. For our analysis, we gathered, through Internet research, information about more than 400 software products from more than 200 companies.     

上海市高端社会办医发展的现状及趋势

目的:了解上海市高端社会办医发展的现状及趋势。方法:应用机构数量等7个指标分析其资源配置状况,应用门急诊人次等2个指标对其服务量进行分析,应用次均门诊费用等8个指标分析其费用情况,通过不同类别机构之间的横向比较分析2013年上海市高端社会办医机构的整体情况,并对2011—2013年高端社会办医情况进行纵向比较,分析其发展趋势。结果:目前上海市高端社会办医机构资源配置水平偏低,规模化建设尚处于初期阶段,医务人员结构欠合理;高端社会办医机构服务总量虽迅速增加,但仍远低于公立医院特需服务量;高端社会办医机构医疗费用总体处于较高水平,内部结构较为合理。结论与建议:当前上海市高端社会办医尚处于发展初期,但发展前景广阔。高端社会办医应在医疗技术、服务水平、管理能力、人力队伍建设、品牌发展等方面加以强化。     

What can the Canadians and Americans learn from each other's health care systems?

Numerous papers have been written comparing the Canadian and US healthcare systems, and a number of health policy experts have recommended that the Americans implement their single‐payer system to save 12–20% of its healthcare expenditures. This paper is different in that it assumes that neither country will undertake a significant philosophic or structural change in their healthcare system, but there are lessons to be learned that are inherent in one that could be a major breakthrough for the other. Following the model in Canada and in Western Europe, the USA could implement universal health insurance so that the 32.0 million (2015) Americans still uninsured would have at least minimal coverage when incurring medical expenditures. Also, the USA could use smart cards to evaluate eligibility and to process health insurance claims; these changes resulting in an estimated 15% reduction in US health expenditures without adversely effecting access or quality of care. Such a strategy would result in the eventual loss of 2.5 million white‐collar jobs at hospitals, physician offices and insurance companies, a long‐term economic gain. Only a few would agree with the statement that Canada already functions with a multi‐payer reimbursement system as evidenced by (1) a federal‐provincial, tax‐supported plan, administered by each of the provinces, providing universal coverage for hospital and physician services and (2) roughly 60% of its residents receiving employer‐paid health insurance benefits, underwritten primarily by investor‐owned plans, that are less than effective to reimburse for pharmaceuticals, dental and other healthcare services. What could be learned from the USA and particularly from Western European countries is possibly implementing an approach, whereby at least upper‐income Canadians could opt out of their federal‐provincial plan and purchase private insurance coverage — being eligible for far more comprehensive “private” benefits for hospital, physician, pharmaceutical, dental and other healthcare services. Aside from generating billions of additional needed revenues from the private sector, it could (1) help eliminate long waits for non‐emergent physicians' care by appointing newly minted specialists to their medical staffs; (2) offer prompt admissions for elective cases to “private” wings of hospitals; (3) increase available funding for what is currently an undercapitalized system; (4) enhance the system's sluggish operations; and (5) encourage more competition among various providers. Although such a two‐tier approach, such as available in the USA and elsewhere, is politically dead on arrival in Canada today, private insurance being already legal and commonly available there. Interestingly, this recommended solution is utilized in most western European countries where there is a higher percentage than in Canada of public (versus private) funding of their total health expenditures. Because of various vested interests, attempts to implement any of the aforementioned proposals will undoubtedly result in considerable political rancor. There is greater likelihood, however, that the Canadians because their need to be more effective and efficient in their delivery of care, and their overall long‐term fiscal outlook will agree to the further privatization of their healthcare system before the Americans will mandate universal access, use the smart card to process insurance eligibility and claims or will impose price controls on high‐tech services and on pharmaceuticals. Copyright © 2016 John Wiley & Sons, Ltd.     

用“公共卫生路径”的思路控制公共卫生质量和成本

目前状况下的农村卫生工作是极具中国特色、极富挑战的研究内容，理清卫生工作理论和实践两方面的线索是当前亟需解决的重要问题。由于公共卫生成本需求不能完全与高成本需枣的医疗服务相比，因此，不能简单地以公共卫生费用占卫生事业费份额作为标准来对公共卫生投入是否适宜进行评价。公共卫生服务工作亟需健全标准化、完整的、规范化、量化的，以服务的绩效质量为标准的计划、实施、评估体系。     

病例缺陷分析与医疗质量研究

病例质量控制是医疗质量管理的核心内容,采用回顾调查方法调查了250例住院病例,从病历、诊断、治疗、抢救等方面进行分析,发现病历书军存在问题最多,并直接影响之后的诊疗过程各环节。临床医师在该质控中作用重要,加强临床医师素质培养,提高诊疗水平,主动查找病例缺陷,发现并及时纠正、减少直到避免病例缺陷是不断提高医疗质量的必要前提。     

Quotable Quotes

Patient adherence is extremely important to achieve positive outcome. While quality of healthcare service has been studied as a determinant of patient satisfaction and loyalty, its impact on patient adherence has not been examined. The authors attempt to determine dimensions of quality and their impact on patient adherence in primary healthcare in India. Exploratory factor analysis resulted into seven factors. Factor scores were used for regression to identify the influence of dimensions of service quality on patient adherence. Quality of healthcare emerged as a determinant of patient adherence.     

高端医疗服务的概念、内涵与优先发展领域——以上海为例

高端医疗服务既是社会资本办医的主要方面,也是健康服务业鼓励发展的产业之一,是我国"十三五"时期医疗卫生发展的重要内容。文献研究表明,目前国内对高端医疗服务的内涵缺乏明确的阐述,而这是开展高端医疗服务相关研究的基础和前提。本研究通过系统综述、现场调查和关键知情人访谈等方法,明确了当前我国社会经济环境下高端医疗服务的概念、内涵,结合上海市工作实践,借鉴国际先进经验,建议应优先发展健康管理、医疗养老、移动医疗等领域。     

最新国际医疗质量过程管理的精益医疗服务方式

目前美国医院管理接受最新精益医疗服务方式（Lean Production Methods）的原则是在最大程度上积极地努力提高医疗质量，同时最大程度科学地优化医疗资源而降低医疗成本。文章旨在将医院管理前沿、最先进的精益医疗服务方式的46步法则实施步骤系统地向医院管理者介绍，使之成为在医院管理工作中不断持续改进医疗质量的方法。