紧凑型手机式无线步态压力监测系统的研制及应用

基于前期工作,研制了一种改进型紧凑式手机无线步态压力监测与分析系统。该系统通过所构建的传感器、硬件电路以及在手机端实现的应用程序,可将压力数据通过蓝牙无线方式发送至手机,进行数据的显示和计算。实验验证了系统的可行性与准确度。本系统便携、易用和低成本,可望日后推广应用。     

无线传感器网络的生物医学应用

探讨无线传感器网络（WSN）在生物医学工程领域的应用前景,指出可以提高医疗设备的使用效率,提升实验数据的精确和可信度,是计算机工程、信息工程与生物医学工程相结合的热门研究。     

医疗设备智能监控系统的设计

目的：建立医疗设备智能监控系统,使医院在无线覆盖或有线网络的环境下,实现设备的智能化动态管理。方法：利用通讯网络、智能呼叫及系统监测等科技手段,设计医疗设备智能状态传感器。结果：针对医院医疗设备,将其数据进行采集和管理。当出现异常状况时可通过智能系统发出相关信息,通过身份识别与定位,实现设备状态的信息化。结论：智能传感器在系统的运用中可做到资源共享,实现了全方位、全覆盖的智能医院物联网系统,为医院的医疗服务提供了有效的保障。     

智能传感器及其在医学中的新应用

概述智能传感器的原理、组成结构以及它的特性.同时介绍了智能传感器在集成化、微型化和网络化方面的产物:智能传感器网络;并重点介绍了智能传感器在医学中的一个新应用,身体实时监控系统及其设计方法和工作原理.     

基于加速度传感器检测睡眠中的周期性腿动事件

目的研究基于加速度传感器检测睡眠中周期性腿动事件的方法,并采用无线传感器网络技术形成周期性腿动事件监测系统。方法采用加速度传感器监测周期性腿动事件的发生;以无线传感器网络技术实现连续监测被试者整晚周期性腿动事件的系统。结果系统实现监测被试者整晚的周期性腿动事件。     

基于wsN穿戴式系统的研究现状与展望

穿戴式系统是具有无创连续检测人体生理信息、数据无线发送和实时处理功能的集成系统,能满足低生理、心理负荷条件下的生理状态监测。本文从无线传感器网络技术角度分析穿戴式系统的构成、探讨穿戴式系统在发展中面临的几个技术难题,并展望穿戴式系统将成为人体健康监测、疾病预防中的重要助手。     

无线传感器网络在医疗行业的应用展望

1 引言 随着无线通信技术、网络技术、嵌入式计算机技术以智能传感器技术的发展,无线传感器网络(Wireless Sensor Network,WSN)已成为近年来国内外热门研究领域[1].无线传感器网络由部署在监测区域内大量的微型传感器节点组成,通过无线通信方式形成的一个多跳的自组织的网络系统,目的是协作地感知、采集和处理网络覆盖区域中感知对象的信息,并发送给观察者[2].美国商业周刊和MIT技术评论在预测未来技术发展的报告中,分别将无线传感器网络列为21世纪最有影响的21项技术和改变世界的10大技术之一[3].     

基于ZigBee协议战场医疗救护信息采集系统研究与设计

目的：研究和设计战场医疗救护信息采集系统。方法：基于无线传感器网络和ZigBee协议技术,对战场医疗救护信息采集系统的内外部网络结构、系统模型、软件模块流程、硬件构成等进行了研究设计。结果：该系统能在500 m范围内利用体温、脉搏等传感器监测收集人员生命体征信息,通过网络上传数据。结论：该系统具有低成本、低功耗、抗干扰等优势特点,对指挥员掌握战斗人员生命状态情况和战场火线及时搜寻救护伤员具有十分重要的作用。     

基于无线网络的居家养老医疗系统设计

目的:设计基于无线网络的居家养老医疗系统,为国内日趋尖锐的养老问题服务,提高老年人的生命及生活质量.方法:利用无线蓝牙、3G移动或GPRS通信网络,把传感器检测的健康状态参数传输给社区医疗系统,实现用户心电、血压、体温、血氧、血糖等医学指标的医疗监护和告警以及用户电子病历档案的管理功能等.结果:该系统实现了老年人健康状态参数的检测,保护了老年人的生命安全.结论:该居家养老医疗系统的实现,可为进一步提高居家养老的医疗服务水平和构建智能社区提供参考,并可缓解人口老龄化带来的矛盾.     

基体传感器的新发展

生物医学领域应用的传感器名目繁多,分类方法各异,但都是由基体传感器组成。基体传感器是传感技术的母体,它的发展水平代表了传感技术的发展趋势。纵观在生物医学领域中传感技术的发展,以下三类基体传感器的发展最为引人注     

医疗保险与卫生服务发展研究

医疗保险与卫生服务是辩证统一的关系。医疗保险的推行,对医疗机构既是挑战也是机遇,要求医疗机构转变观念,增强竞争意识和竞争能力,做好监督控制、审核评价工作。成本核算、定额补偿是医院乃至医疗保险发展的核心问题。医疗保险制度的建立和完善有助于优化卫生资源配置,完善医院内部科学管埋体制,提高医疗质量,促进医院发展。社区卫生服务应纳入医疗保险范畴,医疗保险管理邯门从效率角度出发,也应首先选择社区卫生服务机构承担医疗保险任务。社区卫生服务的发展对医疗保障体系的建立和完善将起到重要的推进作用,而医疗保障体系的建立,必将促进社区卫生服务的深入发展。     

政治体制对政府医疗卫生支出及健康产出的影响综述

大多数发展中国家的政府医疗卫生支出及健康产出长期处于较低水平,与发达国家有较大差距。这种差距并不能仅仅由经济因素解释,政府主导了卫生资源的分配,因此分析理性政府在公共资源分配中的激励问责机制尤为重要。本文分析了政治体制对政府提供医疗卫生服务的激励问责机制,综述了近年来有关政治体制影响政府医疗卫生支出及健康产出的实证研究。大量研究结果表明与非民主政治体制相比,民主政治体制在增加政府医疗卫生支出、提高健康产出方面有显著的积极作用。     

Internet-enabled solutions for health care business problems

Many health care delivery organizations have built, installed, or made use of Nets. As single entities merge with others, and independent institutions become part of much larger delivery networks, the need for collaboration is critical. With the formation of such partnerships, existing platforms will become increasingly available from which it will be possible to build disparate technologies that must somehow be part of a single working "system." Nets can enable this leveraging, allowing access from multiple technological platforms. The collaboration, distribution, application integration, and messaging possibilities with the Nets are unprecedented. We believe that meeting a health care delivery organization's needs without these benefits will soon be unthinkable. While Nets are not the answer to the challenges facing health care delivery today, they certainly are a large contributor to the solution.     

Combining service marketing and strategic alliances in health care

With or without federal health care reform to impact the delivery of health care services in the U.S., hospitals must commit to service marketing and strategic alliances as a fundamental business strategy. Service marketing not only differentiates the provider, but with the proper programs in place, it may actually facilitate the formation of strategic alliances. The combination of these strategies will be particularly effective in preparing for any health care policy change.     

新医改视野下再论医疗举证责任

在现行的医疗体制下，对“准市场经济主体”的医疗机构采取举证责任倒置制度，有存在的合理性与必要性。随着我国医疗改革的启动与深化，医院最终将回归公益性，制订中的《侵权责任法》在医疗侵权行为领域重新采取过错责任原则，是对医疗机构公益性回归的呼应，反映了时代发展的要求。在维持举证责任基本原理的前提下，有条件地采取法律上的推定制度，有效缓解患者举证难的现实困境。     

Information technology and today's health care management

With the move to CPR, health information managers will be challenged to reengineer the ways they manage processes within the medical record department. A lot of age-old health information problems (i.e., missing documents, lost test results, and missing records) can be solved and productivity improved with imaging. The digitized records will allow simultaneous access to readily available, legible, and usable information for patient care, research, audits, and correspondence. However, the transition from a manual to computerized record presents many challenges. Health information managers will have to monitor the changeover carefully, anticipating the needs for new information and developing the necessary mechanisms to produce it, as well as implementing new technologies as they emerge. Conditions are right for an advance in health care information systems. Pressures and changes in structure in the health care industry require better management tools. Acceptance of HIS as a management tool is growing rapidly among the health care provider community. The technology to realize the CPR and advanced decision support systems is available. All the pieces are there--they just need to come together. As the health care organization's view of and need for information systems change, medical record professionals must draw on their knowledge and experience and make the transition from managers of record systems to managers of health care information systems.     

Rationing health care and the need for credible scarcity: why Americans can't say no.

With adequate cost containment unlikely in the foreseeable future, health care use will have to be curtailed, ideally with open and explicit criteria for equitably allocating resources or rationing. Yet, consensus on any such criteria appears remote because Americans cannot say no to health care. Americans may refuse to accept rationing for two reasons. The absence of any global limitation on health care resources may encourage patients to believe that health care resources are not scarce and do not need to be rationed. A belief in vitalism--that everyone is morally entitled to unlimited longevity and good health--may discourage setting limits on one's own care. Together, these characteristics may foster the belief that denials of health care services, especially by health insurers, are arbitrary or unfair refusals to pay for existing resources and not a necessary method of rationing scarce resources. If this hypothesis is true, Americans are unlikely to achieve consensus on any equitable allocation of health care unless they face an actual shortage (credible scarcity) of health care resources that makes it necessary to ration care.     

Health care in the Netherlands

This article analyzes Dutch experiences of health care reform--in particular in primary care--with emphasis on lessons for current United States health care reforms. Recent major innovations were the introduction of private insurance based on the principles of primary care-led health care and including all citizens irrespective of their financial, employment, or health status; introduction of primary care collaboratives for out-of-hour services and chronic disease management; and primary care team building, including practice nurses. These innovations were introduced on top of a strong primary care tradition of family practices with defined populations based on patient panels, practice-based research, evidence-based medicine, large-scale computerization, and strong primary care health informatics. Dutch health reform redirected payment to support introduction of innovative health plans and strengthening of primary care to respond to public health objectives. Five recommendations for US primary care follow from this Dutch experience: (1) a private insurance model is compatible with thriving primary care, but it must include all people, especially the most vulnerable in society, and espouse a primary care-led health care system; (2) patient panels or practice lists strengthen continuity of care and community orientation to focus on and respond to local needs; (3) reward collaboration within primary care and between primary care, hospital care, and public health; (4) stimulate primary care professionals to exert their passion and expertise through participation in primary care research and development; and (5) health informatics should be primary care based, preferably adopting the International Classification of Primary Care. With these recommendations, it will be possible for the United States to obtain better population health for its population.     

Configuring health care for systematic behavioral screening and intervention

The United States Preventive Services Task Force recommends universal screening and intervention for tobacco use, excessive drinking, and depression. These services improve health outcomes, decrease health care costs, enhance public safety, and generate substantial return on investment. Given the prevalence rates of these behavioral conditions and the time necessary for evidence-based interventions, it will be challenging to integrate behavioral screening and intervention (BSI) into busy health care settings. Therefore, consistent with the principles of the medical home and the chronic care model, the health care team must be expanded to systematically provide BSI. A 2-tiered, stepped-care model is proposed. The first tier of services-consisting of assessment, intervention, and follow-up services-would address most mild-to-moderate behavioral risks or conditions. The second tier would include various specialty-based resources, which would be conserved for patients with greatest need and potential to benefit. With slight enhancement of their training, health educators would be excellent candidates to serve as cost-efficient providers of first-tier services. The proposed model would help the United States realize improved health outcomes and cost savings as health care benefits are expanded to a greater proportion of its population.     

Sexuality and Disability: The Role of Health Care Professionals in Providing Options and Alternatives for Couples

Disability affects both the individual and his/her partner and, if health care professionals are to work with clients in a holistic manner, they will need to include the partner. A comprehensive review of the literature was completed to examine the impact of disability on sexuality as it relates to couple relationships and to explore strategies health care providers can utilize to help couples deal with these issues. The literature describes some common intervention strategies that have been shown to be effective in helping couples affected by disability or illness address the issue of sexuality. Specific concerns and difficulties faced by couples are also identified. Finally, the various intervention strategies will be incorporated into a framework known as the P-LI-SS-IT model. With this framework, health care providers will be able to determine the client's needs, as well as assess their own level of comfort and expertise in dealing with this very important task.