薄弱环节管理在肝胆外科护理工作中的应用

目的探讨薄弱环节管理对肝胆外科患者护理工作的影响.方法选择该院肝胆外科2011年1—7月收治的患者200例,按住院号尾数单双号分为观察组与对照组,对观察组患者加强薄弱环节管理;对照组患者实施常规护理;出院前分别派发放调查表100份,对患者进行满意度调查并统计基础护理质量合格率;对数据进行统计学分析.结果强化薄弱环节管理能对护理服务工作质量的提高起到明显的效用,不论是从病患者的病情恢复情况还是从患者的满意度来说都较前期有明显提高,同时多项考核得分记录也远高于其对照小组.结论?加强薄弱环节管理能够明显提高肝胆外科患者的护理质量,有利于减少护理风险,保障患者安全.     

四种公立医院法人治理模式的评价与分析

在文献回顾与现场调研数据分析的基础上，把我国现有的公立医院法人治理模式依据改革的特征分为内部管理机制变革型、政事分开性、管办分开型、所有权变更型四种基本模式，并利用“冰河模型”分别对四种法人治理模式的优劣势进行评价．分析各种法人治理模式的实施条件，提出选择适宜的公立医院法人治理模式的建议，以期为正在进行中的我国公立医院改革提供一些参考和决策依据。     

新媒体时代高校医院药师开展药学科普的SWOT分析及策略

运用SWOT分析法对高校医院药师开展药学科普的优势和劣势、可能存在的机会和威胁进行评估,并提出相应发展策略。高校医院药师具有专业和资源优势,但在人员配备、服务水平和评价标准等方面有待完善。药师应当顺应高校医院药学服务转型的必然趋势,主动转变服务理念,通过线上平台与线下药学服务相结合,积极推进药学科普进校园、进社区,争取获得高校、医院及公众的认可和支持,构建高校药学科普新模式。     

Weaknesses and challenges of primary healthcare system in Iran: a review

While the primary healthcare (PHC) services in Iran were appropriate to the needs of the population in the late 1970s and 1980s, the changing burden of disease and shifting demand patterns have rendered the existing PHC system no longer suitable for meeting current and emergent needs. This has serious implications for the PHC system in Iran, which has clearly succeeded in addressing high levels of communicable diseases, maternal deaths and infant mortality, but appears less well prepared to address the emerging challenges of noncommunicable diseases (NCD). We conducted a systematic review of the available literature in the past 10 years related to the PHC system in Iran to assess its weaknesses and challenges. This paper categorizes PHC system weaknesses from the studied articles into two groups: (i) those related to the key functions of PHC, and (ii) others, which refer to health system weaknesses existing with the current PHC model. Iran can draw on international experience and evidence regarding interventions, which can be used to develop an effective and responsive PHC system designed to address current and emerging needs, in particular the NCD burden.     

顾客满意度视角下的深圳市医疗服务整体管理的优劣势分析

目的 探讨顾客满意度视角下的深圳市医疗服务整体管理战略的优势和劣势,为进一步提高其整体竞争力提供参考.方法 对2005年～2007年深圳市各级医疗机构满意度调查数据运用统计描述、方差分析以及象限图分析等方法进行统计分析.结果 2005年～2007年深圳市各级医疗机构总体满意度依次为86.01分、87.71分、87.84分.从顾客满意度的视角下来看,深圳市一级医疗机构在医疗费用、就医环境、服务理念方面具有较大优势,而二级医疗机构在其医疗服务整体管理质量提高方面具有较大优势.结论 深圳市各级医疗机构的顾客满意度均在逐年提高,但医疗服务整体管理战略在不同级别医疗机构的实施过程中,其优势和劣势表现各异.     

Forensic psychiatric nursing: skills and competencies: I role dimensions

This paper reports on an investigation into the skills and competencies of forensic psychiatric nurses from the perspective of three groups: (A) forensic psychiatric nurses; (B) non-forensic psychiatric nurses; and (C) other disciplines. A national survey of forensic psychiatric services in the UK was conducted, and information gathered on the perceived skills and competencies in this growing field of psychiatric practice. From 3360 questionnaires, 1172 were returned, making a response rate of 35%. The results indicate a small discrepancy between forensic nurses' and non-forensic nurses' perceptions of the role constructs of forensic practice. However, a larger difference was noted between nurses' perceptions and other disciplines' perceptions of the constituent parts to forensic psychiatric nursing. Nurses tended to focus on personal qualities both in relation to themselves and the patients, while the other disciplines focused on organizational structures both in defining the role and in the resolution of perceived deficits. The findings have implications for multidisciplinary working, as well as policy formulation and curriculum development in terms of the skills and competencies of forensic nurse training.     

基于供方、需方、管理方视角下基层医务人员流感疫苗接种现状SWOT分析

目的分析基层医务人员流感疫苗接种工作现状, 发现问题并探索促进基层医务人员流感疫苗接种的策略与措施。方法于2021年4-5月开展关键知情人访谈及文献研究, 基于流感疫苗的供方(流感疫苗生产企业)、需方(基层医疗卫生机构及基层医务人员)和管理方(各级政府、卫生行政部门和疾病预防控制部门)三方视角, 采用优势、劣势、机会和威胁(SWOT)分析技术对基层医务人员流感疫苗接种工作现状进行综合评价, 并建立SWOT分析矩阵。结果基层医务人员流感疫苗接种工作的存在的优势和机会包括基层医疗卫生机构流感疫苗接种可及性强、流感疫苗安全性较高、新型冠状病毒肺炎疫情(新冠疫情)提高了公众预防呼吸道传染病的意识和流感疫苗企业生产积极性、新型冠状病毒疫苗(新冠疫苗)的接种增强了我国疫苗流通系统的能力等;也存在流感疫苗价格偏高、总量供应不足、基层医务人员流感疫苗接种意识不强、缺乏流感疫苗需求评估机制、疫苗调配不畅、疫苗供应地区结构性失衡、疫苗浪费问题严重等劣势和威胁。建立了基层医务人员流感疫苗接种现状SWOT分析矩阵, 形成了优势机会(SO)策略、优势威胁(ST)策略、劣势机会(WO)策略、劣势威胁(WT)策略。...