建立覆盖城乡居民医疗保障体系对医疗服务提供的影响分析

在分析建立覆盖城乡居民医疗保障体系对医疗服务提供的影响的基础上，提出医疗服务提供方的应对策略：建立以市场为导向的运行机制；规范医疗行为，加强医疗服务质量管理，加强医疗机构成本管理。     

聚维酮碘溶液皮肤刺激性和致敏性实验研究

目的评价聚维酮碘溶液的安全性。方法采用家兔皮肤刺激试验和豚鼠皮肤过敏试验观察聚维酮碘溶液的安全性。结果家兔皮肤刺激试验，聚维酮碘溶液对家兔完整皮肤无刺激性，破损皮肤组1只家兔出现轻度红斑，停药48h后恢复正常．豚鼠皮肤过敏试验，聚维酮碘溶液未出现过敏反应。结论聚维酮碘溶液对家免皮肤无明显刺激性作用，对豚鼠皮肤无明显致变态反应作用。     

我国全民医疗保障制度建立的依据与目标

在研究分析社会保障制度和医疗保障的发展与变迁及其特征的基础上，提出我国全民医疗保障制度不同的发展阶段目标，第一阶段为保障基本卫生保健的公平可及性；第二阶段为逐步向筹资公平性目标迈进；第三阶段为促进健康公平性目标的实现。对全民医疗保障制度的内涵与外延、全民医疗保障制度设计基本依据与原则进行了阐述。     

药历相关法律问题探讨

目的:为临床药历书写和药历规范管理提供参考。方法:分析药历与病历的关系、药历与患者权利的关系、药历的证据作用、药历书写的责任风险等相关法律问题,并提出对策和建议。结果与结论:药历与病历具有相同的法律属性,具有法律上的证据作用,同时,书写药历可能有一定的责任风险。应当提高对药历的法律意义的认识,提高书写药历的实际操作能力,并加强对药历的管理。     

公安民警介入医疗纠纷调处的作用及意义

探讨公安民警适度介入医疗纠纷调处的重要性、好处、时机及方法。一是医疗纠纷的特殊性需要公安民警的介入处理；二是公安民警具有行使特殊强制措施的权力和能力；三是可以有效的敦促和监督医患双方按法律程序解决争议。作者介绍了公安民警介入的时机选择；在实施方法上要注意做到礼貌服务，用语文明，详细的调查争议的起因及焦点，在医疗纠纷的责任认定上保持中立，协助院方及其它行政部门耐心细致地做好解释和疏导工作，敦促并监督医患双方按合法程序解决争议，必要时采取强制措施。     

Refining strategies for research on self-representations in emotional disorders

This article examines a number of conceptual and methodological issues relevant to the investigation of self-representations in emotional disorders, and suggests ways to refine this areas's research strategies. We first trace the influence of previous work in personality theory and cognitive sciences on cognitive models of clinical disorders, noting the central role of the schema contruct. Issues such as stimulus generation, subject selection, and the importance of priming cognitive structures before testing for their operation are highlighted as ways to access and capture the complexity of self-construal. In addition, schema conceptualizations and research are examined in light of ecological validity. We argue that schematic structures can be usefully compared to personal narratives which structure interpersonal experience. This view suggests that we move beyond the investigation of the way in which subjects process static stimuli and focus on how subjects process information about dynamic interpersonal events in which they themselves participate. Specific suggestions for research are provided.     

Interaction relating to privacy, identity, autonomy and security. An observational study focusing on a woman with dementia and "behavioural disturbances", and on her care providers

AIM: The study aims to illuminate how one woman with severe dementia and so-called behavioural disturbances acts in relation to her care providers and how the care providers act in relation to her. METHODS: Fourteen participant observations, including one woman with dementia and six care providers, were performed. A reflective dialogue focusing on the interaction between the woman and her care providers followed each observation. The tape-recorded observational notes and reflective dialogues were fixed as a text, which was subjected to a thematic content analysis. FINDINGS: The main findings are that the interaction between a woman with severe dementia and "behavioural disturbances" and her care providers relates to privacy, identity, autonomy and security. The phenomena are intertwined and also in conflict with each other. Interaction is a complex dialectic process in which those who are engaged meet problems that can be solved and are involved in dilemmas that cannot be solved, only related to.     

Assessing the health impact of age-specific housing

It has been claimed that 'retirement communities', defined in this instance as voluntary communities of older people living in shared, purpose-built housing, combine the best attributes of residential and community living. Subjective health status may thereby be improved through a culture in which independence and autonomy are actively promoted. Concern has also been raised that age-segregated communities of this sort might produce 'ghettos' of increasing dependency and service demand. This study, conducted over a 12-month time period, found that when compared to older people living in the local neighbourhood, the retirement community population maintained their physical and mental health (utilising measures including the SF36, Life Satisfaction Index, and 18 semantic differentials). Investigation of these findings indicated that peer support and safety/security, and 'autonomy with inclusion' were key factors in maintaining health status.     

对提高福州市乡村医疗保障水平的探讨

依据福州市新型农村合作医疗的实施情况,借鉴各地其他试点地区开展新型农村合作医疗的经验,结合在开展新型农村合作医疗中遇到的问题,提出了提高农村医疗机构服务水平,鼓励村民参与决策和管理,增加卫生服务透明度,促进新型农村合作医疗法制化,加强农村药品“两网”建设,发展农村中医药,改革卫生服务体系,加强新型农村合作医疗基金的管理等对策建议。     

农村流动人口医疗保障制度的现状与建议

目的:了解目前农村流动人口医疗保障的现状和问题,寻求改善农村流动人口医疗保障的制度途径。方法:对已有的相关文献、政策和数据的梳理和分析。结果:虽整体而言健康状况较好,但传染病发病率高,妇女儿童的保健水平与城市常住人口存在较大差距,对预防保健有较大需求。同时参保率低,保障水平有限。结论:这与目前制度建设水平相关,在目前建立农村流动人口医疗保险制度的同时,应加强医疗救助制度建设。