对新时期医院档案管理工作的几点思考

医院档案管理工作作为医院事务管理的重要组成部分,不仅在医疗教学科研活动中的作用日益显著,而且随着医疗卫生事业的不断发展,对医院持续健康发展的作用不容忽视。本文对医院档案管理工作中存在的问题进行了思考,并针对问题提出了相应的对策。     

计算机打印病案存在的问题及改进措施

目的电子病案将是未来医院现代化发展的必然趋势。在现阶段,由于电子病案的法律效力尚未得到认可,故绝大多数医院仍采用计算机书写并打印纸质病历存档的做法。本文就计算机打印病历中存在的问题以及采取的管理措施进行分析,旨在提高病案的管理质量,保证病历的真实性、准确性、及时性。     

浅谈医院绩效管理存在的问题与对策

绩效管理已普遍受到医院管理者的重视,但由于各家医院不同的做法产生了不同的效果。本文介绍了通过多年绩效管理实践,促进了医院的快速发展的新思路。并就目前医院绩效管理存在的问题深入思考提出建议。     

剖宫产术中娩头困难116例临床分析及对策

目的：分析剖宫产娩头困难的原因,讨论相应的处理方法,降低母婴并发症的发生。方法：分析本院2008年1月～2009年12月发生剖宫产术中娩头困难的116例患者的临床资料,采取正确的处理方法进行处理。结果：胎头高浮68例（58.62%）;胎头深定29例（25.00%）;麻醉效果欠佳8例（6.89%）;其他原因11例（9.48%）,均经相应的处理后好转。结论：剖宫产娩头困难的原因主要有胎头高浮、胎头深定、麻醉效果欠佳等,针对不同原因采用相应的处理可有效改善娩头困难。     

Audiology in Greenland: An Audiological Program in a Remote Area

For 10 years the Greenlandic population of about 50 000 has been treated audiologically by the State Hearing Centre of Odende. Greenland is a Danish island which is geographically located in the Arctic. The most populated areas are situated on the west coast at a distance of 4 000-5 000 km from Denmark. The distances in Greenland itself are tremendous, the small communities being scattered along several thousand kilometers of coastline. More than 1 000 patients are audiologically controlled and 600-700 treated by hearing aids. Deposits of hearing aids, spare parts and batteries are at the disposal of 17 hospitals. Every summer a team of professional people, including an audiologically trained otologist from Odense, goes to Greenland to visit distant places by air or boat, and to examine patients. Instructions and courses are given to the medical staffs and teachers. Help is given all the year round telegraphically or by letter. Two specially trained teaches live in Greenland and are in contact with the hearing centre. Our system is well suited for any remote areas which have to be served by hearing clinics at a great distance, for instance in small communities, colonies and the like     

医学影像本科实习现状分析及改进措施探讨

分析医学影像本科临床实习现状及存在的问题,并就改进措施进行探讨,包括强化岗前培训,加强基础知识学习、临床基本技能的培训,实行专人负责制,实行动态监控管理等,以提高实习生的临床技能,促进高层次医学影像人才的培养。     

Relationship Between Age and Drinking Patterns and Drinking Problems Among Japanese, Japanese-Americans, and Caucasians

Comparing alcohol consumption patterns by age and gender among Japanese in Japan and Japanese-Americans and Caucasians in the United States, this study examined the associations between age and both heavy drinking and social problems using logistic regression for each ethnic group of male current drinkers. As reported in previous studies of Caucasians, men drink more alcohol than women, older respondents are more likely than younger ones to be abstainers, and the percentages of heavier drinkers and problem drinkers are higher among the young than among older people. Although Japanese-Americans reported consuming less alcohol than Caucasians, their drinking patterns by age were similar:among both United States populations, younger respondents are at higher risk for drinking problems than older respondents, even when alcohol consumption and sociodemographic variables are controlled by logistic regression. However, this association of age and drinking patterns and drinking problems is not universal. Japanese men consumed more alcohol and had a higher proportion of heavier drinkers in the middle age groups; the association between age and drinking problems also varied in this group. In addition to aging, sociocultural factors such as drinking norms probably account for the differences in drinking behavior among different age groups. This study may stimulate further cross-cultural comparison of drinking patterns and problems.