论医患关系的合同性质

患者对于本身疾病大多不知病因为何，甚至有所误认。因此，只要患者将疾病的症状让医师了解，即可以认为患者已提出要约，其内容为概括性地请求医师根据患者主诉的症状加以诊断和治疗。医方为患者挂号即是承诺。     

疾病控制中心财务管理与分析

一、疾病控制中心财务管理现状在疾病控制中心的财务管理过程当中,主要就是对疾病控制中所涉及的医疗、就诊、药品的进、出账等方面的管理统计,作为国家医疗系统的一个特殊存在,疾病控制中心的很多的治疗项目都是公益性质的,免去了患者的医疗和药品费用,给患者带来了很大的便利。     

慢性咳嗽引起的常见疾病及诊治

咳嗽常常被认为是一种保护性反射,是临床上患者就诊最常见的症状,很多疾病都可以引起咳嗽,慢性咳嗽的正确诊治可以使疾病得到更好的治疗.     

实行优质护理服务 提高急诊患者满意度

随着生活水平的不断提高,人们对疾病的认识不断改变,不仅要求就诊时能得到疾病的治疗,更希望得到相关知识的指导。因此,广西中医学大学第一附属医院急诊科实行优质护理服务,通过实施健康教育、心理护理及提高修养等活动,患者对护理工作的满意度明显提高,缩短了护患之间的距离,使急诊患者的治疗顺利开展,护理质量得到了提高。笔者结合临床实践就如何实行优质护理服务,提高急诊患者满意度进行探讨。     

实行优质护理服务提高急诊患者满意度

随着生活水平的不断提高,人们对疾病的认识不断改变,不仅要求就诊时能得到疾病的治疗,更希望得到相关知识的指导.因此,广西中医学大学第一附属医院急诊科实行优质护理服务,通过实施健康教育、心理护理及提高修养等活动,患者对护理工作的满意度明显提高,缩短了护患之间的距离,使急诊患者的治疗顺利开展,护理质量得到了提高.笔者结合临床实践就如何实行优质护理服务,提高急诊患者满意度进行探讨.     

心身治疗促人本医学发展

躯体的治愈并不能令患者得到完全的健康,心身的整体健康才是医本之源。近年来,北京市丰台区铁营医院(下称"铁营医院")的治愈率不断攀升,患者满意度也越来越高,铁营医院院长孙培云表示:"这都源于心身医学的发展。"由于很多心理及社会因素所产生的疾病均是以躯体化形式呈现,单纯治疗患者的躯体疾病,很难使疾病达到根本治愈。作为二级医院,没有三级医院人满为患的门诊量,有足够的时间筛查患者,又超越了社区医院的医疗技术,能有效在各科室开展心身医学的介入,严格把控医疗质量。"由于患者对心身疾病不了解及病耻感等原因,很多心身疾病的患者会首先到我们这样的二级医院就诊。如能有效识别和治疗这部分患者,将极大地减轻三级医院的诊疗负担。"孙培云如是说。     

怎样预防癌症

预防恶性肿瘤包括去除病因、早期发现、合理治疗三部分内容。在肿瘤流行病学及病因学的基础上,减少或避免致病因素的作用,治疗癌前疾病,提高诊断治疗水平,降低死亡率,提高患者生     

一例闭合性骨折并发健侧下肢深静脉血栓的护理体会

静脉血栓是静脉血液在血管内不正常的凝结引发的疾病,一旦发生,不仅给患者及家属带来精神上的痛苦和经济上的负担,甚至会造成患者生命危险。早期预防、及时发现、积极治疗至关重要。     

落实优质护理提高呼吸内科护理质量

呼吸内科以慢性阻塞性肺疾病、上呼吸道感染、支气管哮喘等疾病为主,患者病情变化快,症状剧烈,护士要在患者治疗的同时对其进行护理干预,以缓解其症状,避免出现并发症。优质护理关注患者的实际护理需求,对常规护理的措施进行改进,可以提高护理质量,促进患者尽快恢复。本文分析了优质护理在呼吸内科的应用,阐述其对于提高呼吸内科护理质量的效果。     

浅谈标准预防在急诊抢救中的运用

急诊科是抢救患者生命的地方,为了防止疾病进一步恶化会采取一些紧急治疗措施。本文是笔者根据多年工作经验,总结在急诊科抢救时的预防措施。     

Promoting shared health care decision making using the analytic hierarchy process

Recent developments in medical technology and bioethics have led to a shift in the traditional framework of physician–patient responsibility in health care decision making. Patients are increasingly participating in serious health care decisions, resulting in a “shared decision-making model“ that both patients and their doctors agree is a significant improvement over the traditional system in which a doctor served as the primary decision maker. However, patients are finding they need to develop strategies that allow them to understand and evaluate their health care options in a clear manner. T.L. Saaty’s “Analytic Hierarchy Process” (AHP) is a decision methodology that has been successfully applied to a wide variety of situations and has great potential as a methodology for improved shared health care decision making. This paper reports the results of an experimental use of AHP as a tool to facilitate shared decision making for two specific health care populations. Both groups of patients were deciding amongst their options in terms of two important elective health care procedures: estrogen replacement therapy and cosmetic eyelid surgery. After using AHP, the majority of both patients and physicians agreed that this technique improved physician–patient communication, thus greatly assisting shared health care decisions. When considering other criteria in addition to physician–patient communication, including the entire physician–patient relationship, the patients felt that AHP was preferable to the conventional doctor-patient mode of decision making.     

实施微笑服务打造输液室护理品牌

目的:实施微笑服务,提高护理水平,打造护理品牌。方法:改善输液室环境、体现人性化护理、建设品牌的护理团队、从细节入手、从点点滴滴入手,让患者感动,打造品牌服务。结果:患者满意度100%.团队凝聚力增加,护理质量得到了持续改进。结论:从以上几个方面实施微笑护理品牌服务,建设了一整套可推广的输液室护理模式。     

辽宁省智慧养老现状及对策分析

随着辽宁省老龄化问题的加剧及老年人口的增加,需要将各种现代化手段作为辅助,提供智慧养老服务。辽宁省智慧养老已初具规模,但是仍有上升空间,同时存在一定的问题。论文针对辽宁省智慧养的现状和问题进行分析,提出了可行的对策建议。     

A healthy bottom line and quality patient care: can they coexist?

In summary, it is the writer's opinion that a healthy bottom line and quality patient care can coexist. With today's economic pressures and with more and tighter controls and regulations being imposed by the government and regulatory agencies, providers (especially hospitals) need to be cost efficient and cost effective. Will the cost-containment measures necessary to maintain a healthy bottom line reduce the quality of patient care? They needn't. In point, such measures might actually increase the quality of care by avoiding wasteful clinical practices. Quality patient care comprises three basic elements: value, service, and compassion. To omit any one of these ingredients is to remove the quality from patient care. Should this happen, no cost-containment measure will be enough to sustain a hospital. Financial accountability is essential; quality care is imperative. Blended together thoroughly, they are the recipe to survival--for the hospital and for the patient.     

新形势下我国城市养老模式的思考

随着人口老龄化速度的加快,如何科学、妥善的解决好数量日益庞大的老年人的养老问题是国家及社会必须面对的现实问题。文章从我们国家传统的家庭养老模式和已经初步建立的并具有一定规模的居家养老模式和机构养老模式入手,分析了不同的养老模式的现实意义及存在的不足,提出了解决这些问题的思路和方法。     

Nursing,bedside care,and the organization of expert knowledge: Professional work as agencement

Professional work such as nursing has traditionally been examined as being localized in the individual’s body where professional know-how and skills are residing in the cognitive faculties and in embodied action. Contrary to such a view, the concept of agencement, recently used in the social study of finance, underlines that agency is in the contemporary technoscientifically determined times of necessity distributed and includes a variety of tempospatially distributed resources. Reporting a study nursing work in a leukemia ward in a Swedish regional hospital, it is demonstrated that the conventional view of nursing as primarily being bedside care is only accommodating a subset of the totality of the nurses’ work. In addition to face-to-face care and patient interaction, nursing work is the mobilization of a great number of actors with different domains of expertise to safeguard the health care status of the patient. Speaking of nursing work as agencement is opening up for alternative and more accurate understandings of nursing work in an increasingly technologically determined health care system.     

护理管理在小儿康复病房中的作用分析

目的:探讨护理管理在小儿康复病房中的作用并进行分析。方法:调查我院2010年3月起开展系统护理管理以来160例小儿康复患者的满意程度。结果:通过对系统管理的实施,发现在这160例患者当中,不曾出现一例纠纷问题,同时在患者出院后,病患家属的满意程度也达到93.75%,满意人数达150例。结论:系统护理的实施具备很大的优势,同时还让护理病房得到了全面的、系统的,以及详细的管理方法,从而将护理人员的工作热情和护理技术提高了上去,降低风险几率。     

Social identification: linking high performance work systems,psychological empowerment and patient care

This paper examines the mediating effects of social identification on the relationship between high performance work systems (HPWS) and psychological empowerment and the direct relationship between psychological empowerment and clinician perceptions of quality of patient care. We use structural equation modelling on a sample of 254 health professionals from a large regional hospital in Australia. Results demonstrate, first, a strong effect of HPWS on social identification. Second, social identification mediates the relationship between HPWS and psychological empowerment and, third, psychological empowerment has a strong effect on clinician perceptions of quality of patient care. Implications are drawn for management theory and hospital managers.     

NICU护理安全管理中护理标识的应用及效果

目的:探讨护理标识在护理服务中应用的效果,以保障患者的安全。方法:制定统一、醒目的护理标识,在护理服务过程中规范、有针对性地使用护理标识、同时将护理标识作为护理质量考核的重要内容。结果:应用护理标识,护理人员风险意识增强,患者对护理工作的满意度提高,不良事件明显减少。结论:护理标识的应用,有效控制了护理不良事件的发生,确保了护理安全。