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。     

综合医院抑郁症和神经症诊疗决策的思考

抑郁症和神经症是一种慢性易复发性精神疾病,发病率高,疾病负担重,多数患者都就诊于综合医院非精神专科,而目前的现状是综合医院的各科医生对此类疾病的识别率低、治疗率低,患者依从性差。结合临床提出了关于综合医院如何提高抑郁症和神经症的识别率,医生在精神疾病诊疗中应注意的问题以及如何提高患者治疗依从性等临床亟待解决的问题。     

论当前医疗纠纷的表现特点,处理及防范对策

报道本教研室４３年３１６例医疗纠纷尸检资料的分析结果,结合实际工作经验与体会,论述当前医疗纠绿的表现特点,处理对策和防范措施。认为近年来医疗纠纷逐渐增多;发生科室以妇产科和外科多见;医疗纠纷中非医疗事故多于医疗事故。处理对策建议是：遵循法律,注意程序,讲究方法,公平合理。指出完善医疗管理是防范医疗纠纷的关键,提高医疗水平是防范医疗纠纷的根本。     

Religion, Spirituality, and Health Service Use by Older Hospitalized Patients

Background: Religious and spiritual beliefs and practices are common among medical inpatients, and may impact length of hospital stay (LOS) and other health services (HSU) during hospitalization. Methods: 812 consecutively admitted patients age 50 or over to Duke University Medical Center were assessed. Measures of religiousness and spirituality included religious TV/radio (RTV), self-rated religiousness (SRR), observer-rated spirituality (ORS), and daily spiritual experiences (DSE). The primary outcome was LOS. Results: RTV and SRR predicted longer LOS, whereas ORS and DSE predicted shorter LOS (p 0.05). Effects of RTV onLOS were stronger among women, but explained by worse health status. The effects of DSE on LOS were stronger among non-whites. Among those reporting high DSE, diagnostic tests and total procedures also tended to be less common. Conclusions: Religious activities, attitudes, and spiritual experiences are weak predictors of LOS and HSU during hospitalization. Whether the prediction is positive or negative depends on the religious or spiritual characteristic.     

医院医疗欠费情况调查研究

运用描述性统计方法,对某三级甲等综合性医院五年来医疗欠费情况进行统计,探讨了医疗欠费患者的社会人口学特征和卫生经济学特征,提出解决医院医疗欠费问题的根本途径是建立覆盖全民的医疗保险体系。     

医院公共空间环境对病人心理的影响分析

医院公共空间设置应契合使用者对医院总体空间的使用需求,分析其心理、生理和行为特点,满足病人生理、心理和行为的需求。充分考虑病人对空间环境的响应度,对不同空间类型应提供多样支持,关注空间环境对病人的生理、心理和行为的影响,顺应医疗流程,防止和控制交叉感染。     

Conséquences d’une catastrophe naturelle touchant le lieu de travail sur l’épuisement professionnel : Le cas du personnel d’un hôpital gériatrique

The Hautmont tornado has occurred on august 03, 2008, in the North of France. It was caused major destructions in this town and particularly in this city hospital. A tornado is a major natural phenomenon that causes destructions and disasters. In the literature, natural disaster and their destructive consequences are associated with psycho-traumatic disorders, among which is posttraumatic stress. The purpose of this research was to study the psychological impact of this tornado on a particularly vulnerable population: employees of a hospital. Thirty eight employees were interviewed one year after the Tornado. The results of this study showed that this disaster had many psychological repercussions. Many cases of posttraumatic stress disorders and cases of burnout were present independently of job strain level.     

Mental Health Interventions in a General Hospital Following Terrorist Attacks

Abstract

Over three years of repeated terrorist attacks in Israel have shown that the victims suffering from acute stress syndromes constitute the bulk of the casualties. The large number of psychological victims presents an immediate problem of hospital surge capacity. The need for alleviating acute suffering and preventing chronic, disabling posttraumatic syndromes requires organizational and clinical skills. The article reviews deployment and intervention protocols for the treatment of victims and affected staff members in a general hospital setting.     

努力避免肿瘤的过度化疗

化疗是肿瘤治疗的主要手段之一,在临床实践中发挥着十分重要的作用,但是其有明显的毒副作用,避免过度化疗是医疗的基本要求。临床过度化疗的原因与现行医疗管理与流程、医生的诊疗水平有关。近年来,人们对肿瘤生物学行为规律认识不断深入,更加注重个体化治疗,肿瘤治疗领域快速更新,因此对医疗决策水平也提出更高的要求。需要通过规范肿瘤诊疗流程、更新知识、积累经验、临床试验并结合我国国情,权衡利弊,使患者接受恰当治疗。