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近些年来,医患关系逐渐成为人们高度重视的社会热点问题.虽然从整体上看我国医患关系较为和谐,然而医疗过程中依然存在诸多问题,使得医患关系呈现紧张状态.究其原因,医患关系紧张是有多方面因素造成的. 相似文献
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随着医疗改革中医院不完全市场化的深入,日益紧张的医患关系备受瞩目。医生发生职业倦怠与否会直接影响医患关系,而减少医生的职业倦怠是改善医患关系最直接的途径。本文从医患关系的视角分析了医生职业倦怠的原因,并有针对性地提出相关对策及建议。 相似文献
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近年来,中国医患关系日趋紧张,医疗纠纷频发,医疗暴力事件层出不穷,这己经成为当前医疗服务中一个十分突出的问题,也成为影响和谐社会构建的重要不良因素。实现医患和谐已经刻不容缓。本文运用公共管理学中的管理沟通和医患沟通相关理论作为支撑,对医患沟通不良的原因进行了分析,同时对医患之间进行有效沟通的方法及意义进行了研究,得出医患有效沟通对改善医患关系的积极意义,探索实现医患关系和谐融洽的建议和对策。 相似文献
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《价值工程》2015,(32):187-188
目的:探讨集束化护理在重症加强护理病房(Intensive Care Unit,ICU)综合征患者中的应用。方法:全部患者根据ICU综合征发病和不发病分两组比较一般资料,然后进行多因素Logistic回归分析确定危险因素。根据危险因素制定合理的集束化护理措施。比较集束化护理前后患者的ICDSC评分,分析护理效果。结果:高年龄(60岁以上)、ICU病房时间过久(12天以上)、对ICU综合征的了解程度、付费方式和医患交流效果这五个因素是ICU综合征发生的危险因素。使用集束化护理后的患者在ICDSC评分上有明显好转,护理后第5天比护理前的差别P<0.05有统计学意义。结论:集束化护理在ICU综合征患者中的应用取得了不错的效果,这种措施值得进一步推广使用。 相似文献
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“看病难、看病贵”是我国医改长期关注及亟待解决的问题,其中一重要原因就是过度医疗现象的发生。本文从过度医疗的基本概念入手,针对过度医疗这一特殊侵权行为,结合《侵权责任法》中过度医疗符合侵权责任的归责原则和过程要件,对建立与过度医疗相适应的鉴定制度提出合理构想,缓解医患双方矛盾,构建和谐医患关系,推动我国医疗卫生事业的良性发展。 相似文献
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近年来,伴随我国医疗卫生事业的发展,人民群众自我健康意识的加强,医疗服务无法与实际需求相适应,日趋紧张的医患关系,矛盾频发的医患纠纷不仅令病患及其家属不满意,在紧张的医患关系中,医院正常秩序也受到严重干扰,医疗环境逐步恶化。本文就医患关系现状、影响因素等进行了分析,并提出相应的改善医患关系对策。 相似文献
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当前,医疗费用已经成为我国最受关注的社会问题之一。医疗费用不合理上升在给政府财政和人民带来沉重的经济负担的同时,也造成社会医疗资源的巨大浪费。在医疗市场中,医患双方信息不对称是其最大的特点。信息不对称是指在市场交易中双方拥有的信息不同,继而会导致道德风险和逆向选择的发生。由于逐利性,医患双方各自利用自己的信息优势为自己谋取私利,导致出现医生诱导需求、患者道德风险以及医患合谋等行为,这是近年来我国医疗费用上升过快最根本的原因。从信息不对称的视角研究医疗费用的不合理上升问题,剖析医疗服务过程中的信息不对称现象,可以为下一步合理控制医疗费用和制定医疗服务市场管理制度提供理论依据。 相似文献
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目的:探讨风险管理在胸外科围术期护理中的效果。方法:选取胸外科手术患者100例作为研究对象,分为两组。对照组不采取风险管理;观察组采取风险管理,分析护理风险因素及提出相应的风险防范措施。结果:与风险管理前相比较,经过风险管理后,围术期,患者的并发症发生率、输液反应及患者对护理工作的满意度均优于风险管理前,存在显著性差异,有统计学意义(P<0.05)。 相似文献
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Moinak Maiti 《Journal of economic surveys》2020,34(1):175-184
The purpose of this work is to critically evaluate the evolution of risk factors and factor models. A systematic and structured literature review is carried out to observe and understand the past trends and extant patterns/themes in the present research area, evaluate contributions and summarize knowledge, thereby identifying limitations, implications and potential directions of further research. The main message from the study is that evolution of risk factors and factor models are continuous and endless development. Still today over 300 risk factors are identified by the researchers and many other yet to be discovered but out of them all only few are significantly responsible in explaining the stock markets risk return relationship. Study classifies risk factors into two groups: global and specific risk factors. Study answer the question ‘whether evolution of risk factors and factor models are endless development’. Finally, the present study gives an appropriate direction to the future studies to be taken in terms of risk factors and factor models. Due to continuous evolution and changing of nature of the risk factor it seems quite impossible to have a stable efficient factor models that can explain stock market risk return relationship globally in long run. 相似文献
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《International Journal of Forecasting》2019,35(2):659-666
Should we screen the population routinely for the presence of breast or prostatic cancer? This simple proposition masks a landscape of complexities, including the economics of screening, the prevalence and probability of the disease, desired frequencies of intervention and a willingness to adopt preventive screening. These ‘risk factors’ form part of a broader landscape of uncertainty that characterises the intricacies of clinical decision-making. Deepening our understanding of the way in which clinicians evaluate risk and uncertainty requires a framing of insights into language, communication, psychology and epistemology. This paper explores perspectives in forecasting and uncertainty as a basis for understanding individuals’ perceptions of risk when assessing their options in both preventative and curative medicine. At the heart of the issue is the prevalence of diagnostic error; this paper argues for the use of systematised approaches to medical error management and inclusive approaches to research in the field. The advantages of augmenting the management of unforeseen consequences through an improved understanding of the issues that are of concern to patients, carers, and medical practitioners alike forms a key construct in this paper. We conclude with an exploration of potential opportunities for improvements in medical practice: changes that may reduce the disbenefits of uncertainty and enhance the management of the general risks associated with clinical decision-making. 相似文献
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桥梁工程施工作业技术复杂、安全风险比较高、安全事故发生率较高,是一项非常复杂的系统工作。HSE管理的核心是风险管理,它体现了源头治理、事故预防的系统风险控制思想。文章通过全面分析桥梁施工阶段潜在的HSE风险因素,并对其进行评价与分析,从而对桥梁施工HSE风险管理的过程进行了探讨。 相似文献
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This paper presents a dynamic portfolio credit model following the regulatory framework, using macroeconomic and latent risk factors to predict the aggregate loan portfolio loss in a banking system. The latent risk factors have three levels: global across the entire banking system, parent-sectoral for the intermediate loan sectors and sector-specific for the individual loan sectors. The aggregate credit loss distribution of the banking system over a risk horizon is generated by Monte Carlo simulation, and a quantile estimator is used to produce the aggregate risk measure and economic capital. The risk contributions of the individual sectors and risk factors are measured by combining the Hoeffding decomposition with the Euler capital allocation rule. For the U.S. banking system, we find that the real GDP growth rate, the global and sector-wide frailty risk factors and their spillovers significantly affect loan defaults, and the impacts of the frailty factors are not only economy-wide but also sector-specific. We also find that the frailty risk factors make more significant risk contributions to the aggregate portfolio risk than the macroeconomic factors, while the macroeconomic factors help to improve the accuracy and efficiency of the credit risk forecasts. 相似文献
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本文通过对普外科日常临床护理工作中存在的护理安全隐患进行综合分析,有针对性地制定常见护理安全隐患的防范措施,通过培训考核等方式强化护理工作人员的护理安全意识,减少和避免护理风险的发生,提高护理质量,为患者提供优质的护理服务,提高患者的满意度。 相似文献