公立医院管理体制改革的经济学视角

在社会主义市场经济体制下,传统公立医院管理体制存在很多问题。探讨了公立医院管理体制改革所涉及的产权、政府举办的非营利医院之间的关系和处理方法、政府在医疗服务体系中的职责以及政府管理公立医院的形式等问题,提出了深化公立医院管理体制改革的方向和政策建议。     

医院规模扩大后的医患关系思考

将 3个城市 4所医院 2 0 0 2~ 2 0 0 4年间医院规模扩展前后的床位增加、患者反映及医疗纠纷等情况进行对比分析。 4所医院后床位费、护理费较前均有所增加 ;医患纠纷 4年间平均增长 2 1.8%。医院规模扩大为医院的发展带来机遇的同时也隐含了一些实际问题 ,应尽早作出系统发展规划 ,寻找科学化、和谐化发展的医院管理新路径     

Religion and Science in America: Struggling for Coherence

James Gilbert has provided fascinating and valuable historical sketches of the interactions of science and religion in American culture in this century, especially those taking place between 1945 and 1962. Yet, taken together, it is unclear what conclusion is to be drawn from these interactions. Ambiguity about the variety of forms of the science-and-religion relationship and about the referent of the term religion make the task of apprehending a coherent pattern among these sketches very difficult.     

Orthodox Christian Healthcare Ministry amidst the Tensions of Ecumenism

The paradoxes of globalization and the efforts toward the establishmentof a consolidated healthcare ministry have caused tensions whileaffording the possibility for true ecumenical dialogue. As today'ssocieties become more pluralistic, Orthodox Christian healthcareministry finds itself amongst these paradoxes and tensions.The content of Orthodox healthcare chaplaincy, which is centeredin its Eucharistic expression, maintains a sense of catholicityand unity. This though differs from a "psychological" understandingof pastoral care, which has developed. Therefore, there is aquestion of the chaplain's identity, a crisis of theology andecclesiology, which must be faced so that true unity can beattained. This article explains the content of Orthodox healthcarechaplaincy and addresses the issues of pastoral identity, theologyand psychology, together with the crisis of ecclesiology. Itis written with a true agony for unity.     

Implementation of a Culture-Specific Intervention for a Native American Community

Psychiatric services provided to Native Americans should be culturally relevant and integrated with the values and beliefs of the culture since Native Americans use Western health care as a last resort. Reduced utilization of services may be the result of cultural beliefs that sickness or illness comes from disharmony with oneself, one's community, and nature. Treatment entails resolving the disharmony and restoring a state of balance and integration. Western psychiatric services have not usually provided active psychiatric treatment, while simultaneously encouraging participation in native ceremonies and traditions of healing. For 3 years, the Wyoming State Hospital has offered Sweat Lodge ceremonies administered by the Wind River Reservation as part of a pattern of working together to improve the care of Native Americans admitted to the facility. Results indicate increased utilization of hospital services as well as increased patient and tribal satisfaction, improved health care outcomes, and reduced length of stay. This report argues that culturally specific and sensitive treatment interventions provide a concrete and specific benefit to the population which is targeted.     

A Christian for the Christians, a Muslim for the Muslims? Reflections on a Protestant View of Pastoral Care for all Religions

Whereas in the first half of the 20th century, proclamationwas the focal point of pastoral care in Germany, the 1970s witnessedan embracing of the American pastoral care movement. From thenon, pastoral care was increasingly understood as accompanyingpatients whilst adopting the spiritual dimension. Nowadays,Christian chaplains are encountering an increasing number ofpatients from different religious communities. Various modelshave been proposed to help Protestant chaplains find an authenticform of pastoral care suitable for all religions. Until a clearposition is assumed with regard to Christianity's demands ofabsolutism, however, none of these approaches can be satisfactory.     

医院的社会责任：伦理学视角

讨论了评价医院管理行动的伦理框架,严峻的卫生形势,医院的社会责任,其中着重讨论参与全面建设小康社会;向社会提供公平的卫生保健服务;重建医患信托关系以及调整与企业关系防止利益冲突。     

我国医院“品牌建设”浅探

随着社会生产力的提升和商品经济的发展,全球经济进入品牌时代。经济全球化的发展将使我国医疗机构进一步与国际接轨、参与竞争,医院“品牌建设”势在必行。从品牌的价值、医疗市场的竞争以及我国医院“品牌建设”的现状入手,重点讨论品牌经营战略。