国家临床重点专科建设项目绩效管理的探索与思考

国家临床重点专科建设是医院核心竞争力的重要体现,卓越的绩效管理是学科项目建设的有力保障。文章结合吉林大学第一医院开展国家临床重点专科建设的相关工作,分析其项目绩效管理体系的创新实践,为推动医院重点专科管理效力和绩效水平提供借鉴。     

人本管理在医院人力资源管理中的运用

以人本管理理念和马斯洛需求层次论为理论基础,分析了当前医院人力资源管理存在的人本理念缺失、人本向成本妥协,人力资源战略意识欠缺、绩效考核低效欠公正、人才管理缺乏特色、人才激励缺乏凝聚力和向心力等问题,提出以医院员工生存需求和安全需求的满足为人力资源管理的基石,使社交需求和归属需求的满足成为人心凝聚的催化剂,使发展需求和自我实现需求成为人力资源发展规划的方向,利用现代化的信息网络技术建设高效、公正的绩效考核体系,加强医院文化内涵建设满足员工多元化需求的医院人力资源人本管理解决思路。     

医学人文培育在医院文化建设中的作用探析

从现代医学模式发展趋势来看,医患矛盾复杂,主要原因在于人文精神的缺失。因此,医学人文培育在医院文化建设中刻不容缓。医者人文素质的高低,直接影响着医疗服务的质量和患者满意度。强化人文科学建设是医院文化建设的需要,同时也是提高医疗服务质量、改善医患关系、构建和谐医院的需要,是医院实现社会效益和经济效益的双赢。     

公立医院改革与医务人员的主体作用浅析

公立医院改革必须调动医务人员的积极性和参与性。在利益、权力、名誉、人文关怀和满意度测评等影响医务人员积极性的因素中,利益因素处于核心的地位,权力和名誉引导着医务人员的积极性,人文关怀和满意度测评保障了医务人员积极性的发挥。通过利益、权力和名誉等因素的制度化设置,医院医务人员的积极性得到了有效调动,医院发展良性运转,区域内健康保驾护航的作用进一步发挥。

     

人文关怀与高校思政教育实效性研究

人文关怀已经在高校思想政治教育中被明确提出。各高校在思政教育教学中,秉承人文关怀教学理念,展开对学生思政教育的教学。倡导人关怀是提高高校思政教育实效性的有力措施。人文关怀理念下的思政教育更能激发学生学习的主动性和积极性。高校在对大学生展开思政教育中,人文关怀是其必备要素。人文关怀下的思政教育更具有实效性。本文就人文关怀下高校思政教育的实效性进行分析,并研究其必要性以及改善措施。     

医院核心价值观的构建与思考

近年来,群众反映强烈的“看病难、看病贵”、收取红包、开大处方及乱收费等问题日益突显,引起医患关系日趋紧张。虽然存在着种种原因,但医院核心价值观缺失、医学科学人文精神弱化便是其中之一,如何构建起医院核心价值观成了当下一个重要话题。从医院、医院管理层和广大职工三个层面去凝炼医院的核心价值观,阐释构建医院核心价值观的重要意义和途径。     

宁夏区域性医院集团的发展建设和实践

区域性医院集团的建设是国家医改方向之一。依托宁夏医科大学总医院为核心而组建的宁夏医科大学总医院医院集团,是西北贫穷地区进行医改实践和探索的典型案例。文章分别从医院集团建设背景、管理架构、合作模式和总医院职能定位4个方面进行了系统、全面的介绍,希望文章能够为我国区域性医院集团的建设和发展提供经验借鉴。     

基于扎根理论的国内外医院价值观差异研究

目的 了解国内外医院价值观之间的差异。方法 随机抽取300家中国医院和300家国外医院,查询医院的院训和价值观,采用扎根理论的方法进行归纳分析。结果 国内医院最重要的价值观是技术精益求精,国外医院价值观最重要的是对人的尊重;国外医院价值观中,反思性实践、自我实现、行业领导、资源意识、赋权增能、专业主义、接纳包容、保护人权、积极乐观、差异化服务、工作生活平衡这11个因子在中国医院价值观中未见相似表述;国内医院价值观包括内部要求一个维度,国外医院价值观包含内部要求、外部竞争和以人为本三个维度。结论 国内外医院价值观存在差异,国内医院有必要在组织层面加强对外竞争和以人为本价值观的建设。     

我国医院文化建设及其相关作用

医院精神文化是医院文化的核心,而精神文化的关键是医院经营的基本信念,即医院的价值观。我国已有一些有关医院价值观、医院文化作用的研究,但较大样本、跨地区的、定量研究不足,一些研究分析可能存在聚集性偏倚。为了有利于构建我国医院良好的价值观和医院文化,提高病人和员工医院的满意度,有必要在我国开展更系统的有关医院价值观的实证研究,分析医院文化的作用。     

《妇产科护理学》教学中融人文关怀理念的探讨

目的:在高职《妇产科护理学》教学中融入人文关怀理念,探讨护生人文关怀能力提高的方法。方法:随机选取我校2012级护生146名将,其分为对照组和实验组各73名;对照组采用传统讲授教学法,实验组采用融人文关怀理念于教学中的多种教学法相结合;所有学生实验前后均填写人文关怀能力评价量表。结果:1.实验前,两组的人文关怀能力得分无统计学差异,P〉0.05。2.实验后,实验组人文关怀能力得分高于对照组,差异有统计学意义(P0.05)。结论:《妇产科护理学》的教学融人文关怀理念有利于提高护生的人文关怀能力。     

Recent advances in the study of Kaposi's sarcoma-associated herpesvirus replication and pathogenesis

It has now been over twenty years since a novel herpesviral genome was identified in Kaposi's sarcoma biopsies. Since then, the cumulative research effort by molecular biologists, virologists, clinicians, and epidemiologists alike has led to the extensive characterization of this tumor virus, Kaposi's sarcoma-associated herpesvirus(KSHV; also known as human herpesvirus 8(HHV-8)), and its associated diseases. Here we review the current knowledge of KSHV biology and pathogenesis, with a particular emphasis on new and exciting advances in the field of epigenetics. We also discuss the development and practicality of various cell culture and animal model systems to study KSHV replication and pathogenesis.     

The structure, reproduction and taxonomy of Vidalia and Osmundaria (Rhodophyta, Rhodomelaceae)

Comprises species occurring mostly in subtidal habitats in tropical, subtropical and warm-temperate areas of the world. An analysis of the type species, V. spiralis (Sonder) Lamouroux ex J. Agardh, a species from Australia, establishes basic characters for distinguishing species in the genus. These characters are (1) branching patterns of thalli, (2) flat blades that may be spiralled on their axis, (3) width of the blade, (4) primary or secondary derivation of sterile and fertile branchlets and (5) position of sterile and fertile branchlets on the thalli. Application of the latter two characters provides an important basic method for separation of species into three major groups. Osmundaria , a genus known only in southern Australia, was studied in relation to Vidalia , and its separation from the Vidalia assemblage is not accepted. Species of Vidalia therefore are transferred to the older genus name, Osmundaria. Two new species, Osmundaria papenfussii and Osmundaria oliveae are described from Natal. Confusion in the usage of the epithet, Vidalia fimbriala Brown ex Turner has been clarified, and Vidalia gregaria Falkenberg, described as an epiphyte on Osmundaria pro/ifera Lamouroux, is revealed to be young branches of the host, Osmundaria prolifera.     

New or rare chromosome counts in Artemisia L. (Asteraceae, Anthemideae) and related genera from Kazakhstan

Fifteen chromosome counts of six Artemisia taxa and one species of each of the genera Brachanthemum, Hippolytia, Kaschgaria, Lepidolopsis and Turaniphytum are reported from Kazakhstan. Three of them are new reports, two are not consistent with previous counts and the remainder are confirmations of very scarce (one to four) earlier records. All the populations studied have the same basic chromosome number, x = 9, with ploidy levels ranging from 2x to 6x. Some correlations between ploidy level, morphological characters and distribution are noted.     

肝癌中HBV和HCV基因和抗原的分布及意义

采用原位分子杂交方法检测HCV RNA及HBV X基因;采用免疫组织化学方法研究HCV核心抗原,非结构区C33c抗原及HBxAg在肝细胞肝癌中的定位及分布.结果表明(1)HCV RNA、HBV X基因在肝细胞肝癌组织检出率分别为40%(55/136)和82%(112/136).HCV RNA定位于癌细胞的胞浆内,阳性细胞呈散在、灶状及弥漫分布三种形式;HBV X基因在肝癌细胞中的分布呈胞浆型、核型及核浆型,阳性细胞也呈上述三种分布形式;(2)HCV C33c抗原、核心抗原在肝细胞肝癌中的阳性率为81%(133/164)及86%(141/164).C33c抗原定位于癌细胞及肝细胞的胞浆内;核心抗原既定位于癌细胞核中,又可定位于胞浆中.C33c抗原阳性细胞以灶状分布为主;而核心抗原阳性细     

Selection with two alleles and complete dominance

For a plant selection model with frequency-independent viabilities, fertilities and selfing rates, it is shown that apart from global fixation, for certain parameter combinations a protected polymorphism and facultative fixation (either allele may become fixed according to initial frequencies) may both occur. Facultative fixation requires different selling rates for the dominant and recessive type. Protection of the polymorphism requires resource allocation for male and female function. In this connection the problem of purely genetically caused population extinction is discussed.
For general frequency dependence and regular segregation, the chances for establishment of a completely recessive gene are compared to those of a completely dominant gene. It is proven that the process of establishment of the recessive gene, despite a fitness advantage, may be considerably endangered by drift effects if random mating prevails. The recessive gene may reach the same effectivity in establishment as a dominant gene, only if the recessive homozygote mates exclusively with its own type during the period of establishment.