医院信息系统中的标识

本文继承纸质表单概念,采用面向对象的分析方法,概括表单标识的具体特性要求,提出医院信息系统中的标识方案,提供标识方案的概要设计和核心算法实现。通过对表单标识进行条码编码,实现条码的纸质打印,可适用于医院流程的自动化。此外,文章介绍了该方案如何应对表单升级和自身升级。     

治疗表单在儿外门诊缴费的临床应用

在治疗表单未投入使用之前,某医院儿外门诊病人的治疗缴费多采用医师开处方签,医师划价后,病人家属持划价后的处方签缴费的方式。由于存在其不足：医师开单不方便,耗时;字迹无法规范,记账人员不易辨认;收费内容不易规范等,故改为门诊病人持治疗表单缴费的方式。治疗表单在儿外门诊缴费时的应用，已经1年多时间，经过了两次增减完善，其应用情况如下：     

B/S架构下浏览器重复提交表单问题的解决方案设计

目的:防止医院工作站浏览器重复提交表单。方法:针对原因,提出通过使用客户端JS脚本等几种不同方法的综合运用,防止浏览器重复提交表单。结果:经过实际运行测试,浏览器重复提交表单的问题得到解决。结论:重复提交表单的问题是B/S架构下的安全隐患,必须进行妥善的解决。     

三级医院智能电子表单系统的设计与应用

通过设计与应用三级医院护理智能电子文书表单录入系统,优化整合院内各类系统和护理文书信息,实现信息代码标准化、表单智能数据处理、输入控制报警提醒、自动输出生成护理表单功能,保证了电子文书的准确性,提高了护理文书质量,提升了护士工作效率,同时科学的数据分析也指引了管理者科学管理,使病人和医院都能从护理信息化建设中得到了真正实惠。     

Web表单验证在手术患者评价系统中的应用

目的：研究总结计算机应用程序中表单验证技术的实现方法,以完善手术患者评价系统的设计与开发。方法：以临床实际需求为基础,以计算机网络为平台,应用不同的表单验证技术设计开发基于LAMP运行环境的手术患者评价系统。结果：该系统通过表单验证技术,对患者提交的评价数据进行筛选、过滤及纠偏,使得评价系统的运行更加安全、高效且具有很好的用户体验;使其实现了患者手术后可与手术团队及时沟通并准确反馈术后感受的设计初衷。结论：表单验证技术包括传统后台服务器端验证和基于AJAX技术的综合验证,两者无绝对的优劣,应当根据项目需求进行选择。     

自由结构录入法在电子病历系统中的应用

目前,电子病历的录入方法主要有二种,一种是表单(表格)录入法(以下简称表单录入),采用表单录入电子病历可以保存半结构化数据,但由于这种方法在使用上固有的局限性,一直难以被医生所接受。另一种是自由文本录入法,这种方法符合医生日常书写习惯,灵活程度高,但无法保存结构化的数据。在病历数据录入的过程中,     

基于区块链技术的儿科区域医疗数据共享平台建设

目的：构建可实现区域医疗数据互联互通的医疗数据共享平台，并融合区块链技术保障平台数据共享的安全性。方法：组建数据平台构建团队，对数据平台构建相关文献及政策法规进行研读分析；通过开展区域合作医疗机构的医疗业务调研，并经审议专家修订，构建儿科区域医疗数据集体系框架并确定数据平台内所含业务域及基本数据集表单；融合区块链技术在平台内机构设置节点，使上传的数据加密存储，“增删改查”等操作留痕，保障平台数据的安全。结果：构建包含数据来源、数据采集、数据安全、数据治理、数据中心、数据管控、数据应用的多层架构的区域数据共享平台，包含5项业务域，45个文本数据集表单，5个影像数据集表单，设置对外数据交换、运营决策支持、临床门户应用、专科科研等4个应用板块。数据在采集、获取、校验、上传过程通过区块链实现规范存储和管理。结论：儿科区域医疗数据共享平台的建设，可大大提升机构间数据互联互通的效率，为医院及分院间的运营管理提供便利，体现医学中心的信息化建设水平。     

多做少军是实施整体护理成败的关键

整体护理以得明显效果，继续发展的关键问题是多做少写。文章把整体护理表单分为要认真写的，可写可不写的与不必写的三大类，重点是写好入院评估表与护理记录表。     

通用表单处理系统的开发及应用

为了提高我院信息化管理水平，本文介绍了通用表单处理系统的设计开发方法、系统结构、各个模块的功能及其在医院医生工作量统计、财务消耗凭证处理、工资管理等方面的具体应用。     

基于医院信息化平台的护理荣誉无纸化管理的实践

目的借助医院现有的护理信息平台,实现护理荣誉无纸化管理。方法在护理信息平台上二次开发,整合平台数据库中的管理信息,构建护理荣誉表单系统,并通过"工号"字段进行关联,与其他数据表单交互取数。结果护理荣誉表单系统的应用,实现了护理荣誉无纸化管理;将护理集体荣誉进行量化处理,体现了护理荣誉使用中公平公正的原则;优化护理荣誉使用流程,在晋升评优等活动中实现"一键取数"。结论护理荣誉无纸化管理的应用,改变传统纸质版护理荣誉证书在存储及使用中存在的不足,提高护理管理工作效率。     

Towards More Effective Interventions to Improve Health: The Importance of the Community as an Empowered Partner

ABSTRACT

How can we translate the findings from public health research into practice? We are not doing this job very well and we need to rethink our approach so that we can do a better job. The major problem is that we public health professionals have messages to give people, but people have lives to lead, and we have not done well in closing this gap. To deal with this problem, we will need to learn how to better involve the community as an empowered partner in our work. To do that, we will have to fundamentally change our public health model: We will have to change the way we classify disease; we will have to change the way we organize and finance public health education; and we will have to deal with our arrogance. This plenary talk at the Eighth Annual Midwest Rural Agricultural Safety and Health Forum (MRASH), November 2009, described the importance of looking at health promotion and disease prevention not only at the level of the individual but also at the community and environmental level.     

Social contagion theory: examining dynamic social networks and human behavior

Here, we review the research we have conducted on social contagion. We describe the methods we have employed (and the assumptions they have entailed) to examine several datasets with complementary strengths and weaknesses, including the Framingham Heart Study, the National Longitudinal Study of Adolescent Health, and other observational and experimental datasets that we and others have collected. We describe the regularities that led us to propose that human social networks may exhibit a ‘three degrees of influence’ property, and we review statistical approaches we have used to characterize interpersonal influence with respect to phenomena as diverse as obesity, smoking, cooperation, and happiness. We do not claim that this work is the final word, but we do believe that it provides some novel, informative, and stimulating evidence regarding social contagion in longitudinally followed networks. Along with other scholars, we are working to develop new methods for identifying causal effects using social network data, and we believe that this area is ripe for statistical development as current methods have known and often unavoidable limitations. Copyright © 2012 John Wiley & Sons, Ltd.     

Character witness. Walking the talk on euthanasia

Our response to the euthanasia movement brings us to the depths of moral character and spirituality. Character bears witness to the true significance of our Catholic convictions about the dignity of persons, the value of life, our dependence on God, and our interdependence on one another. To be credible players in public debates on euthanasia and assisted suicide, we have to bear convincing witness, personally and corporately, to the ways we care first for ourselves and for those who are not as fortunate as we--the sick, the elderly, the indigent, and the dying. Who we will be in the face of death will have a lot to do with what we have come to believe about life, with the values we have upheld, with the attitudes we have taken, and with the habits of thought and behavior we have formed. So we need not be victims of what dying has in store for us. Rather, we can engage our dying by developing those habits of the heart which will make a difference in the way we adapt to unwanted circumstances and endure what we cannot change. We cannot develop strength of character if we are not nurtured by a community of character. In addition to personal character, we also need to be a community that gives witness to those fundamental religious and moral convictions which shape our living and dying in ways that would make euthanasia unthinkable.     

实施重点学科升级战略 推动医院创新发展

本文着眼新形势和新任务，以推动医院创新发展为目标，提出并实施重点学科升级战略，系统论述了重点学科升级战略的战略目标、战略举措和战略途径：深化认识，强化重点学科升级战略的历史作用；统筹力量，优化重点学科升级战略的保障条件；打造特色，提高重点学科升级战略的科技含量；配强团队，蓄积重点学科升级战略的发展后劲。     

Learning from the past,looking to the future: Exploring our place with Indigenous Australians

This paper aims to explore ways in which we as occupational therapists in Australia can participate in enabling a different and better future for all Australians. In doing so, it is necessary to explore our history and our cultures, both individually and collectively as a profession, and to understand the ways in which these shape who we are and what we do. As occupational therapists, we have valuable knowledge and skills that have the potential to contribute in a positive way to the health and educational outcomes of Indigenous Australians. As a profession operating in Australia, we also have a responsibility to reach this potential. This paper aims to present some of these contributions and to provide examples of practical and culturally safe ways in which we can take action.     

利用DRGS（诊断相关分组）平台建立双向转诊下转模式探索

目的 依靠DRGS平台的病案大数据,研究双向转诊的下转标准制定,将病人从三级医院分流到二级医院与社区,实现分级诊疗。方法 通过DRGS软件平台,分析2015年1月 - 2016年12月2年的病案大数据,建立下转标准并实施。通过对2017上半年病案数据的监测,检查下转标准实施的合理性及效果。结果 分析DRGS平台的病案大数据,将“权重（CW）小于0.5且平均住院天数小于6 d”的DRGS组作为向下转诊的标准,调控2017年1 - 6月的患者,由三级医院转诊至二级医院或社区。结论 通过DRGS平台权重指数制定下转标准,合理分流患者,为分级诊疗的落实提供借鉴与参考。     

新型农村合作医疗筹资额及补偿比的测算与分析

利用基线调查的数据,采用卫生经济学的研究方法,并且借助于SPSS统计软件,对江西省农村居民医疗服务利用、费用及影响因素进行详尽的分析,为新型农村合作医疗的决策者和基层工作者提供了方法上的指导。研究得出的主要结论如下:第一,不同层次农村居民医疗服务利用及费用呈明显的偏态分布,因此合作医疗的目标人群应是所有的农村居民;第二,要加强农村基层卫生机构的建设;第三,要因地制宜地确定合作医疗筹资及补偿标准;第四,要强化各级政府对新型农村合作医疗的财政支持。     

“She Gets Me”: Forming a Friendship from a Place of Vulnerability

Becoming familiar with strange, new surroundings is an overwhelming process. Every time we enter into the field for the first time, anxieties arise. Sometimes, in reflection, we come to learn that others whom we view as our participants experience similar feelings of uncertainty. From the perspective of the researcher, we continually reflect upon co-constructed meanings we create with others from lived experiences in an effort to produce knowledge during the research process. Even though the outside observer is welcomed in, practitioners fear the presence of another who is there to critique their work, unaware that the researcher, herself, shares this fear. This essay aims to expose how we live and share meanings of vulnerability between a practitioner and a researcher and how these reflections enable friendships to form beyond the field.     

Harnessing the social capital of rural communities for youth mental health: an asset-based community development framework

In Australia, we are facing a period of mental health reform with the establishment of federally funded community youth services in rural areas of the country. These new services have great potential to improve the mental health of rural adolescents. In the context of this new initiative, we have four main objectives with this article. First, we consider the notion of social capital in relation to mental health and reflect on the collective characteristics of rural communities. Second, we review lessons learned from two large community development projects targeting youth mental health. Third, we suggest ways in which the social capital of rural communities might be harnessed for the benefit of youth mental health by using asset-based community development strategies and fourth, we consider the role that rural clinicians might play in this process.