总结经验 推进新一轮卫生改革

着眼于实现为人人提供保健服务目标的医疗改革,要求卫生服务与医药购销制度的改革必须适应广覆盖、低成本的医疗保险制度;确保公共卫生、社区卫生与合作医疗在整个保健服务体系中的主体地位,在基本卫生保健服务机构与大医院之间建立合作、互补、互制的关系;坚定地对大医院实行调整和管理;构建医药分开的管理与流通体制;政府主导作用到位,投入方向合理,以顺利推进新一轮医疗改革。     

年轻医生如何搞好临床科研

面对目前年轻医生对科研束手无策的状况,提出了科研的重要性.从科研选题要紧密结合临床实际、医学科研选题强调创新与实用的原则、医学科研需要的科研素质、培养独立从事临床科学研究的能力、充分利用优势科研资源,加强科研合作能力的培养五方面进行阐述如何进行临床科研工作,以便更好地促进临床医学事业的发展.     

从细节着手围手术期人文关怀

人文关怀不是能一蹴而就的工作,而是需要从细节着手贯穿始终的系统工程。作为麻醉医生,与患者的接触通常仅限于围手术期。除了为患者提供高质量的麻醉外,还必须注意围手术期的各种细节问题。只有把术前、术中、术后各个阶段的各种"小事"做好了,才能充分体现对患者的人文关怀。这既有利于患者的健康,也有利于建立良好的医患关系。     

结核病控制应加强机构间协作

结核病控制工作是一个需要公共卫生机构与医疗机构密切协作的艰巨任务。然而,长期以来两者之间工作目标的不一致,已经影响了结核病人的转诊和有效管理。从组织学的角度探讨两者之间的关系的现状、现有结核病控制制度的作用有限性和组织创新的必要性,并对建立两者之间良好的关系,促进结核病控制工作提出了建议。     

印度农村医疗的现状与对策

自印度独立以来,政府就致力于采取各种有力措施来改善人们的健康情况并已卓见成效。尽管印度政府采取了一系列的发展政策,经济、地区发展不平衡及男女不平等还是为医疗部门带来了巨大的挑战。分析印度政府在农村所面临的问题以及为解决这些问题政府颁布的新政策。     

Dismantling institutional racism: theory and action

Despite a strong commitment to promoting social change and liberation, there are few community psychology models for creating systems change to address oppression. Given how embedded racism is in institutions such as healthcare, a significant shift in the system's policies, practices, and procedures is required to address institutional racism and create organizational and institutional change. This paper describes a systemic intervention to address racial inequities in healthcare quality called dismantling racism. The dismantling racism approach assumes healthcare disparities are the result of the intersection of a complex system (healthcare) and a complex problem (racism). Thus, dismantling racism is a systemic and systematic intervention designed to illuminate where and how to intervene in a given healthcare system to address proximal and distal factors associated with healthcare disparities. This paper describes the theory behind dismantling racism, the elements of the intervention strategy, and the strengths and limitations of this systems change approach.     

Spiritual Tools for Enhancing the Pastoral Visit to Hospitalized Patients

The tradition of visiting the sick is a practice that brings comfort to patients who are suffering, offers prayers for healing, and keeps the connection with family and community alive. It is a practice recognized from ancient times through today, one which underscores the mission of the field of Pastoral Care. This paper describes the creative use of multi-sensory spiritual tools, such as music, singing, personal prayer, psalms, and traditional texts, to enhance the sick visit to the hospitalized patient. This brief structured model is replicable and teachable to lay and professional caregivers. Both patient, family members, and caregivers can benefit from sharing in these moments of inner spiritual attunement and connection with others. Israela Meyerstein, LCSW-C, LMFT, is a social worker and family therapist in private practice in Baltimore, Maryland. An Approved Supervisor for the American Association for Marriage and Family Therapy, Ms. Meyerstein has trained therapists of all disciplines and has published over two dozen articles relating to Family therapy, medical issues, and spirituality. She is co-founder of the Baltimore Jewish Healing Network. Correspondence to Israela Meyerstein, Imeyerstein@hotmail.com. Gila Ruskin has served as a congregational rabbi, psychiatric hospital chaplain, adult and day school educator, and pastoral counselor. Rabbi Ruskin currently teaches Bible, Holocaust Studies, and Creative Writing at the St. Francis Academy in Baltimore, Maryland. She is co-founder of the Baltimore Jewish Healing Network.     

A Universally Particular Psychology? A Feminist Practical Theological Exploration of <Emphasis Type="Italic">Indigenous and Cultural Psychology</Emphasis>

The newly published volume, “Indigenous and Cultural Psychology: Understanding People in Context” (2006) seeks to further understandings of human behavior with an indigenous psychology that places culture and context in the foreground of its methods, practices, and analysis. As such it represents a significant development in its field, and is important to practical theologians with their attention to context, culture, and the lived religious practices of persons and communities. This article offers a critical review of the book from the standpoint of feminist practical theology, in an effort to further and support the agenda of indigenous psychology. After describing the importance of indigenous psychology for the work of practical theologians, I consider the volume’s chapter on indigenous Filipino psychology (chapter five by Rogelia Pe-Pua) as paradigmatic of the strengths of an indigenous approach put forward in the larger volume. Last, I critically consider two key paradoxical tensions present in the volume’s articulation of indigenous psychology: the tension between universality and particularity, and the tension between indigeneity and critical gender analysis.     

From Rogers to Clinebell: Exploring the History of Pastoral Psychology

This essay explores the recent history of pastoral psychology by examining the transition from Carl Rogers’s client-centered therapy as a dominating force to the emergence of Howard Clinebell’s growth counseling. The theory and application of each approach is explored, including an analysis of how the cultural milieu of World War II and the shift to neofreudian thought influenced both Rogers and Clinebell. Finally, this essay demonstrates how Clinebell modified Rogers’s client-centered therapy by combining confrontation with unconditional positive regard.     

Sins of the American Empire and Pastoral Responses

This article describes attributes of the American Empire and addresses characteristic sins—pride, sloth, greed, and idolatry—that are necessary for maintaining the domestic and foreign policies aimed toward expanding the economic and military power of the United States. In particular, I claim that theo-political narratives and rituals extant in U.S. culture are internalized, structuring our collective psyches and shaping both our wills and actions. Pride, sloth, greed, and idolatry signify the distortion of will, giving rise to actions that result in harm and alienation. To address this reality, several pastoral strategies are depicted.