美国中医学者对国内中医界的期盼

文章指出中国医学流入美国约50年，美国学者对此古老医学非常崇敬，认为中医学有很高的价值，中西医结合是未来医学发展之趋势，中医西医学化，中医新科技化，是大家必须去研讨之路。同时认为，中医要进一步发展必须改进传统观念，以学术科学为主，以传统经典为考，改进而不忘本，中医才能更加发扬光大。     

38所综合医院病种质量管理调查分析

搜集整理吉林省 38所二、三级综合医院为期一年的 31个病种3.4万份病例的信息资料,对其治疗转归、平均住院日和平均住院费用进行了统计分析,为制定病种质量控制标准和深入广泛开展病种质量管理提供了可靠依据。     

On Developing Self-concepts: A Controlled Study of Children and Adolescents with Autism

This study employed the self-understanding interview of Damon and Hart (1988) to assess the self-concepts of two groups of children and adolescents: a group of individuals with autism and a group of nonautistic mentally retarded individuals who were matched for age and for verbal ability. On the basis of an hypothesis concerning the interpersonal origins of social and psychological self-concepts (Hobson, 1990; Neisser, 1988), it was predicted that the participants with autism would show a relative dearth of such concepts in their talk about themselves. In accordance with our predictions, there was a significant group difference in the number and quality of statements that fell into the social category of self-concept; contrary to our predictions, however, there was no group difference in the number of statements that fell into the psychological category. In addition, although there were not significant group differences in the overall production of verbally expressed concepts concerning self-attributes of a physical, active, or psychological kind, even within these categories individuals with autism made fewer references to social interactions or qualities. These results are discussed with regard to theories of self-concept development in typically developing as well as autistic and mentally retarded individuals, and with reference to the limitations of interpersonal understanding ("theory of mind") in people with autism.     

从药品的特殊属性谈医药企业的服务营销

目的 :探讨我国医药企业在市场竞争日益激烈的现状下的服务营销策略选择。方法 :分析处方药品和非处方药品的服务特性 ,并介绍药品市场营销的新观念———服务营销的发展及应用。结果与结论 :医药企业的服务营销应针对处方药品走服务的差异化、有形化、规范化道路 ;针对非处方药品走服务的标准化、技巧化、品牌化道路。     

参合农民对新农合定点医疗机构服务质量的评价

目的现场调查参合农民对新农合定点医疗机构服务质量的评价情况,为有关卫生主管部门改进新农合定点医疗机构服务质量提供科学依据.方法随机整群抽样,以问卷方式调查抽取的部分云南省寻甸县参合农民对新农合定点医疗机构服务质量的意见和建议.结果参合农民对各级定点医疗机构医疗技术水平、服务态度、收费、卫生资源配置情况的评价分布差异分别都有统计学意义(P＜0.001).经非条件Logistic回归分析表明,村卫生室虽然设备较差,只有部分需要的药,但医务人员治疗一些常见病的医疗技术水平尚可,距离近,收费低,可信度和满意程度较高,参合农民选择就诊的可能性相应较高.结论各级定点医疗机构服务质量一般,卫生资源配置不合理,县级医疗机构服务态度较差,收费过高.建议有关卫生主管部门大力提高乡村医生的医技水平,合理配置卫生资源,改善县级医疗机构的服务态度,降低并统一新农合定点医疗机构的收费.     

以人为本投资健康--再论中国宏观经济与卫生健康

本文在中国经济转型和发展的背景下，分析了在卫生健康领域面临的问题和挑战，指出政府及卫生体系应该积极应对，消除经济增长和对外开放的潜在健康成本，并结合新的发展阶段和发展观，提出了健康与宏观经济协调发展的战略构想和政策建议。     

Estimating numbers of injecting drug users in metropolitan areas for structural analyses of community vulnerability and for assessing relative degrees of service provision for injecting drug users

This article estimates the population prevalence of current injection drug users (IDUs) in 96 large US metropolitan areas to facilitate structural analyses of its predictors and sequelae and assesses the extent to which drug abuse treatment and human immunodeficiency virus (HIV) counseling and testing are made available to drug injectors in each metropolitan area. We estimated the total number of current IDUs in the United States and then allocated the large metropolitan area total among large metropolitan areas using four different multiplier methods. Mean values were used as best estimates, and their validity and limitations were assessed. Prevalence of drug injectors per 10,000 population varied from 19 to 173 (median 60; interquartile range 42–87). Proportions of drug injectors in treatment varied from 1.0% to 39.3% (median 8.6%); and the ratio of HIV counseling and testing events to the estimated number of IDUs varied from 0.013 to 0.285 (median 0.082). Despite limitations in the accuracy of these estimates, they can be used for structural analyses of the correlates and predictors of the population density of drug injectors in metropolitan areas and for assessing the extent of service delivery to drug injectors. Although service provision levels varied considerably, few if any metropolitan areas seemed to be providing adequate levels of services.     

深圳市公共场所服务业人员对艾滋病的认知情况及影响因素

目的了解公共场所服务业人员对艾滋病及其传播途径的认知情况。方法2005年9月,采用匿名自填式问卷调查方法,调查深圳市公共场所服务业人员的一般人口社会学特征,对艾滋病的认知情况及影响因素进行分析。结果服务业人员对艾滋病知识有一定的了解,对其主要传播途径有较好的掌握,但在非传播途径的了解方面仍存在一些模糊认识。对安全套的预防作用认识不足。多数愿意接受艾滋病的健康检查。结论应进一步加强公共场所服务业人员的艾滋病教育,使其对艾滋病基本知识有一个全面的了解。推广使用安全套。同时加强预防艾滋病措施的宣传,出台相关的政策。     

中国乡级计划生育服务站技术服务提供及服务能力跨地区分析

目的根据2001年全国计划生育和生殖健康调查资料,对我国东、中、西部三大经济地区乡级计划生育服务站的技术服务提供及服务能力进行跨地区比较分析。方法全国抽样调查,采用分层、三阶段、概率比例抽样方法。对776个计划生育服务站和负责人采用观察与询问的方式进行问卷调查。结果全国农村样本点乡站放置和取出宫内节育器年均258.5例次,开展女性绝育术年均38.5例次,实施人工流产术年均29.6例次,三地区间差异有统计学意义(P<0.05)。开展男性绝育术和皮下埋植术年均分别为10.4例次和2.5例次,三地区间差异无统计学意义(P>0.05);在样本点中,95%(737/776)的乡站有B超设备,其中B超服务用于宫内节育器检查和妇科疾病诊断的乡站比例分别为69.5%(509/737)和55.0%(405/737);提供常见妇科疾病诊治、产前检查、不育症诊治的比例分别为84.1%、76.8%和25.4%,提供性病诊治比例为19.5%;提供妊娠试验、血尿便常规检查和宫颈涂片的比例分别为91.4%、18.6%和9.8%。精液检查比例为3.5%;提供短效、长效和速效口服避孕药的比例分别为95.6%、89.7%和71.3%。提供紧急避孕药的比例为24.7%。提供避孕套的比例为97.8%;能提供咨询服务的乡站比例75.6%,设有“悄悄话”室乡站的比例为52.1%;提供术后和产后随访服务的比例分别为85.4%和38.3%。结论全国农村样本点乡站在提供计划生育手术服务、发放避孕药具,以及围绕着生育、节育和不育开展力所能及的生殖保健服务方面已经具备相当能力,但各地的技术服务提供和服务能力发展并不均衡,东、中、西部地区的差别明显。表明我国基层计划生育服务站改革已是一种必然趋势,改革的方向应遵照国家人口计生委关于服务站建设的总体发展格局对乡站进行优化和整合。只有改革才能加快乡站服务能力建设,才能提高服务水平,才能适应客观需求,才能让广大农村育龄群众得到满意的服务。     

关于确立和培育医院价值观的思考

医院价值观是医院文化的核心内容,医院价值观应该包括的内容,探讨了医院应当如何确立适合本院特色的价值观,并在此基础上提出了培育医院价值观应该重视的一些环节。