特需医疗服务发展意向研究概述

我国特需医疗服务发展已近20年,尽管其在满足较高层次的医疗保健需求方面确实起到了积极的作用,但同时在特需医疗服务的内涵、服务内容和承担主体等问题上却始终存在着较大争议.本研究从剖析各位学者对上述问题的不同观点入手,对特需医疗服务的供需双方进行意向调查,在此基础上探讨我国特需医疗服务发展的基本思路,为促进我国特需医疗服务的良性发展提供决策的参考依据.     

特需医疗服务供方意向调查分析

剖析目前特需医疗服务供方所存在的主要问题,初步探讨在我国发展特需医疗服务适宜的承担主体。采用个别访谈和问卷调查的方法对来自不同性质的医院的医护人员和医院管理人员进行了意向调查。结果显示,医院发展特需医疗服务并不是解决医务人员收入问题的有效手段;公立医院发展特需医疗服务势必会对其普通医疗服务带来负面影响。建议在确保大部分公立医院只提供普通医疗服务的基础上,由私立医院和一部分公立医院作为特需医疗服务的承担机构。     

特需医疗服务供方意向调查分析

剖析目前特需医疗服务供方所存在的主要问题,初步探讨在我国发展特需医疗服务适宜的承担主体.采用个别访谈和问卷调查的方法对来自不同性质的医院的医护人员和医院管理人员进行了意向调查.结果显示,医院发展特需医疗服务并不是解决医务人员收入问题的有效手段;公立医院发展特需医疗服务势必会对其普通医疗服务带来负面影响.建议在确保大部分公立医院只提供普通医疗服务的基础上,由私立医院和一部分公立医院作为特需医疗服务的承担机构.     

我国特需医疗服务发展基本思路探讨

针对我国特需医疗服务实施现状中存在的弊端,在重新界定特需医疗服务内涵的基础上,提出将医疗服务从所提供服务的普遍性角度划分为特需医疗服务与普通医疗服务,改变所有公立医院均可提供特需医疗服务的现状,只允许私立医院和一部分自负盈亏的企业型公立医院提供特需医疗服务的发展思路。     

我国特需医疗服务发展基本思路探讨

针对我国特需医疗服务实施现状中存在的弊端,在重新界定特需医疗服务内涵的基础上,提出将医疗服务从所提供服务的普遍性角度划分为特需医疗服务与普通医疗服务,改变所有公立医院均可提供特需医疗服务的现状,只允许私立医院和一部分自负盈亏的企业型公立医院提供特需医疗服务的发展思路.     

特需医疗服务需方特征及意向调查分析

为了解特需医疗服务需方的特征及其影响因素,挖掘特需医疗服务市场的发展潜力提示思路。以问卷调查、个别访谈定性研究为主,并综合运用了统计资料及数据库资料的提取与分析等多种研究方法。结果显示,特需医疗服务市场容量大,并且持续增长;特需医疗服务需方选择医院的主要依据是医疗技术水平、服务设施、环境和先进的设备;医疗质量不高在特需医疗服务市场中反映较为普遍。特需医疗服务市场潜力巨大,特需医疗服务的发展应以目标人群的需求为导向,实施个性化服务策略。     

特需医疗服务需方特征及意向调查分析

为了解特需医疗服务需方的特征及其影响因素,挖掘特需医疗服务市场的发展潜力提示思路.以问卷调查、个别访谈定性研究为主,并综合运用了统计资料及数据库资料的提取与分析等多种研究方法.结果显示,特需医疗服务市场容量大,并且持续增长;特需医疗服务需方选择医院的主要依据是医疗技术水平、服务设施、环境和先进的设备;医疗质量不高在特需医疗服务市场中反映较为普遍.特需医疗服务市场潜力巨大,特需医疗服务的发展应以目标人群的需求为导向,实施个性化服务策略.     

大型公立医院开展特需医疗服务的思考

随着生活水平的提高,人们的健康需求不断提高,有支付能力的人群不断增多.同时,特需医疗存在巨大的利润空间,使许多大型公立医院争相提供特需医疗服务.但是,大型公立医院作为特需医疗服务的提供主体存在许多的问题,要逐渐使大型公立医院分流,使营利性医院逐步成为特需医疗的主要提供主体.     

药物经济学及其在药品费用控制中的作用

近年来,我国的医疗费用每年以30%的速度增长,如何控制医疗费用的迅速增长已成为大家关心和需要解决的问题,而医疗费用的控制焦点之一就是如何控制药品费用的迅速增长。造成药品费用迅速增长的因素主要有两个方面:一是合理因素即不可控因素,如人口增加和老龄化,慢性病增加等;二是不和理因素,如价格管理存在漏洞,医院补偿机制不完善和不合理用药等。药品费用控制的核心是合理使用有限的卫生资源,保证卫生服务的公平性和特需性。目前国内外在控制药品费用方面采取了许多切实可行的方法,如药物利用评价,改革城镇职工医疗制度即费用共担以及职业…     

智慧医疗对我国医疗行业环境转变的影响研究

智慧医疗是互联网技术及现代医学技术快速发展下缓解我国医疗卫生行业发展瓶颈的有效模式。通过研究近几年的文献及相关研究成果,以智慧医疗产生及发展为出发点,探讨智慧医疗在医疗资源的整合、医疗软硬件设备升级、医疗模式人性化及医疗费用亲民化等方面发挥的积极作用,以及在其发展过程中暴露出的问题。智慧医疗若要给医疗行业环境带来更深刻的影响,还需要在政府宏观指导下,建立协同合作的医疗服务体系、医疗服务的重点向前移,以及提供个性化医疗服务、信息化服务内容应向更深更广范围延伸。     

医疗服务公平与效率实现途径的理论探讨

医疗服务的公平与效率是政府对公立医院的集中要求.在市场经济条件下,医疗服务公平与效率之间的特有关系,制约了医疗卫生事业的发展.本文通过对两者主要表现的阐述,从理论上探讨了相关对策,提出通过调整与完善医疗服务管理体系,建立合理的筹资机制等措施来实现医疗服务的公平与效率.     

Implementation of the Consultative Approach in the Classroom in Support of Related Services

The consultative approach is described as a means for special services providers to facilitate incorporation of related service objectives and interventions for children with disabilities into their daily classroom routines. The approach involves collaboration between the special services consultant and classroom teacher in specifying the child's related service needs and then in designing, implementing, and evaluating classroom based related services interventions targeted to educational goals rather than medical/therapeutic criteria. Benefits to this kind of approach are discussed within the context of full inclusion of children with disabilities. Relatedly, barriers to implementation that are likely to be present when using the consultative approach are considered.     

医疗机构心理咨询与心理治疗开展情况及对策

为了全面了解医疗机构心理咨询与心理治疗工作的普及与开展情况,对江苏省医疗机构进行了抽样调查.结果显示医疗机构普遍开展了心理咨询与心理治疗,但地区及医院性质等发展不平衡;多数心理咨询机构没有设立专门的部门和科室;从业人员以兼职为主,且缺乏充分的系统培训.对医疗机构心理咨询与心理治疗的发展提出了建议.     

Targeting a niche market of pet owners: consumer evaluation of a mobile veterinarian's service concept

The veterinary care service industry in the USA is projected to continue its growth during the next decade, primarily due to increasing numbers of pets and rising consumer expenditure for pet medical care. The increasing demand for pet care has spawned a proliferation of traditional and non‐traditional veterinary services. There is a need to examine the market potential for new veterinary services. A concept test among 150 target consumers is used here to provide an evaluation of a non‐traditional veterinary service—mobile veterinary care for small companion animals. Although using a vet who makes house calls would require a change in consumer behaviour, the findings indicate that the service concept is appealing to a niche market of pet owners who desire more service convenience and are willing to pay for it. Educating more consumers about the service benefits may broaden its appeal. Copyright © 2002 Henry Stewart Publications Ltd.     

Race,resource utilisation,and perceived need among urban community development workers from faith-based organisations

Organisations providing social services in communities of high crime and violence must address staff well-being. The current study surveyed 284 urban community development workers from faith-based organisations in five US cities. The study explored the effects of race and ethnicity on service utilisation and perceived need using binomial logistic regression. Race and ethnicity significantly predicted medical service utilisation, indicating that Caucasian participants were five times more likely and African-American participants were 3.8 times more likely than Latino/a participants to utilise medical services. Race and ethnicity did not predict differences in use of psychological or spiritual services, nor of perceived need for services. Furthermore, volunteer staffs were approximately four times more likely than paid staff to report self-addressing their psychological and spiritual needs rather than utilising services, despite a felt need for support. Barriers to resource utilisation and implications for policies and practices of urban community development organisations are discussed.     

Genetic Counseling Services and Development of Training Programs in Malaysia

Genetic counseling service is urgently required in developing countries. In Malaysia, the first medical genetic service was introduced in 1994 at one of the main teaching hospitals in Kuala Lumpur. Two decades later, the medical genetic services have improved with the availability of genetic counseling, genetic testing and diagnosis, for both paediatric conditions and adult-onset inherited conditions, at four main centers of medical genetic services in Malaysia. Prenatal diagnosis services and assisted reproductive technologies are available at tertiary centres and private medical facilities. Positive developments include governmental recognition of Clinical Genetics as a subspecialty, increased funding for genetics services, development of medical ethics guidelines, and establishment of support groups. However, the country lacked qualified genetic counselors. Proposals were presented to policy-makers to develop genetic counseling courses. Challenges encountered included limited resources and public awareness, ethical dilemmas such as religious and social issues and inadequate genetic health professionals especially genetic counselors.     

Involving Fathers in Psychological Services for Children

This paper is a commentary of the special series on involving fathers in psychological services for children. The following themes are addressed: the effects of fathers on child development; benefits of father involvement in child psychology services; obstacles to father involvement; engaging fathers; specific interventions for fathers; and implications for service development, training, and research.     

以患者为中心的现代医学模式与喉癌治疗

随着现代医学模式兴起,人们的健康观念有了新的内容,不再是单纯的躯体健康,还涉及好的心理状态和良好的社会适应。医疗服务也由单纯的技术服务转变为技术与心理和精神相结合。喉癌是头颈部常见的恶性肿瘤,喉癌治疗方式直接影响患者的生活质量,因此喉癌的治疗应与以患者为中心的现代医学模式相结合,以达到良好的治疗效果。     

南京居民医疗服务潜在需求成因分析及其合理转化建议

通过南京市8个区、县4873户居民的基线调查,掌握居民对医疗服务的实际利用情况,通过比较医疗需求与利用之间的差距,发现存在很大的潜在医疗服务需求市场。从医疗服务供需双方分析其产生的原因,找出医疗服务需求与利用的主要影响因素,从而探讨如何将这部分潜在需求合理转化。     

A survey of referral activities of agencies serving adolescents

The referral activities of 373 agencies (38.4% of the sample originally polled) are presented with regard to health care, educational, and social services for teenagers residing in a midwestern metropolitan area. Approximately 66% of the responding agencies receive referrals from without and 87% make referrals to other organizations, with counseling and psychiatry, family planning, and general medical care being the most commonly sought services. Social service agencies had the highest volume of referrals and hospitals the lowest. The results of the survey are discussed in terms of the official recommendations made for coordinated services for teenagers, predicted cutbacks in preventive services, and the special needs of adolescents.