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1.
“先看病、后交钱”和组建“医院讨债队”是当今医疗机构“医疗欠费”陋相的两种表现形式。从法律角度揭示分析了“医疗欠费”行为的法律性质,并对预防和治理“医疗欠费”提出了一定的法律措施和建议。  相似文献   

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随着医改的不断推进,医药分开已成为深化医改的共识,其中医疗服务价格的适时调整也提上医改议程。文章按照“总量控制、结构调整、有升有降、逐步到位”的原则,探索通过构建医疗服务成本与价格指数模型,监测、比对二者背离程度,结合医院内部加强成本控制的精细化管理和医保基金的分配情况,提出医疗服务价格动态调整的方法和可行性路径。  相似文献   

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首先对医疗成本项目进行分类标准化处理,统一和规范医疗作业成本项目;在此基础上借助作业成本法,通过对医疗项目的价值分析与优化,达到节约卫生资源,控制医疗成本的目的;最后,通过实例和数学模型证明医疗成本项目标准化核算下的医疗成本控制的有效性。  相似文献   

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??????? 卫生总费用的快速增长已成为困扰世界各国的重要公共管理问题。医疗保险支付方式改革是医疗保险过程中涉及各方经济利益的最直接、最敏感的环节,对控制医疗费用发挥着重要作用。在医院内部探索实施医疗保险混合支付方式,以期能够达到控制医疗费用、保证医疗质量、提高医院医保管理效率的目的。  相似文献   

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目前我国医疗纠纷及伤医事件频发,医疗风险预警及控制机制的不健全、医患沟通不畅及信任危机是造成这种冲突的主要原因。通过对医疗风险预警及控制机制的研究,为政府和医疗机构在减少医疗风险的发生上提供了干预措施和参考依据。  相似文献   

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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。  相似文献   

7.
谈卫生事业单位电算化会计系统中的内部控制   总被引:3,自引:0,他引:3  
袁丽 《生物磁学》2005,5(4):107-108
伴随着科技的发展,电算化会计在各企事业单位中的普及,对内部控制制度的冲击产生了一些新问题,通过分析内部控制现状厦电算化对内部控制的影响,阐述了使其适应发展趋势的几点建议。  相似文献   

8.
总结了德国医院质量管理经验,即明确政府和市场在医疗服务中的职能定位、优化医院支付制度和控制不合理费用、构建内部高效管理机制、促进医院管理层职业化建设和内涵质量持续改进。  相似文献   

9.
随着社会经济的迅速发展,东亚新兴经济体国家和地区的社会福利状况逐渐引起国际社会的重视。东亚新兴经济体在医院改革中,从整合社会化医疗保险项目、控制行业机构、所有制管制、约束专业权力等多个方面入手,调整医疗服务供给体系与政府、患者、医疗保险支付方之间的关系,以及医疗服务供给体系的内部结构和内部关系,为中国的医疗服务改革提供了很多借鉴。  相似文献   

10.
王凤玲 《生物磁学》2005,5(4):87-87
从信息沟通的涉及面和影响范围来看,医疗信息沟通可分为内部沟通和外部沟通两个方面。内部沟通主要是指医院科室内部医务人员之问的工作交流和各科室之间的工作联络;外部沟通是指医护人员与病人间的沟通及医院与社会公众和大众媒体的交流。而从组织层面来看,信息沟通可划分为管理层和操作层两个层面。管理层的信息交流是帮助医院管理人员分析和处理医院内部及环境中的一些重大问题,是为医院的长期发展决策服务的;而操作层的信息交流是针对具体医疗病例而展开的科室内部及科室之间的交流沟通。良好的沟通是我们制订计划,实施计划和事后绩效评估的基础。过去受传统观念和医疗体制方面的影响,医院管理偏重于临床医疗的诊治,侧重于医疗技术层面的管理,而对信息沟通交流重视不够,对信息交流的作用缺乏全面系统的理解。  相似文献   

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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.  相似文献   

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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.  相似文献   

17.
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.  相似文献   

18.
肝癌中HBV和HCV基因和抗原的分布及意义   总被引:1,自引:0,他引:1  
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  相似文献   

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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.  相似文献   

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