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21.
工程项目经济评价的战略性、前瞻性、科学性、经济性、有效性和安全性是项目决策的前提与基础。目前,医院对工程项目的经济评价沿用的是传统的成本核算方法,是对医院内部之间的财务成本核算与管理的评价,评价缺乏对医院隐含的成本因素中的战略性定位分析、成本动因分析、价值链分析、全寿命周期经济效益分析和医疗市场发展态势分析。传统的评价方法己不能满足和适应医院战略管理的需要,实施战略成本管理方法,全方位、多角度采集信息,进行战略性的分析、评价,是现阶段医院工程项目经济评价的有效方法。 相似文献
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催化裂化汽油通过加氢处理可有效降低硫含量,是清洁汽油或清洁汽油调和油生产的重要过程。随着环保标准的日益严格,汽油加氢技术的研发和使用正日益受到重视,在技术开发、工艺设计、项目投资的过程中要面临诸多决策问题,从管理学角度对不同级别决策问题适用的决策方法和模型进行了介绍,并对定量决策方法、定性决策方法以及定量与定性相结合的决策方法使用场合提出了一些建议。 相似文献
25.
《Journal of biomaterials science. Polymer edition》2013,24(6):497-514
Pain is the most common and feared symptom for patients, especially those with cancer. Treatment of chronic pain with conventional ways of medication usually fails with increasing severity of the pain. New approaches enabling the prolonged provision of pain relievers are required. We designed a controlled release system of pain relievers, mainly for opioids (morphine, M, codeine, C, and hydromorphone, HM), and a local anesthetic (bupivacaine, BP) in the form of poly(L-lactide-coglycolide) (PLGA) rods. The efficacy of these rods implanted alone or in combination in relieving chronic pain in rats caused by the ligation of the sciatic nerve of their right hind limbs was studied. The two most common tests for measuring analgesia, i.e. tail-flick tests, that show analgesia at sites other than the site of injury, were used to study the degree of systemic distribution of the drugs and paw-withdrawal tests were used to study the analgesia at the site of injury. Alleviation of this chronic and severe neuropathic pain could be obtained for about 3-4 days when rods for two drugs, 'dual drug' (analgesic-anesthetic), were used. This duration is decreased by half (2 days) with the single-drug rods. Also the dual-drug rods, though at half the dose of each single drug application, enhanced the degree of analgesia of the first day. These in vivo results are also consistent with the previous in vitro results as in the case with codeine which had a higher first-day analgesia than morphine, despite a lower potency due to the faster in vitro release rate. Similarly, slower release of hydromorphone from PLGA (85 :15) rods resulted in less systemic analgesia than the more rapidly eroding PLGA (50 : 50) rods of the same drug. 相似文献
26.
目的 了解陕西省农村居民对改厕现状的满意度,探讨不同性别居民对满意度的影响,为提高改厕质量提供参考.方法 采用问卷调查的方法,结合因子分析对陕西省448位农村居民改厕满意度进行测评,得出农户对改厕各方面的满意度评价.结果 大多数农村村民对改厕项目是满意的;女性在便利性和控制疾病方面的满意度低于男性,而在对于厕所本身的客观因素的满意度高于男性.结论 在制定政策时应兼顾两种不同人群的需求,有重点、有针对地推进,对症下药. 相似文献
27.
Paul D Howard Andrea N Dolan Anthony N Falco Brett M Holland Caitlin F Wilkinson Anna M Zink 《Journal of Manual and Manipulative Therapy》2013,21(4):213-221
AbstractThe purpose of this study was to test the hypothesis that positional distraction provides immediate relief of unilateral leg pain suspected to be caused by lumbar-nerve root irritation. Thirty subjects with true neurological signs were randomly assigned to a treatment group or control group. The treatment group received positional distraction for five minutes and the control group lay in side-lying for the same amount of time. Pain intensity, pain location, and SLR test height data was taken pre- and post-test. Statistical analysis was completed with the Wilcoxin-signed rank test for the data of pain intensity and with the paired sample t-test for the SLR height. The treatment group was found to have significantly less pain, more centralization of pain, and an increase in SLR test height (p-values of 0.001, 0.006, and 0.005 respectively). The control group showed no significant change (p-values of 0.506, 0.480, 0.884). 相似文献
28.
《ALTER. European Journal of Disability research, Journal europeen de recherche sur le handicap》2014,8(2):69-81
This research is based on the assumption that in order to improve the quality of life of children with major health problems in the early stage of their life, especially in the case of disability, it is necessary to ensure the continuity and proper two-way integration of early childhood educational planning and health care, both provided by the adults involved, that is parents and professionals. Therefore, we tried to explore and piece together the complex set of family support experiences, both in the process of forming an attachment and affiliation to the newborn and in the construction of a common evolutionary history, aimed at the well-being of the entire family unit. We considered the context and actors of the first few days and months in the lives of children with a difficult life course, in a city of Northern Italy. By means of qualitative investigation, we carried out observations in the neonatal intensive care units of hospitals over a period of 10 months. Our observations continued in the local healthcare, social, and educational services, entrusted with providing care to children and support to parents after hospital discharge. We also carried out observations in nursery schools, in order to highlight early forms of individualised educational planning, drawn up by the educators together with the family. 相似文献
29.
Innovation in health service management: Adoption of project management offices to support major health care transformation
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30.
《国际护理科学(英文)》2014,1(4):325-329
To improve our health care services, promote balanced development of inter-regional and inter-disciplinary medical care skills, and effectively implement public hospital reform, the former Ministry of Health, State Chinese Medicine Administration Bureau and the Ministry of Finance allocated state funds in 2010 to support a National Clinical Key Specialty Construction Project. The project supports the acquisition of key equipment, personnel training and development of clinical diagnosis technology in order to develop high-quality medical resources and improve clinical services. Because of the important role nursing plays, clinical nursing and specialty care were also included in the project. The Chinese Nursing Association was commissioned to oversee this project, which awarded 211 million RMB to nursing disciplines in 86 hospitals representing all regions of China. This funding has supported the rapid development of nursing disciplines, the results of which are outlined and described in this review. 相似文献