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71.
提高卫生院管理水平改善卫生院服务质量--陕西省项目区卫生服务管理水平分析 总被引:2,自引:0,他引:2
罗忠科 《中国初级卫生保健》2005,19(5):82-83
目的对陕西省世界银行贷款卫生Ⅷ项目利用日本赠款改善乡镇卫生院基本卫生服务情况进行分析。方法采用访谈、参与性评估以及资料复习等。结果项目县的卫生院服务供给状况得到了改善.提高了卫生院管理水平.增强了卫生服务能力,提高了服务效率,特困人口医疗救助(MFA)实施效果得到提高。但是存在配套资金不到位的问题,应加大特困人口医疗救助工作的宣传力度。建议加大项目管理力度,完善项目监督机制,推广示范点经验。 相似文献
72.
温州市农村贫困人群卫生服务需求和利用分析 总被引:2,自引:0,他引:2
通过对近2000份调查表的分析,评价温州市农村贫困人群在就诊过程中对医疗机构的选择、未就诊原因方面的特点,提出提高卫生服务利用的方法。 相似文献
73.
目的 了解饮食服务业从业人员乙型肝炎病毒感染状况。方法 应用ELISA方法对 5 82 4 1名饮食服务业从业人员进行了血清HBsAg、抗 HBc、HBeAg和抗 HBe检测。结果 2 0 0 0~ 2 0 0 4年饮食服务业从业人员血清HBsAg、抗 HBc、HBeAg和抗 HBe总阳性率呈逐年下降趋势 ,依次为 4 .39%、3. 85 %、3. 4 7%、2. 84 %和 2 4 3% ,其差异有统计学意义 (χ2 =88. 4 1,P <0 . 0 1) ,每间隔 1年及其以上的两个年度的阳性率之间的差异均有统计学意义(均P <0. 0 1)。结论 饮食服务业从业人员HBV感染率呈逐年下降趋势。 相似文献
74.
倪虹 《中华医学图书情报杂志》2005,15(6):5-7
在概述了灰色文献的起源、内涵、外延及其他特征的基础上,对各国学者对灰色文献的研究进行了比较分析,对灰色文献的自身价值和社会作用进行了分析评价. 相似文献
75.
开展卫勤指挥员任职培训的教学实践和体会 总被引:1,自引:1,他引:0
近几年来,第二军医大学卫生勤务学系承担了大量卫勤指挥员的任职培训任务.通过几年的理论研究和实践摸索,在教学的组织、管理、实施、保障等方面积累了一些经验,获得了一些具体的体会.我们认为要做好卫勤指挥员的任职培训教学必须明确培训目标,科学制定教学方案,精心安排教学内容,做好施训教员的培训,并在教学中注重合理运用教学方法,特别是要做好下部队调研,切实提高教学实效. 相似文献
76.
M. O. Bachmann M. O'Brien † C. Husbands ‡ A. Shreeve § N. Jones ¶ J. Watson § R. Reading J. Thoburn † M. Mugford the National Evaluation of Children's Trusts Team 《Child: care, health and development》2009,35(2):257-265
Background Poor co‐ordination of services can have severe consequences for disadvantaged children with complex needs. Since 2003 national and local governments in England embarked on sweeping reforms aimed at improving and integrating local health, education and social services for children. These were to be organized locally by children's trusts and piloted by 35 children's trust pathfinders. Methods This study described and compared the experience of integrating children's services in all 35 children's trust pathfinders, covering 20% of children in England. It had a prospective mixed‐methods design. Over 3 years we interviewed 147 managers and professionals working in the children's trusts, including 172 semi‐structured interviews, carried out two questionnaire surveys of the 35 children's trusts and analysed official documents. Results In most areas different agencies jointly commissioned children's services, especially for mental health, disabilities and multi‐purpose children's centres, and increasingly pooled finances. Provision of multi‐agency and multi‐professional services was increasing. Professionals generally supported these changes but found them stressful. All children's trusts appointed directors of children's services and established boards representing multiple agencies. Systems for sharing information about individual children were mostly in place but were still underused. Health services were generally less involved in joint work than were local authorities' education and social care services, with notable exceptions. Areas where local authorities and health authorities shared geographical boundaries made most progress. Some children's trusts made few changes beyond their statutory obligations. Conclusion Children's trusts enabled major changes to services in areas where local actors and organizations were motivated and empowered. In other areas the remit of children's trusts was often too broad and vague to overcome entrenched organizational and professional divisions and interests. Policymakers need to balance facilitation of change in areas with dynamic change agents with methods for ensuring that dormant areas and agencies are not left behind. 相似文献
77.
78.
AIMS: To develop and test the sensitivity and precision of a rapid and simple search filter (RSSF), suitable for busy clinicians wanting to find randomised controlled trials (RCTs) in PubMed. Ideally it should retrieve all the RCTs, but as few irrelevant studies as possible, and be easy to use. METHODS: The RSSF consisted of the search term 'Randomized Controlled Trial' limited to the Publication Type field. Journals that published the highest numbers of diabetes RCTs between 2000 and 2005 were identified, and then handsearched in order define a set of known RCTs. The sensitivity of the RSSF was tested by measuring the proportion of the known RCTs retrieved, and the precision by checking the proportion of the retrieved studies which were RCTs. The RSSF was compared to a highly sensitive search strategy (HSSS) developed for PubMed. Embase was checked for trials not in PubMed. RESULTS: Sixteen journals were found to contain half of all published RCTs in diabetes. 820 diabetes RCTs were identified by handsearching. Measured against these, the RSSF gave a sensitivity of 96.0% (95% CI, 94.8% to 97.1%), and a precision of 93.6% (95% CI 91.7% to 95.0%). Compared to the HSSS, the RSSF reduced the filtering required by 87%. An Embase search for diabetes RCTs found 36 (2.1%) not in PubMed. CONCLUSIONS: A rapid simple search filter for PubMed can find almost all diabetes RCTs, while excluding most studies not required, thereby greatly reducing the time cost of searching and filtering results, and of searching other databases. 相似文献
79.
通过胰岛素抵抗(IR)的主要病理基础、改善IR的单味中药及中药复方或制剂文献的归类整理,提出了中药能更好、更广泛地应用于改善IR,并可取得理想的降糖效果。 相似文献