医院内部绩效改革对转变运行机制的影响分析

目的 探讨医院内部绩效考核与分配制度改革对医院内部运行机制的影响。方法 建立实施以工作量为基础,以加强质量控制、强化服务对象满意,重视成本控制,同时兼顾管理效率和持续发展能力的绩效考核体系绩效薪酬分配方案。结果 医院各项运行指标及质量指标同比明显提高。结论 内部绩效改革对医院医疗综合质量及服务能力的提升产生了积极的影响。     

信息管理系统在医院绩效考核分配中的应用研究

建立和完善医院内部绩效考核和收入分配制度,坚持公立医院公益性,是深化公立医院改革的一项重要内容;依托医院信息平台,开发建设基于临床数据仓库的智能化医院绩效考核分配信息管理系统,是各医院推进精细化管理所面临的重要课题。本文分析了信息管理系统在国内外医院内部绩效考核中的应用,剖析存在的问题,并提出了相应的建议和对策。     

RBRVS评估系统在医务人员绩效分配中的应用研究

构建科学、合理的绩效考核与薪酬分配制度,符合公立医院改革和医院内部精细化管理的需要。介绍了以资源消耗为基础的相对价值比率（Resource based relative value scale,RBRVS）评估系统及其在医院绩效考核分配中的应用,分析了我国现有医务人员考核分配存在的问题,并提出了相应的建议和对策。     

对医院绩效工资分配导向性制度的思考

通过对医院绩效工资分配中具有代表性的几个导向制度的分析,阐述了医院绩效分配工资分配制度一定要为医院发展服务的观点,并强调了医院在不同的发展阶段要采用不同的绩效工资分配制度的思想。     

公立医院绩效分配制度改革实践探索

根据上海申康医院发展中心《关于市级医院深化内部绩效考核和分配制度改革的指导意见（试行）》,运用平衡计分卡（BSC）、关键绩效指标(KPI)、目标管理法（MBO）等管理工具建立绩效考核指标体系,实施与收支结余脱钩、以绩效考核为依据的的绩效分配制度改革,充分发挥了绩效考核的激励导向作用,有效调动了医务人员的积极性。     

我院开展岗位设置的做法与思考

现今，医院人事制度改革正在稳步地推行中，岗位设置的管理实施是人事制度改革的一项重要的基础性工作，对促进医院人事管理向医院人力资源管理转变具有重要意义。从工作实际出发介绍了医院实施岗位设置的重要性，包括其是医院人事制度改革的要求，是医院收入分配制度改革的要求，是提高医院人才素质的必然结果。同时，对医院在实施岗位设置工作过程中存在的问题、做法进行了有益思考。     

公立医院内部绩效工资分配三阶段测算方法研究

目的 建立适应公立医院改革背景的医院内部绩效工资分配测算方法。方法 监控样本医院内部绩效工资分配的运行情况,梳理绩效工资分配测算方法的短板。进行文献研究、医务人员访谈,分析医务人员反馈意见。对绩效工资分配模拟测算结果进行对比分析。结果 建立了包含基础奖、完成率奖、超额奖的三阶段测算方法,依据科室在各阶段的贡献程度测算绩效工资。三阶段测算方法能有效实现医院控制内部绩效工资分配的效率与公平的平衡,方法运行稳健。结论 三阶段测算方法促进医院改进内部绩效工资分配工作的质量和效率。     

谈工资制度改革与医院薪酬管理

2006年国家对事业单位收入分配制度进行了改革，建立符合事业单位特点、体现岗位绩效的收入分配制度。如何适应新的工资制度变化，提高工资管理水平，使医院薪酬管理能真正吸引、留住优秀人才，提升员工士气，是应该认真思考的问题。从新的工资制度的特点入手，指出医院工资管理中存在的问题，并分析其原因，对医院如何加强工资管理提出建议：健全完善的各项制度，发挥薪酬的激励作用；转变管理的观念，提升薪酬管理的理念；规范内部管理，提高工作质量。     

县级公立医院人才队伍建设存在的问题及路径探讨

新医改背景下,如何引进优秀医学毕业生到县级医院工作,加强对县级医院人才队伍的培养,改革其人事制度,是县级医院亟需解决的问题。县级医院应牢牢抓住新医改中加强基层医疗服务体系建设的机遇,制定科学的人才引进、培养规划,改革人事分配制度,营造尊重知识、尊重人才的良好氛围,走可持续发展之路。     

未来3年专业技术岗位测算分析??????? ——基于首次岗位设置背景

????? 岗位设置是我国公立医院改革的重要内容,是收入分配制度改革的前提和重要基础,也是完善医务人员职称评定制度及实行岗位绩效工资的需要。拟根据有关研究及医院首次岗位设置情况对未来3年岗位需求进行测算和分析,以期为改进岗位设置工作提供借鉴。

     

音乐治疗效应的动物实验研究

近年来国内外关于音乐治疗效应的动物实验研究认为：音乐能影响动物的情绪;音乐还对动物的免疫功能、学习及记忆能力、以及动物的神经系统结构和功能等均有一定影响。该领域的研究有利于深入探索音乐疗法的作用机理。     

Time on task effects on safety

Reviewing the literature on time on task effects on safety shows contradictory evidence, especially with regard to 12 h shifts. It is argued that this might depend on methodological problems associated with the analysis of accident data, e.g. selectivity of samples, validity of data bases and study designs, especially for analyses at the company level. Analyses of aggregated data seem to indicate an exponential increase of accident risk with time on task beyond the normal working day. This is supported by some recent studies based on data from the Federal Republic of Germany.     

Perspectives on hair evolution based on some comparative studies on vertebrate cornification

Hair evolution contributed to the biological success of mammals. Hair origin from synapsid scales is speculative and requires extensive modifications of the morphogenetic process transforming lens-shaped dermis of scales into small dermal papillae in hair. Hair evolution from glands is hypothetical but is supported from studies on the signaling control of hair vs. glandular morphogenesis. Based on immunocytochemical and comparative studies, it is hypothesized that the onion-like organization of hair derived from glandular pegs which central part produced lipids and some keratin. In a following stage, involucrin, trichohyalin, and keratins were produced in the central cells of the gland and formed a solid medulla surrounded by keratinocytes of the inner root sheath. The origin of this protohair was possibly related to increased concentration of beta-catenin and other signaling molecules in epithelial cells following the evolution of a dermal papilla. The latter activated the keratogenic genes, already utilized in cells of the claws, in concentric layers of cells of the glandular peg. Lipidogenic genes were depressed. As new genes evolved in the genome of synapsids, new circular layers of keratinocytes containing specialized hard keratins and keratin-associated proteins were formed around medullary cells. The new keratinocytes probably originated the cortex separating medulla from the external cells that became the inner root sheath. The hypothesis indicates that in a following stage, the medulla was obliterated or replaced by cortical cells while the external part of the cortex formed a cuticular surface due to the different growth rate with inner root sheath cells.     

Studies on Biosynthesis on Biotin by Microorganisms

The accumulation of biotin-vitamers in the culture media of a large number of microorganisms (about 700 strains) was studied. The contents of the biotin-vitamers were quantitatively determined by microbiological assays with Lactobacillus arabinosus and Saccharomyces cerevisiae.

It was found that large amounts of biotin-vitamers were accumulated by various microorganisms such as Streptomyces, molds and bacteria, and that the yield of biotin-vitamers was enhanced by the addition of pimelic acid or azelaic acid to the media. It was also found that the main portion of the vitamers accumulated by many microorganisms did not support the growth of Lactobacillus arabinosus, while it did support that of Saccharomyces cerevisiae. The small amounts of true biotin were observed in the culture media of various Streptomyces and molds, but hardly in the culture media of bacteria.

The identification of biotin-vitamers accumulated by various microorganisms is described, and the distribution of the vitamers in microorganisms is also described.

The results presented in this paper show that the main component of the vitamers accumulated by many microorganisms is identified as desthiobiotin by anion exchange column chromatography, paper chromatography and chemical analysis. Small amounts of fraction B (unidentified vitamers) and Fraction D (biotin) were also detected in the culture media of various molds and Streptomyces. However, these fractions were not observed in the culture media of any bacteria tested.

It was also found that large amounts of an unknown biotin-vitamer was accumulated by various bacteria. The vitamer was avidin-uncombinable, and, from the paper electrophoretic studies, it was assumed that the vitamer might be an analogue of pelargonic acid.