水利监理企业多项目管理信息平台设计研究

分析了水利监理企业多项目管理信息化的现状和困难,阐述了加快水利监理企业开展多项目管理信息化的必要性,提出了多项目管理信息平台建设是增强企业核心竞争力和培育企业文化的有效途径,对平台系统架构和功能模块进行了简介,定性分析了平台的实施效果。     

The relevance of personal characteristics in health care rationing: what the Australian public thinks and why

This article examines the preferences of the general public in Australia regarding health care resource allocation. While previous studies have revealed that the public is willing to give priority to particular groups of patients based on their personal characteristics, the present article goes beyond previous efforts in attempting to explain these results. In the present study, there was strong support among respondents for giving “equal priority” to people regardless of their personal characteristics. However, respondents did reveal a preference for married patients over single, for children over adults, for carers of children and the elderly, sole breadwinners, and good community contributors. Further, they would give a lower priority to those perceived as “self-harmers”—smokers, individuals with unhealthy diets, and those who rarely exercise. Variation in the answers according to broad economic and social beliefs across seven different categories (“factors”) influenced the pattern of the public's attitudes towards rationing. The Principal Components Analysis (PCA) indicated that most of the items in our survey are associated with seven factors that explain or capture much of the variation. These relate to a patient's avoidance of self-harm behaviors (Safe Living), their Life Style (diet, exercise, etc.), their contribution to the community through caring for others (Caring), their talents (Gifted), their sexual behavior (Sexuality), their age and marital status (Family), and whether they are an Australian citizen or employed (Citizen). The strength of social preferences—e.g., how strongly respondents would “discriminate” against a recreational drug user or preference a person with a healthy diet—is related to the particular class of preferences.     

Outcomes from use of an evidence-based practice guideline

The aim of evidence-based guidelines is primarily to improve patient outcomes without adding to the existing cost of care because both payers and policymakers want to identify health care costs that do not result in benefit to the patient. The purpose of the reported project was to generate a practice guideline for the treatment of uncomplicated acute cystitis in a female population, to determine the extent to which the guideline would be used by providers and to measure the cost and quality of outcomes from its use. A retrospective chart review was used to gather pre-guideline practice and cost data. Measurements included the type, frequency, and duration of antibiotic therapy and the use of urine cultures and both complications and routine followup visits. The implementation of an outpatient practice guideline resulted in a significant change in antibiotic prescribing and a trend toward a change in ordering cultures and clinic followup. There was also a significant decrease in treatment costs.     

Clinic visit and waiting: patient education and satisfaction

Teaching should be part of every patient's health care. Even though this study did not show that teaching improves patient satisfaction with the clinic visit, it did indicate that subjects who were taught by the nurse were more satisfied with the education received during that visit.$     

积极条文主义：WTO规则与日本新兴贸易战略

一、引子 日本贸易战略在过去十年中最显著的趋势之一很不幸地遭到了大多数观察家的无意忽视或有意掩盖。一方面这是由于学术界和媒体都把注意力集中在日本经济混乱的阴影或其政局的频繁变更之上,而更重要的是因为日本政府至今仍特意地对此事保持低调。 对于这一新兴战略,其核心并不是我们常说的双边争端解决机制与多边争端解决机制的     

策略思维的路线图

在今天这个时代,很少有入敢说策略思维是一件容易的事。在你津津乐道于互联网泡沫之瞬息万变的时候,产品、市场、能力以及竞争活动则正以更快的速度变化着。