如何提高医学生物化学教学质量的分析

生物化学是我国高等医学院校的专业必修课,是基础医学教育的主干课程之一。生物化学是一门系统性、抽象性、与其他学科联系性比较强的学科,且发展很快,目前高校采用的传统教学模式,不能激发学生学习生物化学的兴趣,如何在有限的学时内,提高学生学习的兴趣,激发学生学习的积极性,让学生完整、系统地掌握生物化学基础知识,培养和训练学生的思维能力,使学生能够学以致用,是当前生物化学教学改革的一个重要内容。本文主要探讨生物化学传统教学模式的改革,将传统的教学模式和现代教学方法和模式相结合,通过理论课教学和实验教学方式双重改革,提高生物化学教学质量。     

临床物理诊断实验改革应把握的三个环节

为适应城乡基层社区医疗卫生人才的需要,对医学生临床操作技能的培养是造就实用型人才的有效途径。怀化医学高等专科学校在物理诊断学深化实验教学改革中,围绕如何提高临床医学生的实践教学质量和基本操作技能,采用精心设计实验教学环节等有效措施,激发了学生实践的积极性,提高了学生的临床基本操作能力,为临床教学和毕业实习、实践奠定了良好基础。     

新时期推进医疗卫生信息化要有新举措

针对医药卫生体制改革的新形势、新任务和新要求,阐述了新时期医疗卫生信息化建设目标、主要任务和战略定位,并以此为基础,从政府主导、政策导向、组织体系、人才建设、全员参与等方面,探讨了加强和促进医疗卫生信息化建设持续发展的保障措施。     

现代信息技术助力优质护理服务

目的：为稳步推进优质护理服务,利用现代信息技术把时间还给护士,把护士还给患者,使护理工作高效、实时、移动化.方法：利用PDA及条形码技术,加强患者身份识别,对给药、治疗等关键环节进行跟踪,将护理文书从桌面应用推向移动应用,系统自动统计工作量并进行资源提取和整合.结果：使用条形码标签的病区护理不良事件中给药错误发生例数为0例,全院护理文件书写时间由原来的1.20±0.20h缩短到目前的0.33±0.08h,通过护理工作量的实时测算和护士休假情况,调配护士60余人次.结论：通过移动护理管理信息系统对护理相关信息存取流程进行优化,可以提高工作效率,保证患者安全,实现＂以患者为中心＂的整体护理,从而推动优质护理服务.     

基于预防大学生考试作弊的高校考试改革探析

通过对引发大学生考试作弊的高校考试模式和管理的种种弊端进行具体分析与探讨,提出了有效预防大学生考试作弊的高校考试改革方向与措施。     

关于八年制医学教学改革新思路的探索

上海交通大学医学院以提升学生综合能力为目标,以“PRICE”理念为核心,通过完善课程体系设置、创新教学方法模式、搭建实验教学平台、建立多维考核机制来探索八年制医学教学改革新思路。     

把握医学教育发展趋势推进本科医学教育改革

医学教育的目标在于培养优秀的医生,把握医学教育发展趋势,才能有力推进医学院校本科医学教育教学改革,提高医学教育质量.在此,从课程计划、教学内容、教学策略与方法以及评价方式等方面分析了国际国内医学教育改革和发展趋势,介绍了重庆医科大学搭建"教学与科研相互促进、医学与人文相互融合、知识与能力同步提高"的教育教学大平台,在管理体制、人才培养模式、课程计划以及评价方式等方面进行改革方面的思路和做法.

Abstract：

The goal of medical education is to train good doctors.Only by understanding the trend of medical education development,call medical schools effectively promote educational reform and improve the quality of medical education.In this paper,we analyze the trend of course plans,teaching content,teaching strategies and the evaluation mode of the domestic and international medical education reform and development,introduce the ideas and practices in reform of management system,training pattern,course plans and assessment methods based on the education platform of"mutual promotion of teaching and research,mutual integration of medicine and humanities and simultaneous improvement of knowledge and ability"in Chongqing Medical University.     

Following the money: factors associated with the cost of treating high-cost Medicare beneficiaries

Objective. To identify factors associated with the cost of treating high‐cost Medicare beneficiaries. Data Sources. A national sample of 1.6 million elderly, Medicare beneficiaries linked to 2004–2005 Community Tracking Study Physician Survey respondents and local market data from secondary sources. Study Design. Using 12 months of claims data from 2005 to 2006, the sample was divided into predicted high‐cost (top quartile) and lower cost beneficiaries using a risk‐adjustment model. For each group, total annual standardized costs of care were regressed on beneficiary, usual source of care physician, practice, and market characteristics. Principal Findings. Among high‐cost beneficiaries, health was the predominant predictor of costs, with most physician and practice and many market factors (including provider supply) insignificant or weakly related to cost. Beneficiaries whose usual physician was a medical specialist or reported inadequate office visit time, medical specialist supply, provider for‐profit status, care fragmentation, and Medicare fees were associated with higher costs. Conclusions. Health reform policies currently envisioned to improve care and lower costs may have small effects on high‐cost patients who consume most resources. Instead, developing interventions tailored to improve care and lowering cost for specific types of complex and costly patients may hold greater potential for “bending the cost curve.”     

Healthcare identities at the crossroads of service modernisation: the transfer of NHS clinicians to the independent sector?

Health policies increasingly support private businesses to take an active role in the organisation and delivery of public healthcare services. For the English NHS, this is exemplified by the introduction of Independent Sector Treatment Centres. A number of these facilities involve the wholesale secondment of NHS clinicians to the private sector which, we suggest, raises important questions about the identities of healthcare professionals accustomed to working in the public sector. Our paper investigates this transition highlighting three prominent discontinuities in clinical work: the ethos of private sector ownership, new lines of authority and fragmented relationships. Drawing on Giddens, we examine how clinicians experience and interpret these changes and how they keep their biographical 'narrative going'. The 'pioneers' interpreted the independent sector as an opportunity to re-invigorate their practice through new roles, relationships and higher quality care; the 'guardians' as an opportunity to replicate and protect the customs and standards of the NHS in the private sector; whilst the 'marooned' longed to return to the NHS. Our study illustrates how the sectoral context can shape healthcare identities, and how contemporary reforms aimed at promoting partnerships across public and private sectors can have profound implications for clinicians.     

中国成人乙型肝炎免疫预防技术指南

一、引言乙型肝炎(乙肝)是由乙肝病毒(HBV)引起的以肝脏损坏为主要病变的传染病,全球均有分布,但我国是HBV感染率较高的国家.我国自1992年起在全国实施新生儿接种乙肝疫苗工作,并将乙肝疫苗纳入儿童计划免疫管理.1992和2006年我国开展了两次乙肝血清流行病学调查,结果显示儿童HBsAg携带率明显下降,预防效果显著.