医院病案管理现状及对策

随着医学的发展和社会的进步,人们对健康的需求不断提高,维权意识逐步加强,对医院现代化管理提出了更深层次的要求。病案管理作为现代医院管理的重要组成部分,也应在新的形势下与时俱进,积极探索科学合理的病案管理对策。本文通过分析目前医院病案管理现状及存在的问题,结合我院病案管理工作的实践,提出适应现阶段病案管理需求的对策,进一步提高医院病案管理水平。     

对医学情报机构强化卫生决策情报服务功能的思考

对当前卫生决策情报工作的特点、现状和存在问题进行分析,提出加强卫生决策情报工作的措施,包括提高卫生主管部门对决策情报工作重要性的认识,实现规范化、制度化,提高情报产品质量,提高决策情报队伍整体素质等方面。     

试论当前大学生职业发展与就业指导工作中存在的问题与对策

本文分析了国内大学生职业发展与就业指导工作的现状,阐述了我国大学生职业发展与就业指导工作中存在的主要问题,包括大学生自身存在的自我认知不足、职业定位不准确等问题,以及高校现有的大学生职业发展与就业指导课程教师、所用教材、教学时数、教学条件等方面存在的问题,并分析了原因.同时,提出了大学生职业发展与就业指导工作的对策,包括建立全员化、全程化就业指导,优化大学生职业发展与就业指导课程体系,与大学生心理健康教育等工作结合,搭建网络服务平台四个方面,以提高大学生职业发展与就业指导工作的科学性和实效性.

Abstract：

Through the analysis of current situation of undergraduates' professional development and occupational planning in our country, the main problems were expatiated in this paper, such as, low self-perception, inaccurate professional orientation etc. In the article, we also discussed the problems in teaching resource, teaching material, teaching hours, teaching condition and analyzed the causes. Meanwhile,in the paper, the countermeasures were pointed out that how to enhance the work of professional development and occupational planning of undergraduate, which is including the establishment of full and thoroughly employment guidance, optimizing the course system, and combination which mental health work, building network service system, etc, in order to improve the undergraduates' professional development and occupational planning work to be more scientifically and effectively.     

我国基层慢性病防控工作存在的问题及对策

对国内基层卫生机构慢性病预防控制工作进行了调研,其慢性病防控工作不宜乐观,慢性病防控意识欠缺,监控质量不高,技术、人才、设施相对滞后。本文分析了慢性病防控问题的症结,并提出了相应的对策。     

浅析持续改进120院前急救工作

医疗急救水平是衡量城市现代化程度、社会发展的重要标志之一，本文通过分析目前红河州120在院前急救中的存在问题，提出了应对措施，为进一步提高本地区120院前急救工作效率，提供了一定的依据。     

提高医院住院处服务管理效能的对策研究

医院住院处是为患者办理入院和出院手续、记账和结算等职能的重要管理部门,也是医院精神文明的重要窗口和文化阵地.通过应用系统抽样方法,获得具有代表性的黑龙江省中小型医院样本,采用深入访谈法调查了解中小型医院住院处管理在规划设置、信息录入、押金管理、医保管理、申诉重算等方面存在的问题;利用专家会议与专题讨论法,探讨提高医院住院服务管理效能的方法,并提出加强住院处整体服务质量的管理措施.     

The burden of herpes zoster disease in Norway

BackgroundNo national vaccination program against herpes zoster (HZ) is currently in place in Norway. We aimed to quantify the burden of medically attended HZ to assess the need for a vaccination program.MethodsWe linked data from several health registries to identify medically attended HZ cases during 2008–2014 and HZ-associated deaths during1996–2012 in the entire population of Norway. We calculated HZ incidences for primary and hospital care by age, sex, type of health encounter, vaccination status, and co-morbidities among hospital patients. We also estimated HZ-associated mortality and case-fatality.ResultsThe study included 82,064 HZ patients, of whom none were reported as vaccinated against HZ. The crude annual incidence of HZ was 227.1 cases per 100,000 in primary healthcare and 24.8 cases per 100,000 in hospitals. Incidence rates were higher in adults aged ≥50 years (461 per 100,000 in primary care and 57 per 100,000 in hospitals), and women than in men both in primary healthcare (267 vs 188 per 100,000), and hospitals (28 vs 22 per 100,000). Among hospital patients, 47% had complicated zoster and 25% had comorbidities, according to the Charlson comorbidity index. The duration of hospital stay (median 4 days) increased with the severity of comorbidities. The estimated mortality rate was 0.18 per 100,000; and in-hospital case-fatality rate was 1.04%.ConclusionsMedically attended HZ poses a substantial burden in the Norwegian healthcare sector. The majority of the zoster cases occurred among adults aged ≥50 years – the group eligible for zoster vaccination – and increased use of zoster vaccination may be warranted, especially among persons with co-morbidities.     

重庆中医适宜技术推广培训的难点与对策分析

中医适宜技术具有“简、便、验、廉”的特点,在基层医疗机构推广中医适宜技术对于维护民众健康,缓解“看病贵、看病难”具有重要意义。根据重庆市在基层医疗卫生机构开展中医适宜技术推广培训的情况,本文就其中存在的难点进行了分析,并提出了解决这些难点的建议和对策。