上海市浦东新区继续医学教育满意度影响因素分析

目的:探讨浦东新区医务人员对继续医学教育的满意度现况。方法:采用自制调查问卷对浦东新区卫生技术培训中心正在接受继续医学教育的155名学员进行调查。结果:浦东新区继续教育总体满意度为61.2%;教育内容满意度为66.4%,教学形式满意度为57.9%,培训教材满意度为53.9%,授课教师满意度为69.7%,教育时间安排满意度为45.4%。结论:浦东新区继续医学教育总体符合区域医学发展与医学人才培养需求,但教学满意度等方面的问题有待改进与提高。     

医学伦理学教育提高医务人员手卫生依从性的效果评价

目的：通过在医务人员中开展医学伦理学教育,提高医务人员的手卫生依从性。方法：在进行常规的手卫生知识培训的基础 上进行医学伦理学教育的内容,通过对实施培训和教育前后收集到的资料进行统计分析,评价干预的效果。结果：通过干预,医务 人员的手卫生依从性提高,手卫生相关的消耗品使用量增加。结论：医学伦理学教育能够显著提高医务人员的手卫生责任意识, 提高手卫生的依从性。     

BOOK REVIEWS

Book reviewed in this article:
Standard of Care by George J. Annas. New York: Oxford University Press, 1993
Medicine, Money and Morals by Marc A. Rodwin. New York: Oxford University Press, 1993
Medical Ethics Today: Its Practice and Philosophy , British Medical Association. London: BMJ Publishers, 1993
Biomedical Ethics Reviews: 1992 edited by James M. Huber and Robert F. Almeder. Totawa, New Jersey: Humana Press, 1993     

BOOK REVIEWS

Book reviewed in this article:
The Ethics of Reproductive Technology edited by Kenneth D. Alpern. New York and Oxford: Oxford University Press, 1992
Medical Confidentiality and Legal Privilege by Jean V. McHale. London and New York: Routledge, 1993
The Codes of Codes , edited by Daniel J. Kevles and Leroy Hood. Cambridge, MA: Harvard University Press, 1992
The Troubled Dream of Life: Living with Mortality by Daniel Callahan. NY: Simon & Schuster, 1993
International Directory of Bioethics Organizations. Anita L. Nolen and Mary Carrington Coutts, editors. Bioethics Resource Series, Volume 1. Washington, DC: Kennedy Institute of Ethics, Georgetown University, 1993
The Codification of Medical Morality, Volume One: Medical Ethics and Etiquette in the Eighteenth Century , edited by Robert Baker, Dorothy Porter and Roy Porter. Dordrecht: Kluwer, 1993
Pursuing Parenthood: Ethical Issues in Assisted Reproduction by Paul Lauritzen. Bloomington and Indianapolis: Indiana University Press, 1993     

Exploring Medical Anthropology, Medical Anthropology and the World System: A Critical Perspective and Understanding and Applying Medical Anthropology

Exploring Medical Anthropology. Donald Joralemon. Boston: Allyn and Bacon, 1999. xiv+ 158pp.
Medical Anthropology and the World System:. Critical Perspective. Hans A. Baer. Merrill Singer. and Ida Susser. Westport, CT: Bergin and Garvey, 1997. + 276 pp.
Understanding and Applying Medical Anthropology. Peter J. Brown. ed. Mountain View, CA. Mayfield, 1998. xii. 451 pp.     

BOOK REVIEWS

Book Reviewed in this Article:
Economics, Medicine and Health Care by Gavin H. Mooney
Making Choices: Ethics Issues for Health Care Professionals –Challenges of health care rationing and resource allocation, patients'rights, and providers'responsibilities Edited by Emily Friedman
High Technology Medicine: Benefits & Burdens by Bryan Jennett
The Foundations of Justice: Why The Retarded And The Rest Of Us Have Claims to Equality by Robert M. Veatch
Ethics in Nursing, 2nd Edition, by M. Benjamin & J. Curtis
Philosophical Medical Ethics by Raanan Gillon
Life Before Birth: Consensus in Medical Ethics by Kenneth Boyd     

鹤次睾吸虫新种描述（复殖目：后睾科）

１９８７年１０月１５日,在武汉市动物园一只丹顶鹤胆囊中检获复殖目、后睾科、次睾属吸虫１３条。经与本属相近虫种的比较研究定为一新种,并命名为鹤次睾吸虫,新种Ｍｅｔｏｒｃｈｉｓ ｇｒｕｓｉ ｓｐ．ｎｏｖ．。     

BOOK REVIEWS

Special Care: Medical Decisions at the Beginning of Life, by Fred Fronhock
Playing God in the Nursery, by Jeff Lyons
Withholding Treatment From Defective Newborn Children, Joseph E. Magnet and Eike-Henner W. Kluge
Center for Ethics, Medicine and Public Issues Baylor College of Medicine
LAW AND MORALS by Simon Lee. Oxford
The Foetus as Organ donor: Scientific, Social and Ethical Perspectives. By Peter McCullagh
Transplantation Unit The Walter & Eliza Hall Institute of Medical Research     

Environmental medicine

Four theses appear as the focal point of the paper: 1. Variability and specificity of medical protection of the environment, 2. Interdisciplinary character of the medical environment protection, 3. Medical protection of the environment within the powers of the public health services, 4. Medical protection of the environment as a nationwide issue.     

The Differences in Health Care Utilization between Medical Aid and Health Insurance: A Longitudinal Study Using Propensity Score Matching

Study Objectives

Health care utilization has progressively increased, especially among Medical Aid beneficiaries in South Korea. The Medical Aid classifies beneficiaries into two categories, type 1 and 2, on the basis of being incapable (those under 18 or over 65 years of age, or disabled) or capable of working, respectively. Medical Aid has a high possibility for health care utilization due to high coverage level. In South Korea, the national health insurance (NHI) achieved very short time to establish coverage for the entire Korean population. However there there remaine a number of problems to be solved. Therefore, the objective of this study was to investigate the differences in health care utilization between Medical Aid beneficiaries and Health Insurance beneficiaries.

Methods & Design

Data were collected from the Korean Welfare Panel Study from 2008 to 2012 using propensity score matching. Of the 2,316 research subjects, 579 had Medical Aid and 1,737 had health insurance. We also analyzed three dependent variables: days spent in the hospital, number of outpatient visits, and hospitalizations per year. Analysis of variance and longitudinal data analysis were used.

Results

The number of outpatient visits was 1.431 times higher (p<0.0001) in Medical Aid beneficiaries, the number of hospitalizations per year was 1.604 times higher (p<0.0001) in Medical Aid beneficiaries, and the number of days spent in the hospital per year was 1.282 times higher (p<0.268) for Medical Aid beneficiaries than in individuals with Health Insurance. Medical Aid patients had a 0.874 times lower frequency of having an unmet needs due to economic barrier (95% confidence interval: 0.662-1.156).

Conclusions

Health insurance coverage has an impact on health care utilization. More health care utilization among Medical Aid beneficiaries appears to have a high possibility of a moral hazard risk under the Health Insurance program. Therefore, the moral hazard for Medical Aid beneficiaries should be avoided.     

Cultural Psychiatry and Medical Anthropology: An Introduction and Reader

Cultural Psychiatry and Medical Anthropology: An Introduction and Reader. Roland Littlewood and Simon Dein. eds. London: Athlone Press, 2000.398 pp.     

Book Reviews

The Social Fabric of Health: An Introduction to Medical Anthropology. John M. Janzen. New York: McGraw-Hill, 2002. xiv. 313 pp.     

Experiencing the New Genetics: Family and Kinship on the Medical Frontier

Experiencing the New Genetics: Family and Kinship on the Medical Frontier. Kaja Finkler. Philadelphia: University of Pennsylvania Press, 2000. xiv. 277 pp.     

Book review

Book reviewed
Loretta M Kopelman (ed), Building Bioethics: Conversations with Clouser and Friends on Medical Ethics     

BOOK REVIEWS

Book Reviws in this Article
The Misfortunes of Others: End-Stage Renal Disease in the United Kingdom, by Thomas Halper.
Centre for Early Human Development, Monash University
The Caring Imperative in Education, edited by Madeleine Leininger and Jean Watson, New York: National League for Nursing, 1990
Toward a Caring Curriculum: A New Pedagogy for Nursing, by Em Olivia Bevis and Jean Watson, New York: National League for Nursing, 1989
The Ethics of Care and the Ethics of Cure: Synthesis in Chronicity, edited by Jean Watson and Marilyn A.
Human Life and Medical Practice, by J.K. Mason, Edinburgh University Press
Preventing Birth: Contemporary Methods and Related Moral Controversies, by James W. Knight and Joan C. Callahan, Salt Lake City: University of Utah Press, 1989
Social Science Perspectives on Medical Ethics, edited by George Weisz, Dordrecht: Kluwer Academic Publishers, 1990     

A Flourishing Yin: Gender in China's Medical History, 960–1665

. Flourishing Yin: Gender in China's Medical History, 960–1665. Charlotte Furth. Berkeley: University of California Press, 1999. xiv +355 pp.     

Book Reviews

Books reviewed
Carl E. Schneider, The Practice of Autonomy: Patients, Doctors, and Medical Decisions
Scott B. Rae and Paul M. Cox, Bioethics: A Christian Approach in a Plutalist Age     

Medical Anthropology and African American Health.

Medical Anthropology and African American Health. Eric J. Bailey. Westport, CT: Berginand Garvey, 2000.255 pp.     

Bones in the Basement: Postmortem Racism in Nineteenth-Century Medical Training

Bones in the Basement: Postmortem Racism in Nineteenth-Century Medical Training. Robert L. Blakely and Judith M. Harrington. eds. Washington, DC: Smithsonian Institution Press, 1998.380 pp.