共查询到20条相似文献,搜索用时 46 毫秒
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2007年,深圳市在全国率先设计并试行了”社区公共卫生服务包”。为给政府制定财政投入政策和拟定人员配备标准提供科学的研究证据,参考了国内外成本核算研究的经验,根据深圳市社区健康服务发展的实际情况,将服务包运行成本分为人力成本和基本支持与保障成本2个部分并分别予以测算。前者通过收集服务流程时间,根据有效工作时间和当地行业人均收入折算成货币成本;后者主要包括管理、培训、业务用房租金、设备折旧、水电与维修费几个部分。结果发现保证社区公共卫生服务包的良好运行,政府只需按一般性财政支出约1%的比例拨付维持经费。 相似文献
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目的 了解当前天津市三甲综合医院门诊患者就诊需求以及对服务的满意度,为天津市医院门诊管理提出可行性参考建议。方法 采用自行设计调查问卷对天津市5所三甲综合医院1 000名门诊患者进行问卷调查。利用SPSS11.5软件包分析处理数据。结果 调查共发放1 000份问卷,有效问卷995份,问卷回收率为99.5%。患者总体满意度较高,其中医生服务态度和门诊环境卫生满意度得分最高,就诊时间和医疗费用的满意度最低。结论 医院管理者应提高医疗服务质量,增强医疗费用合理度,优化就诊流程,完善硬件设施。 相似文献
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目的 依托医院信息化,不断创新医疗服务模式,突破传统服务模式带来的困境。方法 基于自助设备、分诊大屏以及微官网搭建全方位一体化的自助服务平台体系。结果 3种自助服务模块协同发展,互补优缺,实现医疗信息系统集成,构建安全、优质、高效的信息化医疗服务模式。结论 自助服务模式作为传统服务模式的主要补充,有效突破服务困境,减轻工作压力及节省人力投入,在为患者提供高效便捷的服务体验的同时进一步提升医疗服务水平以及医院管理水平。 相似文献
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基于生态绿当量的城市土地利用结构优化——以宁国市为例 总被引:7,自引:0,他引:7
基于生态绿当量的概念,探讨了城市生态用地合理性的生态标准,构建了土地利用结构优化模型。并在此基础上,以安徽省宁国市为例对该研究区不同空间范围下生态用地的结构及其优化方法进行实例分析。分析结果表明:宁国市域和城乡结合部均达到最佳绿地覆盖率的要求,而城区综合绿当量仅为0.66,需要进行用地调整。市域、城乡结合部和城区3个空间范围下的绿容率(GPR)分别为:4.89、4.22和2.77,可见城区绿化结构简单,树种单一,乔木和水体景观缺乏。同时,城区人口密集,但绿地生态系统服务功能较低,人均绿地率(ELP)仅为41.7 hm2/人。由此提出宁国市城区土地利用结构的优化调整方案,通过整个城市中心增绿、外围拓展;路林结合,蓝、绿交融,城乡一体,构筑内外环抱的多功能、多效益、完整的城市发展生态网架,保障城市长远的生态安全,促进良好的城市生态环境的形成。 相似文献
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In experiments on Black Sea skates (Raja clavata), the potential of the receptor epithelium of the ampullae of Lorenzini and spike activity of single nerve fibers connected to them were investigated during electrical and temperature stimulation. Usually the potential within the canal was between 0 and –2 mV, and the input resistance of the ampulla 250–400 k. Heating of the region of the receptor epithelium was accompanied by a negative wave of potential, an increase in input resistance, and inhibition of spike activity. With worsening of the animal's condition the transepithelial potential became positive (up to +10 mV) but the input resistance of the ampulla during stimulation with a positive current was nonlinear in some cases: a regenerative spike of positive polarity appeared in the channel. During heating, the spike response was sometimes reversed in sign. It is suggested that fluctuations of the transepithelial potential and spike responses to temperature stimulation reflect changes in the potential difference on the basal membrane of the receptor cells, which is described by a relationship of the Nernst's or Goldman's equation type.I. P. Pavlov Institute of Physiology, Academy of Sciences of the USSR, Leningrad. I. M. Sechenov, Institute of Evolutionary Physiology and Biochemistry, Academy of Sciences of the USSR, Leningrad. Pacific Institute of Oceanology, Far Eastern Scientific Center, Academy of Sciences of the USSR, Vladivostok. Translated from Neirofiziologiya, Vol. 12, No. 1, pp. 67–74, January–February, 1980. 相似文献
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N. P. Vesselkin Yu. V. Natochin 《Journal of Evolutionary Biochemistry and Physiology》2010,46(6):592-603
Evolution of living organisms is closely connected with evolution of structure of the system of regulations and its mechanisms.
The functional ground of regulations is chemical signalization. As early as in unicellular organisms there is a set of signal
mechanisms providing their life activity and orientation in space and time. Subsequent evolution of ways of chemical signalization
followed the way of development of delivery pathways of chemical signal and development of mechanisms of its regulation. The
mechanism of chemical regulation of the signal interaction is discussed by the example of the specialized system of transduction
of signal from neuron to neuron, of effect of hormone on the epithelial cell and modulation of this effect. These mechanisms
are considered as the most important ways of the fine and precise adaptation of chemical signalization underlying functioning
of physiological systems and organs of the living organism 相似文献
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