医用物资招标采购值得关注的几个问题

探索医院层面上的医用物资集中招标采购工作,对医用物资集中招标采购工作中值得关注的几个问题进行了研讨,规范医院物资供应管理工作,提高医院的经济和社会效益。     

医院医用物资集中招标采购尝试

本文对医用物资及集中招标采购工作进行了概述,从组织机构、规章制度、预算计划和网络平台等四个方面的实践,探索了医院层面上的医用物资集中招标采购工作,提高医院的经济和社会效益。     

医院医用物资集中招标采购前期工作

本文从招标采购品种目录的编制、方式的选择、评标原则方法的确定及招标文件的编写等诸方面探索了医院层面上的医用物资集中招标采购工作,并通过实践加以验证,对改进和加强医院医用物资采购管理、降低医院医疗成本,具有积极的推进作用。     

政府采购中公开招标与邀请招标的特点与区别

阐述了政府采购中公开招标与邀请招标2种招标方式及其特点,并对两者进行了比较和分析,有利于采购方正确选择招标方式,以实现采购综合效益的最大化,达到采购目的。     

对医学高校医学装备采购招标中存在的问题的探讨

目前,医学高校医学装备采购已广泛采用招标方式,通过几年的实践,有成功的经验也存在一些问题.本文阐述了招标工作的意义和特点,指出了医学高校医学装备招标工作的难点和存在的问题并就解决措施做了深入的探讨.     

医院邀请招标的方法及实践探讨

医疗设备采购程序逐渐已规范化,但由于医疗设备品种多、购置时间不一,很难以集中采购或完全以社会招标的方式进行,于是医院内部的邀请招标逐渐成为采购的主要模式之一。本文结合医院招标的实际情况,探讨内部邀请招标的方法及效果。     

医院集中招标采购工作实践

本文介绍我院开展医疗设备、后勤物资等招标采购工作的情况，     

生物制药企业物资需求特点与采购的实施

目的在物资采购中实行公开、公平、公正的竞争机制,最大限度地使各供货厂商在提高产品质量和降低价格上下功夫。方法通过物资采购管理,比质比价、集中招标采购、生产厂家直接供货等一系列措施。结果显著地降低了企业的采购成本,提高了所需产品的质量,并规范了市场行为。结论集中招标采购建立公开透明的决策和管理制度,重大采购事项集体研究决策,不搞暗箱操作,使物资采购程序科学、高效,也大大拓宽了企业物资采购的网络和渠道。     

医院实行医用耗材招标采购管理的经验探讨

医疗事业飞快进步和发展下,医用耗材量逐渐增加,在不同程度上影响着医院的整体运营效益和可持续发展。尤其是当前激烈的市场竞争下,医院实行医用耗材招标采购管理,改善传统采购管理模式的不足,促使医用耗材采购流程进一步优化,更加科学化管理,保障医用物资质量的同时,降低医院的医用物资采购成本,带来更大的效益。本文就医院实行医用耗材招标采购管理的经验进行客观阐述,明确其意义所在,为后续相关工作提供参考。     

构建医疗设备招标采购新机制——兰州军区开展医疗设备网上招标采购工作剪影

根据总部、军区关于物资及医疗设备采购管理有关规定和要求，兰州军区按照“统筹安排，严密组织，稳步实施，注重实效”的原则，经认真筹备，于2006年开始组织全区医疗设备网上招标采购试运行工作。军区和联勤部首长对此项工作高度重视，作出指示并提出了具体要求，审批通过了《兰州军区医疗设备网上招标采购暂行规定》。     

From the end of the world to the top of the world

I've been on the road a bit this summer. Because of the kind generosity of my London broker, Lloyd and Partners, Ltd., I've been allowed the unique opportunity to have an insider's view of the London market. I observed an interesting renewal situation and sat with underwriters in their boxes amid the hallowed (at least to us insurance geeks) trappings of Lloyd's. I spent several lovely days in Hanover with my long‐time lead reinsurer, Hanover Re, while trying desperately to keep up with my own work back home. It's been stimulating and thought‐provoking, and I know I won't ever view the purchase of insurance in the same way.     

Relationship of the clinician and the pathologist at the turn of the millennium

The autopsy, once a fundamental and familiar component of medical practice based on the good cooperation of clinicians and pathologist, is now infrequently used. Recent data indicate that autopsies are performed only about one third of the cases in Hungary and less that 1 of 10 inpatients death in the united States. Explanation for this decrease is multifactorial, involving changing professional and patients attitudes, the advent of sophisticated antemortem diagnostic methods, socioeconomic factors, and medicolegal concerns as well. Teaching institutions need to reevaluate concerning the need and practice of the autopsy. "The final audit" not always reflect well on clinical diagnoses and management of patients. Many facts proves that our modern tools still not enough to reach always a correct and safe diagnoses. Errors are still common in medicine. About 10% of necropsies indicate a clinical managements different from what the patients received, 20% reveal additional diagnoses, and 60% of cases have teaching point. Though autopsy is expensive and time consuming, moreover the shortage of pathologist is evident, necropsy should remain the cornerstone of medicine in the new millennium as well. There are a broad range of different fields where pathologist and clinicians should work together in an everyday--setting--e.g. evaluate biopsy- or cytology-samples. Clinicopathological conferences are also important to discuss cases mainly for teaching purposes. Without maintaining the traditionally good cooperation neither clinicians nor pathologists will be able to give proper answers to the challenges and professional questions of the new era.     

酶标仪检测数据的PC端处理及远程控制

本文利用串行通讯技术和灵活的计算机编程技巧，实现了酶标仪和计算机之间的数据通讯、分析和处理，并可脱离酶标仪面板，做到对酶标仪的远程控制。     

论医院治疗服务产出的核算方法

讨论了医院用投入法核算治疗服务产出存在的问题，从完整产品的角度提出改进的方法——医院完整治疗产出的核算方法，并通过模拟数据计算证明该方法能对医院治疗服务产出进行准确的测算。     

Appealing to the ''experience'' of the patient in the care of the dying

The care of dying patients in hospital is characterized by the copresence of four different frames: practical, medical, lay and psychological. Within the psychological frame, the staff define the patient as an experiencing subject, exposed to the staff members' knowledge and involvement. The psychological frame is used in two different circumstances. First, it is used by the staff members when the patient deviates from an expected identity within some other frame. The deviation creates a threat to the working conditions and moral order at the ward. The threat is managed through a shift into the psychological frame. Second, the psychological frame is used spontaneously in the accounts of their work given by staff members to the sociological field researcher. The image of care associated with the field researcher is characterized by a special awareness of the psychological issues. Thus the field researcher is inevitably a part of the functioning of the new kind of surveillance working through the psychological frame.     

从医方视角探解医患关系困境

目的：从医方视角探解医患关系困境。方法2013年10月-2013年11月,从本市几所主要医院中随机选择600例住院患者及医务人员进行研究。利用问卷调查法,对医患关系相关情况进行调查。结果调查发现,医务人员中有34.3％认为医患关系紧张,患者中有8.6%认为医患关系紧张。患方对医方不满的原因主要有沟通交流障碍和态度问题以及医疗质量问题等方面。结论面对医患关系的困境,医方需要积极的采取患者-医生-医院三位一体的应对策略,不断提高整体医疗质量,为患者提供人性化的医疗服务,努力改善医患关系。     

浅谈护士履行告知程序的方法与技巧

随着科学技术的发展,护理模式的转变,护理告知已逐渐应用于临床护理.护理告知可以帮助临床护理工作者充分尊重患者的权益,与患者良好地沟通,建立和谐的护患关系,从而提高护理质量.护理告知程序若想系统规范、有效地执行,必须遵守告知制度,掌握一定的技巧与方法,随时随地、经常有效地履行告知义务.我科从2005年10月以来,对所住院病人从入院告知,疾病护理告知,护理操作告知,出院告知等四方面履行应用的告知程序,取得了较好的效果.     

踝臂血压差值与高龄老人心血管疾病的相关性研究

目的：探讨四肢血压差值，尤其是踝臂血压差值与高龄老年人心血管疾病的相关性。方法：采用四肢血压同步测试仪，将72例80岁以上的高龄老年人按健康与心血管疾病分为5组，用健康组分别与高血压并脑卒中、高血压动脉硬化、冠心病、糖脂代谢紊乱组比较，观察踝臂血压差值与上述四类疾病的相关性。结果：踝臂血压差值与高血压并脑卒中呈负相关；与高血压动脉硬化呈正相关；与冠心病部分相关；与糖脂代谢紊乱无显相关。结论：四肢血压同步测试可作为观察高龄老年人心血管功能状况的一项检测方法，此法方便、快捷、无创，值得推广。     

踝臂血压差值与高龄老人心血管疾病的相关性研究

目的探讨四肢血压差值,尤其是踝臂血压差值与高龄老年人心血管疾病的相关性.方法采用四肢血压同步测试仪,将72例80岁以上的高龄老年人按健康与心血管疾病分为5组,用健康组分别与高血压并脑卒中、高血压动脉硬化、冠心病、糖脂代谢紊乱组比较,观察踝臂血压差值与上述四类疾病的相关性.结果踝臂血压差值与高血压并脑卒中呈负相关;与高血压动脉硬化呈正相关;与冠心病部分相关;与糖脂代谢紊乱无显著相关.结论四肢血压同步测试可作为观察高龄老年人心血管功能状况的一项检测方法,此法方便、快捷、无创,值得推广.