共查询到19条相似文献,搜索用时 62 毫秒
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目的 探索肺癌的基于临床路径的多学科协作诊疗模式。 方法 建立肺癌相关的临床路径知识库和多学科综合治疗讨论制度。 结果 共有8 532例肺癌患者通过多学科协作肺癌诊治模式进行诊治,综合讨论率达到95%以上。医疗业务相关指标均有所进步,2013年平均住院日由2012年的6天减少为5.4天,肺癌手术治疗、化疗、放疗患者的平均住院费用均下降,肺癌肺叶切除术后致命性血栓比率由0.93%减少到0.16%。结论 肺癌患者的多学科协作诊疗模式是提高诊疗水平、规范诊疗流程的重要途径,对于提高医疗质量、降低医疗费用、缩短住院日具有重要作用。 相似文献
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目的 探讨专家门诊亚专科化及专病门诊优化对学科发展及患者就诊的影响。方法 2011年及2014年分别对老年医学科及普通外科专家门诊实行亚专科化并在2013年至2014年对专病门诊进行优化,比较调整前后门诊相关指标的变化。结果 亚专科化后,两个专科的专家门诊量分别增长了63.0%和5.6%,均高于医院同期平均水平(经χ2检验,P=0.000)。普通外科4级手术率达34.9%,高于2013年同期(经χ2检验,P=0.000),挂号错误率也明显下降(经χ2检验, P=0.000)。2014年底专病门诊增至38个,其中联合专病门诊7个,门诊量增长了36.5%,高于同期专病门诊数量及医院门诊量的增长率(经χ2检验,P=0.000)。结论 专家门诊的亚专科化及充分发挥专病门诊的作用是促进学科建设、提升医院影响力、方便患者就诊的有效措施之一。 相似文献
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Nathalie Pettorelli Kamran Safi Woody Turner 《Philosophical transactions of the Royal Society of London. Series B, Biological sciences》2014,369(1643)
Assessing and predicting ecosystem responses to global environmental change and its impacts on human well-being are high priority targets for the scientific community. The potential for synergies between remote sensing science and ecology, especially satellite remote sensing and conservation biology, has been highlighted by many in the past. Yet, the two research communities have only recently begun to coordinate their agendas. Such synchronization is the key to improving the potential for satellite data effectively to support future environmental management decision-making processes. With this themed issue, we aim to illustrate how integrating remote sensing into ecological research promotes a better understanding of the mechanisms shaping current changes in biodiversity patterns and improves conservation efforts. Added benefits include fostering innovation, generating new research directions in both disciplines and the development of new satellite remote sensing products. 相似文献
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KATHERINE A. HALMI 《World psychiatry》2009,8(3):150-155
Eating disorders are challenging and difficult to treat, because of the necessity of a multidisciplinary treatment team for effective outcomes and the high mortality rate of anorexia nervosa. An adequate initial assessment and evaluation requires a psychiatric assessment, a medical history and medical examination, a social history and an interview of family members or collateral informants. A comprehensive eating disorder treatment team includes a psychiatrist coordinating the treatment and appropriate medical physician specialists, nutritionists, and psychotherapists. An adequate outpatient eating disorder clinic needs to provide individual psychotherapy with cognitive behavioral techniques specific for anorexia nervosa and bulimia nervosa, family therapy, pharmacological treatment and the resources to obtain appropriate laboratory tests. Eating disorder patients requiring inpatient care are best treated in a specialized eating disorder inpatient unit. A cognitive behavioral framework is most useful for the overall unit milieu. Medical management and nutritional rehabilitation are the primary goals for inpatient treatment. Various group therapies can cover common core eating disorder psychopathology problems and dialectical behavior therapy groups can be useful for managing emotional dysregulation. Residential, partial hospitalization and day treatment programs are useful for transitioning patients from an inpatient program or for patients needing some monitoring. In these programs, at least one structured meal is advisable as well as nutritional counseling, group therapy or individual counseling sessions. Group therapies usually address issues such as social skills training, social anxiety, body image distortion or maturity fears. Unfortunately there is s paucity of evidence based randomized control trials to recommend the salient components for a comprehensive service for eating disorders. Experienced eating disorder clinicians have come to the conclusion that a multidisciplinary team approach provides the most effective treatment. 相似文献
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目的 通过历史流量数据及流量监测系统,对医院门诊流量情况进行分析,为门诊人力资源合理分配提供依据。 方法 应用时间序列数据季节指数分析法对医院历史门诊流量数据按月份、周和每日不同时间段流量进行分析,并对流量监测系统的历史数据进行统计分析。 结果 门诊流量3、5、7、11、12月份较大,1、2月份较少;一周中周一至周三流量较大,周四、周五流量较少;一天中早上8:00~10:00流量较大,呈明显就诊高峰,下午14:00~16:00为就诊低峰。 结论 医院门诊流量在一年的不同月份、每周的不同天次、每日的不同时间段都有不同的变化规律。 相似文献
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