浅析集约、共享式的现代化医院规划设计——重庆北部新区第二人民医院项目策划

文章以重庆市北部新区第二人民医院项目策划为例,探讨了以“集约、共享式”设计理念为指导,同时立足本土,实现医院环境的生态最大化和景观最大化的现代城市医院规划设计发展之路。     

“三个着力”推动勤廉医院建设走深走实

<正>江西省赣州市坚持以人民健康为中心,以人民满意为出发点和落脚点,扎实推进以党风清正、院风清朗、医风清新为目标的勤廉医院建设,有效缓解了群众看病贵、看病难等问题,人民群众就医环境持续向好。一、着力抓好政治建设,夯实勤廉医院建设基础始终把党的政治建设摆在首位,全面加强党的领导和党的建设,夯实政治根基,涵养政治生态,为全面推进勤廉医院建设提供重要保证。     

生态医院的建设理念与实践探讨

生态医院是人与自然和谐相处,生态系统良性循环,医疗功能、文化功能整体协调,能够实现可持续发展的医院。作者探讨了生态医院建设的实践意义、总体目标、建设理念,并以本院为例,详述了该院的建设主题、历程、项目、内涵和成效。     

关于《全国微生态试验总结会议》简报

随着微生态研究在国际上的纵深发展,国内在微生态与妊娠早产、微生态与糖尿病、微生态与肠道炎性疾病等方面也开展了诸多研究。2015年初始,在我国进行了由北京大学第一医院、天津医科大学总医院、西安交通大学第一附属医院、北京大学深圳医院、中山大学第六医院、重庆医科大学附属第二医院、内蒙古医科大学附属第一医院、吉林大学附属第一医院、哈尔滨医科大学附属第一医院、南京医科大学附属鼓楼医院、中南大学附属湘雅三医院、首都医科大学附属宣武医院、山西医科大学附属第二医院等15家医院参与的全国阴道微生态方面的研究,并于2015年12月19日在北京蟹岛会议中心举办了首届全国微生态试验总结会。     

默默奉献续忠诚 甘为绿叶映红花——解放军总参谋部总医院（339医院）医学工程科发展纪实

解放军总参谋部总医院（309医院）医学工程科在医院党委领导下，立足于生态医院发展战略美好前景，坚持以医、护、患为导向，推行“一切为了临床，一切为了病人”的服务理念和保障模式，坚持勤俭办好一切事的原则，努力追求临床满意，病人受益的工作目标。     

以品管圈促进医院质量建设的实践与思考

品管圈是提升医院服务品质的重要抓手。阐述了品管圈在医院质量建设中的作用,指出要从“点”入手强化品管圈认知,从“面”展开促进品管圈落实,从“体”聚焦形成品管圈机制。并从认知形态、品管生态、工作常态3个方面对以品管圈促进医院质量建设的策略展开了思考,为品管圈推广应用提供了一定借鉴     

营造健康舒适的生态化就医环境

医院的环境质量倍受社会各界的广泛关注,已成为医院形象和竞争力的重要组成部分.如何在医院环境建设中,贯彻生态理念,运用生态手段,营造具有自然美、能爽心驱病的生态化就医环境,是医院管理者必须考虑的现实课题.     

武汉城市圈医院集团化发展的构想

在城市圈发展背景和医院生态背景的影响下,武汉城市圈内医院集团化势在必行.作者试图分析武汉城市圈医院集团化发展的可行性及相关策略,旨在为我国类似地区医院集团化发展提供积极的参考.     

昆山市老年医院创新医养结合和构建老年健康体系实践探讨

作者对昆山市老年医院创新医养结合和构建老年健康体系进行研究。昆山市老年医院以编制老年健康体系规划作为引领,关注老年医学的整合发展,启动中老年人跌倒干预项目,培养高素质医养结合专业队伍,改善老年患者的就医流程,成功创建“全国老年友善医院”等一系列实践工作,全面推进昆山市老龄健康工作有序发展,逐步形成可持续发展的健康老龄化生态体系,为县域开展老龄健康工作提供可复制模板。     

深化研究型医院建设的实践与思考

介绍解放军总医院研究型医院的建设进展及深化研究型医院建设的思考。在理论研究、人才建设、标准转化、科研创新等诸多方面求深务实,提高为军服务效益,建设研究型医院良好政治生态。     

现代整体医疗环境的定位与特性

经历了古代整体保健环境、工业文明时代技术性功能突出的医疗环境等发展过程后，当代医疗环境建立在对患者人性深入认识，对自然环境、高科技人工环境与人类关系的深入理解基础之上，与城市、社区环境及高密度城市现实有机结合，既符合医学科技的发展，又顺应人的全面健康要求，是患者全面平衡与发展的整体环境。     

超细矿物粉尘与人体健康

环境学、地学和医学的相互结合符合资源合理利用与可持续发展原则,是研究矿物粉尘和人体健康的有机整体。该文根据矿物粉尘在大气中的行为特征、复杂性与环境自调节范围提出了5类粉尘环境,评述子矿物致病学说的不足,分析了无机粉尘自由基的生物学作用、形态及粉尘体内外作用的变化特征,最后提出,非职业环境的矿物粉尘的人体危害应当引起特别关注。超细矿物粉尘和纳米级永久悬浮粉尘是目前粉尘环境安全性评价的重大课题。     

Audit in infection control

Audit is a key function of infection control teams. Infection control audit programmes should include audits of infection control policies in wards and departments, and microbiological safety audits of the healthcare environment. This paper reviews the literature on healthcare audit with particular emphasis on published audits in infection control. Evidence of the efficacy of audit and feedback in improving infection control outcomes is presented, together with the nature of interventions necessary to bring about change.     

医学模式发展对医院建筑环境、功能的影响

“以人为本”、“以病人为中心”是生物、心理、社会医学模式的核心。医院建筑环境与功能必须满足医学模式发展与变化的需求。“人性化”规划、设计,“人性化”改扩新建是医学模式对医院建筑客观发展的要求。现代医学模式的发展,反映出现代医院建筑是以其特有的物质载体形象,综合反映人类医疗活动的文化内涵和社会文化心理．并以自己独特的文化特征存在于社会生活中。     

The impacts of ageing on connection to nature: the varied responses of older adults

Access to nature is important for wellbeing at all ages with significant benefits for older adults. This paper explores the impacts of older adults’ age-related health conditions on nature connection, their responses to the changes and identifies the types of nature connections and greenspaces available to and prioritised by older adults. It is based on the experiences of 72 New Zealand older adults aged 65-99, living in family homes, down-sized homes and rest homes. Data were gathered through interviews, photographs and assessments of the natural features of their home environment. Nearly all participants experienced age-related changes in their ways of connecting with nature as living accommodation and especially health and mobility changed. Reduced mobility was the primary factor limiting nature experiences especially for frailer adults. In contrast, for ‘younger’ older adults, retirement can provide more time and opportunities to engage with nature. Nature connection opportunities are valued by nearly all adults irrespective of age and health. Accessible nature opportunities in the nearby and home environment should be available to all adults irrespective of health and accommodation type. Dedicated resources need to be provided to ensure these opportunities are present for the frailest whose opportunities to have direct contact with nature are frequently absent.     

绿色医院建筑设计概述

绿色医院建筑以可持续发展的思想为指导,意在寻求自然、建筑和人三者之间的和谐统一.绿色医院建筑设计可遵循合理使用资源和能源、以人为本、因地制宜等原则,并从考虑建筑本身的节能,充分利用太阳能采光、供热、制冷、通风,设阳光间等方面进行新的设计构思.     

A qualitative study of parental strategies to enable pre-school children's outdoor and nature experiences during COVID-19 restrictions

Outdoor and nature experiences including play have been shown to be beneficial for children's physical, cognitive, social and emotional development. Parents/carers play an important role in encouraging or impeding their child's access to the outdoor environment and participation in outdoor play. The COVID-19 pandemic and associated restrictions on free movement and social interactions placed an unprecedented pressure on families to manage the drastic change in their daily routines. This paper reports findings from two combined data sets generated in 2020 during the COVID-19 pandemic and provides a deeper understanding of the interconnected nature of how contextual factors influence parenting processes and outcomes relating to young children's outdoor and nature experiences and subsequent child health. Findings have the potential to inform the messaging of existing outdoor play policies and the content of new interventions aiming to promote the exposure of children to the natural outdoor environment.     

亚健康状态影响因素的研究进展

亚健康状态是处于健康和疾病之间的健康低质量状态,现代社会经济的飞速发展,竞争日趋激烈,人们的生活方式和工作环境发生了很大改变,越来越多的人处于这种状态。目前认为,亚健康状态具有既可回归健康,又可进展为疾病的双向性转化特点,但亚健康的发生及其进展机制尚不清楚。因此,研究亚健康状态相关影响因素,可以识别高危群体或个体,对亚健康的预防、促进健康,预防疾病具有重要的意义。本文就行为和生活方式因素(吸烟、饮酒、营养不良、压力及应激性生活事件、运动锻炼不足或久坐、睡眠问题等)、环境因素(自然地理环境因素、社会环境、家庭环境等)、生物因素(年龄、性别、学历、体重、中医体质)等方面对亚健康状态的影响因素进行综述,以期为进一步研究提供参考。     

医院人性化设计与建设

随着生活水平的不断提高,人们对就医环境提出了越来越高的要求,医院服务功能的广泛延伸也对医院的就医环境提出了更高的要求,追求人性化的设计理念已成为医院建筑发展的必然趋势.文章主要从流线、硬件、软件设计等方面对医院人性化设计和建设进行了论述.     

The Symbolic and Material Nature of Physician Identity: Implications for Physician–Patient Communication

This field study considers the implications of the symbolic and material nature of physician identity for communication with patients. In-depth interviews of physicians across multiple organizational contexts reveal that physician identity is a discursive process of situated meaning in which particular configurations of beliefs, values, and actions are constructed within specific contexts. The content of individual physician identity was related to the general environment of medicine and its local medical context. The identities of physicians working in private practice were linked to the economic, legal, and social environment of medicine, whereas physicians working as employees had identities related to working in a setting that buffered the effects of the environment. Specific implications of the symbolic and material nature of physician identity for physician–patient communication are examined. Understanding physician identity is important to health communication scholarship because of the ongoing and central nature of physicians in health-care decision making and delivery.