服务质量的研究综述

服务日渐成为企业关键的竞争要素之一,越来越多的企业在市场竞争中开始以消费者为中心,重视服务质量,以期在激烈的市场竞争中获胜。文章概括了服务的概念及特性、服务质量的概念、服务质量要素的研究状况和服务质量接受区间的应用,并简要说明了文化对服务质量要素的影响。     

美国卫生保健的公正和分配问题

除了卫生保健服务的费用问题以外,美国社会中关于医疗卫生保健的比较严重的问题是服务的公平和分配问题,在美国无论是城市还是农村,在经济上处于弱势地位的人,在医疗上也处于不利地位,另一个由公平性问题影响的社会层面是;大量的美国人没有参加健康保险,他们中的大多数人是生活贫困的究人或接近于贫穷的人。此外,美国卫生保健提供体系在地理分布上是不均衡的,初级保健医生或家庭医生在医生中也没有充分的代表性,医生的矩缺不只限于农村,也扩展至城市的某些区域。     

Service Delivery Issues and Program Evaluation in Pediatric Psychology

Presents a framework for categorizing pediatric psychology research into practice and service system outcomes and functioning. The questions of importance are (a) who is being served, (b) what services are provided, (c) how treatments are implemented, (d) how services are organized and staffed, (e) what are the outcomes of the services, (f) how do various consumers perceive services, (g) how services are reimbursed, and (h) what are alternatives and innovations? The framework of program evaluation is detailed for domains most germane to service delivery in pediatric/child health psychology. Such domains include diagnostic information on patients, types of intervention, behavioral/psychological outcome variables, costs of treatments, service system functioning, and perceptions of satisfaction from multiple sources. This framework may be useful in directing future research on the delivery of services in pediatric psychology settings, thereby adding to the value of the field.     

新公共卫生与后医学时代

现代社会出现的超重、肥胖、吸烟、吸毒、不安全性行为等社会压力和社会环境导致的各种退行性疾病和新传染病(艾滋病等)新公共卫生问题,主要靠非卫生部门的努力,即由政府主导、社会各部门和群众参与,按生物心理社会医学模式,用健康教育和健康促进战略,深入社区,对人们的行为进行干预,医生与服务对象(健康人、亚健康人、病人)共同努力才能取胜。医务人员需转变观念、更新服务模式,为提高全民健康素质,全面建设小康社会,自觉地促进此历史性的变革。     

Speaking Your Mind: Large Inarticulateness Constitutional and Circumstantial

When someone is asked to speak his mind, it is sometimes possible for him to furnish what his utterance appears to have omitted. In such cases we might say that he had a mind to speak. Sometimes, however, the opposite is true. Asked to speak his mind, our speaker finds that he has no mind to speak. When it is possible to speak one's mind and when not is largely determined by the kinds of beings we are and by the kinds of resources we are able to draw upon. In either case, not speaking one's mind is leaving something out whose articulation would or could matter for the purposes for which one was speaking in the first place. Inarticulation is no fleetingly contingent and peripheral phenomenon in human thinking and discourse. It is a substantial and dominant commonplace. In Part One I attempt to say something about what it is about the human agent that makes inarticulateness so rife. In Part Two, I consider various strategies for making the unarticulated explicit, and certain constraints on such processes. I shall suggest, among other things, that standard treatments of enthymematic reconstruction are fundamentally misconceived.     

The Freedom of a Teenager: Vocation and Service Learning as the Future of Youth Ministry

Abstract : This article asserts the value of service learning as integral to youth ministry's future. However, service learning often lacks an appropriate philosophical foundation and an effectual process. Therefore, we offer Luther's doctrine of vocation as a framework for engaging youth in service experiences, which in return becomes a concrete way to experience the doctrine of vocation and, more importantly, the freedom of a Christian. Framed and interpreted through a vocational lens, service experiences aid youth in recognizing the urgency of a life of faith,     

Evaluation of a Swedish version of the Job Stress Survey

The present study assesses and evaluates the psychometric properties of a Swedish version of the Job Stress Survey (JSS; Spielberger, 1991; Spielberger & Vagg, 1999). This instrument is constructed to measure generic sources of occupational stress encountered by employees in a wide variety of work settings, settings that often result in psychological strain. The JSS was administered to metal assembly industry workers and medical service personnel in northern Sweden (n= 1186). The exploratory factor analysis showed that there is a high similarity between the present Swedish version and the original American version. Internal reliabilities of the scales, as well as test-retest reliabilities were shown to be high, and concurrent validity, as examined by comparisons with the Perceived Stress Questionnaire Index (Levenstein et al., 1993) was found to be satisfactory. The consistency of these findings is discussed with particular focus on groups of employees, gender, and cross-cultural evaluations.     

关于耳蜗传出神经系统功能研究的启示

对卫生管理中具有战略地位的卫生政策的理论与实践领域的背景和文献进行分析,认为卫生政策基本理论与方法论研究、卫生政策分析方法及技术研究、卫生决策科学化研究、卫生决策体制与过程的研究,社会公众参与卫生决策的研究等,是当前我国卫生政策的理论与实践中值得研究的主要问题。     

整形美容外科实践中若干问题之我见

现代整形美容技术的飞速发展,既给广大有身体缺欠者提供了机会,给整形美容外科的发展和壮大提供了广阔的空间,同时也给整形美容外科工作者提出了很多问题和挑战。对整形美容外科实践进行思考,自觉遵守客观规律,有利于缓解医患关系,减少医疗纠纷的发生,又利于提高整形美容外科的整体服务质量。     

综合性大医院与社区卫生服务中心合作切入点的分析

通过时沈阳市沈河区9个社区卫生服务中心进行调查和相关资料分析,探讨大型综合性院与社区卫生服务中心合作的可行性,如人员培训和技术支持,临床检查结果互认,实行“双向转诊”等,为建立新型城市医疗卫生服务体系参考依据。