上海市公立医院病人满意度状况和影响因素研究

通过病人满意度问卷调查,对上海市公立医院的门诊病人满意度和住院病人满意度进行了分析。调查结果显示,上海市公立医院病人满意度总体较高,且比上一年度有所提升,但三级专科医院的医疗服务质量相对较低。建议改进医院门诊服务流程、注重诊疗过程中的隐私保护,建立公立医院分级诊疗制度,进一步改善医疗服务质量。

     

公立医院医疗服务质量病人满意度测评量表研究

以Carey等研制的医疗服务质量监测量表为基础,通过专家咨询和病人问卷调查,构建了符合上海市公立医院医疗服务质量实际状况的病人满意度测评量表。分析显示,医疗服务质量病人满意度测评量表具有较好的结构效度、内部信度,并弥补了上海市现有医疗机构医疗服务质量病人满意度测评工具的不足,对上海市公立医院改善服务质量和卫生行政部门加强服务质量监管提供了有价值的信息。     

以人为本在门诊护理中的应用

门诊是医院的一个重要部门和窗口。门诊的护理面广,病人流量大,服务周期短,其服务质量如何不仅在某种程度上体现和反映医院的综合水平,也是给病人直观的第一印象。门诊导诊、分诊是门诊服务的重要环节,它直接影响门诊医疗服务质量,对提高医院的信誉和社会认知具有重要的意义。     

公立医院多学科整合门诊服务模式的实践探索

通过对某公立医院门诊开展多学科整合研究的管理服务实践,及患者满意度调查分析,提出提高医院门诊服务水平、优化学科建设、建立整合门诊同绩效考核评价之间关联等建议,旨在进一步创新医疗试点改革服务。     

上海市不同治理模式公立医院的运营状况分析

通过调查和现有资料收集,分析了目前上海市公立医院3种治理模式的运营状况,指出了对公立医院不同治理模式运营状况评价的必要性,揭示了公立医院不同治理模式下的医院运营状况,提出了公立医院治理结构改革应关注于治理要素有用的原则。

     

新疆地区综合型医院门诊医疗服务品质评价指标体系的构建和应用

综合型医院门诊医疗服务品质是新医改时期医疗机构建设与发展的全新课题,而科学、合理地评价医疗机构的服务品质对推进医院自身建设和发展均具有重要意义。研究采用理论研究与实证分析相结合的研究方法,试图构建一套符合新疆地区民情,体现病人需要与期望的、可信而有效的综合型医院门诊服务品质测评指标体系,为医院医疗服务质量的评价与改善提供客观的测量工具,以便于掌握和分析不同类型患者对医疗机构的服务需求。     

基于门诊多类型就诊卡模式的数字化医院建设探讨

提出并实现了基于“三卡通”(医保卡、就诊卡、银行借记卡)支付的医院门诊就医新模式,从而进一步改善门诊就医环境,便捷就医流程,缓解群众“就医难”的问题,提升医院的财务管理水平和医疗服务质量,推进数字化医院建设。     

基于患者体验的医疗服务质量关键指标体系构建

??????? 目的 初步构建基于“患者体验”的医疗服务质量关键指标体系。方法 通过检索国内外相关文献,构建指标体系框架和专家咨询表并进行2轮专家咨询,确定了基于“患者体验”的医疗服务质量关键指标体系。结果 构建基于“患者体验”的医疗服务质量关键指标体系,一级指标有有形性、可靠性、反应性、保证性、关怀性和连续性6个,二级指标28个,三级指标83个。结论 基于患者体验的医疗服务质量关键指标体系具有很强的实用性,为患者体验量表开发奠定基础。研究结果对于改进我国医疗服务质量评价手段和策略具有重要意义。     

我国公立医院多元监督模式的构建

为保证公立医院服务质量,推动公立医院改革,最终达到促进社会和谐的目标,必须完善和重建我国公立医院监督模式。基于社会学和管理学的双重角度,基于新一轮医药卫生体制改革的要求,针对我国公立医院监督的突出问题,提出构建公立医院多元监督的模式。     

公立医院管理会计体系建设的意义与对策

我国已进入经济社会发展新常态,公立医院既要面对进一步深化医疗体制改革,实现医院公益性、福利性的任务,又要面对社会资本进入医疗领域带来的激烈的市场竞争,就要求公立医院必须建立公立医院管理会计体系。通过明确公立医院管理会计体系,阐述公立医院管理会计体系建设的意义,而后找出当前我国公立医院管理会计体系建设的中存在的问题,并针对这些问题提出相应对策。     

Investigation of the mechanism of temperature sensitivity of the electroreceptors of ampullae of lorenzini

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.     

Principles of organization and evolution of systems of regulation of functions

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