机动卫勤力量护理人员抽组信息平台的设计与实现

目的 ：设计机动卫勤力量护理人员抽组信息平台,为多样化卫勤保障任务下的护理人员抽组提供快捷、高效的技术手段。方法：该平台基于前后端分离模式进行开发,采用浏览器/服务器（Browser/Server,B/S）架构进行分层设计。其中,展示层采用Vue架构开发,应用服务层采用Springboot框架设计,数据访问层采用MyBatis框架实现数据交互,数据资源层采用MySQL数据库存储和管理数据。整个平台包括综合管理、人员抽组和任务管理3个模块。结果：该平台可以实现多样化卫勤保障任务下的护理人员抽组,而且能缩短抽组用时和保证抽组质量。结论：该平台可以提高卫勤力量护理人员抽组效率,为指挥官指挥决策提供了快捷、高效的信息化辅助决策工具。     

基于三层结构的卫勤保障人员管理信息系统设计与实现

目的：把计算机技术应用于军事卫勤任务保障工作中,实现卫勤保障人员管理的信息化与网络化。方法：分析卫勤保障人员信息化管理的需求,采用基于ASP．NET技术的B／S模式三层结构设计方案,运用C#设计语言进行开发。结果：该系统实现了军事卫勤保障人员科学选拔、后期查询统计的功能,完成了信息采集、任务分配、数据反馈、管理决策的全数据链管理过程。结论：该系统实现了卫勤保障人员的信息化管理,提高了卫勤护理保障体制的自动性、高效性与科学性,为做好新形势下信息化网络化的军事任务卫勤保障工作提供了有力保障。     

基于仿真实验的卫勤决策支持系统研发

为提升遂行多样化军事行动卫勤保障能力,针对卫勤组织指挥中的决策问题,设计实现卫勤决策支持系统。为该系统确定卫勤资源可视管理、卫勤仿真实验以及卫勤保障方案制定与评估等功能需求,设计以卫勤数据库和卫勤模型库为核心的系统体系结构,介绍系统实现的三种关键技术。通过该系统在卫勤资源配置等领域的应用,初步验证应用卫勤决策支持系统提升卫勤保障能力的可行性。     

卫勤"平战非"数据库建设

随着军队卫生勤务信息化的发展,军队卫勤机构实时更新的医疗数据呈几何级数上升.海军军医大学卫生勤务学系卫生勤务学教研室,在长达15年的调研与实验中,依托卫勤决策支持实验室,积累大量的卫勤数据.如何管理好、应用好这些日益增加的数据成为亟待解决的问题.针对该问题,卫勤教研室通过卫勤决策支持实验室的大数据平台,将数据归为三大类:"平时"卫勤数据、"战时"卫勤数据以及"非战争"卫勤数据,并根据该分类建成相关的数据库,方便日后管理与应用.根据现有数据,又在三大类下面建立二级目录,共包括14个数据库.利用数据库建设,对这些数据进行挖掘、分析、可视化处理等,为新时期军队卫生勤务工作提供坚实的保障.     

基于卫勤云的海上卫勤保障数据集约化标准化建设研究

未来战争的突发性、多元性、复杂性和残酷性对卫勤保障提出新的要求.为应对未来智能化战争挑战,研究基于人工智能、大数据、云计算等新信息技术,提出卫勤云概念和架构,构建以卫勤云为核心的海上卫勤保障云生态模式,以期为海军卫勤指挥、伤员救治、战斗力评估和资源调度提供高效、可靠、安全、便捷的信息化保障平台.提升海上卫勤保障数据共享共用的能力,跨系统整合卫勤应用服务,为海上卫勤组织指挥以及相关业务提供数据支撑,提高卫勤数据集约化、标准化建设效能.     

卫勤优化决策模拟训练信息管理系统研发

针对信息化条件下某校卫勤指挥训练问题,以某校卫生事业管理专业生长型学员、研究生和继续教育学员为对象,依据全军信息化统一技术体制与数据要求,依托卫勤优化决策模拟训练系统,设计并研发了与之配套的信息管理系统,搜集、储存、分析和整理卫勤指挥决策所需要的各类信息资源,为优化决策方案的制定提供有力的数据支撑。     

卫生列车实车信息化训练平台的设计

目的:设计一款卫生列车实车信息化训练平台,以实现卫生列车医疗队实车全流程训练。方法:该平台基于Oracle 10g数据库、Android 4.2操作系统设计,使用C#语言开发,采用数据采集层、通信层、业务层和综合应用层4层架构。整个平台采用窗口及模块化管理界面进行功能实现,包含卫勤指挥、伤员转运、检伤分类、收容处置和手术管理等模块。结果:利用该平台可准确地识别伤员,缩短检伤分类时间,实现预案训练,提升卫生列车医疗队指挥员组织指挥和预(方)案执行能力。结论:该平台为医疗队提供全流程训练手段的同时,可提升卫勤信息化训练效果及卫勤保障与救治能力。     

战伤数据库系统设计与实现

本文探讨战伤数据库的系统设计、结构、功能及系统实现的关键技术.该数据库由数据录入、数据管理、数据分析、系统维护等模块构成,同时兼顾数据使用及数据资源共享的有关问题.该数据库的开发与应用,有利于平战时伤病员数据的收集与管理、有利于平战时进行战伤数据分析和卫勤决策、有利于教学训练及科研等相关工作.     

空军标准化伤员发生训练系统的设计

目的:设计空军标准化伤员发生训练系统,以迅速部署伤员,训练救护人员面对批量伤员时的救治能力和应变能力。方法:该系统包括标准化伤员管理系统和标准化伤员终端2个部分。其中标准化伤员管理系统基于浏览器/服务器(Browser/Server,B/S)架构设计,采用Java语言开发,包括伤情案例、伤员管理和伤员训练3个模块;标准化伤员终端基于Android Studio集成开发工具设计,采用Java、结构化查询语言(structured query language,SQL)开发。结果:该系统可以为空军卫勤训练提供标准化伤员案例,提高伤员模拟的合理性和科学性。结论:该系统有利于管理标准化伤员数据、快速发生伤员并执行训练任务,为卫勤训练相关研究提供了数据基础。     

战时卫勤信息系统建设总体数据规划研究

本文阐述了战时卫勤数据资源总体规划的含义、目的和意义,并结合战时卫勤信息系统集成开发分析了战时卫勤总体数据规划的具体内容和实施步骤.     

健康公平性概述

健康公平性在国际上得到广泛关注,各国把消除健康不公平作为卫生改革与发展的主要目标。本文就健康公平性的内涵进行梳理,为我国健康公平性内涵和测量研究提供参考。     

The Communication Infrastructure as a Social Determinant of Health: Implications for Health Policymaking and Practice

Policy Points

• Persistent communication inequalities limit racial/ethnic minority access to life‐saving health information and make them more vulnerable to the effects of misinformation.
•  Establishing data collection systems that detect and track acute gaps in the supply and/or access of racial/ethnic minority groups to credible health information is long overdue.
• Public investments and support for minority‐serving media and community outlets are needed to close persistent gaps in access to credible health information.

     

The Impact of Medical Home on Selected Children's Health Outcome

Medical Home practice has been shown to deliver effective health care to children. This practice model calls for providing patient-centered care that is compassionate, culturally effective, coordinated, integrated, safe, of high quality, and accessible. This study shows that children in the states with a higher amount of Medical Home received childhood vaccinations at a higher rate than others. However, Medical Home had a limited effect on the rate of children receiving dental/medical services, mental health services, or number of overweight children.     

Policy Commercializing Nonprofits in Health: The History of a Paradox From the 19th Century to the ACA

Policy Points:

• Health policy in the United States has, for more than a century, simultaneously and paradoxically incentivized the growth as well as the commercialization of nonprofit organizations in the health sector.
• This policy paradox persists during the implementation of the Affordable Care Act of 2010.

Context

For more than a century, policy in the United States has incentivized both expansion in the number and size of tax-exempt nonprofit organizations in the health sector and their commercialization. The implementation of the Affordable Care Act of 2010 (ACA) began yet another chapter in the history of this policy paradox.

Methods

This article explores the origin and persistence of the paradox using what many scholars call “interpretive social science.” This methodology prioritizes history and contingency over formal theory and methods in order to present coherent and plausible narratives of events and explanations for them. These narratives are grounded in documents generated by participants in particular events, as well as conversations with them, observing them in action, and analysis of pertinent secondary sources. The methodology achieves validity and reliability by gathering information from multiple sources and making disciplined judgments about its coherence and correspondence with reality.

Findings

A paradox with deep historical roots persists as a result of consensus about its value for both population health and the revenue of individuals and organizations in the health sector. Participants in this consensus include leaders of governance who have disagreed about many other issues. The paradox persists because of assumptions about the burden of disease and how to address it, as well as about the effects of biomedical science that is translated into professional education, practice, and the organization of services for the prevention, diagnosis, treatment, and management of illness.

Conclusions

The policy paradox that has incentivized the growth and commercialization of nonprofits in the health sector since the late 19th century remains influential in health policy, especially for the allocation of resources. However, aspects of the implementation of the ACA may constrain some of the effects of the paradox.     

Understanding population health terminology

Population health is a relatively new term, with no agreement about whether it refers to a concept of health or a field of study of health determinants. There is debate, sometimes heated, about whether population health and public health are identical or different. Discussions of population health involve many terms, such as outcomes, disparities, determinants, and risk factors, which may be used imprecisely, particularly across different disciplines, such as medicine, epidemiology, economics, and sociology. Nonetheless, thinking and communicating clearly about population health concepts are essential for public and private policymakers to improve the population's health and reduce disparities. This article defines and discusses many of the terms and concepts characterizing this emerging field.     

1994年全国学校卫生现状抽样调查──2000年学校卫生发展战略目标与对策研究之一

全国抽样调查561所城乡中小学校的学校卫生现状。结果表明,我国城乡中小学校的学校卫生现状具有两大特点:其一,学校卫生发展呈现出以经济发达地区城市中学领先、经济欠发达地区乡村小学明显滞后的总态势。其二,学校卫生三个维度发展不平衡,健康环境明显落后于健康服务和健康教育。     

Adolescent Health: Priorities for the Next Millennium

There have been dramatic changes in adolescent health status over the past decade that have resulted from successful interventions. Overall mortality rates are down 14%, and many morbidities have declined. Today we know many of the elements that reduce risk: parental caring and connectedness, parental expectations for school and parent availability all outweigh family structure, ethnicity, and income. Likewise, schools can be extremely protective when young people feel connectedness. Factors associated with successful interventions include: strengthening families; strengthening educational involvement; expanding economic opportunities; and supporting youth development, not just problem reduction. Priorities for the next decade include: establishing resiliency-building interventions; developing positive correlates of negative behaviors; establishing broader multisectorial interdisciplinary teams; and formulating a new, more inclusive framework for adolescent health and development.