高校附属医院兼具医疗服务、人才培养、科学研究、社会服务等多重职能,监督难点多、协同难度大、形成合力难.本文以笔者所在医院为例,剖析高校附属医院监督工作形势,统筹监督主体、监督重点、监督制度,积极构建以党内监督为主导的协同监督体系,复盘协同监督实践中的有益经验和做法,总结协同监督实践工作中的经验体会,为高校附属医院协同监督体系建设提供有意义的借鉴.
在国家加强公立医院运营管理背景下,作为临床诊疗技术的重要物质基础以及现代医院经济投入重要方面的医疗设备,其管理水平仍亟待提升以适应医院新发展要求.当前,医疗设备"重采购、轻管理"现象依然存在,面临采购流程监督、运行效率提升、使用质量控制、绩效评价数据有效获取等多方面难题.本文以苏州大学附属第一医院实践为例,通过落实党委领导、服务医院发展定位、对照大型公立医院绩效考核标准、加强信息支撑和注重人才培养等,促进医疗设备总量管理、科学配置和高效利用,提升医疗设备的社会效益和经济效益,实现"降本、提质、增效".
目的:探讨"远程模拟"线上考核在内科住院医师规范化培训(简称"住培")临床技能结业考核中的应用效果.方法:将178名参加S市2022年内科住培临床技能结业考核的考生分成线上组和线下组,参与两组考核的考官和问诊标准化病人(SP)均为研究者所在住培基地聘请的相同批次老师,线上组考生于所在地临床技能中心通过腾讯会议平台远程视频进行,线下组在研究者住培基地临床技能中心实地考核.分析两组考生考试成绩、考官及考生对考核形式认可度、SP对考生表现反馈.结果:线上及线下内科住培考生临床技能结业考核合格率均为100％.线上考生临床思维1、临床思维2考站得分及总分显著低于线下考生(P＜0.05),其余考站得分差异无统计学意义.线上与线下组考官和考生对考核形式的评价无统计学差异.线下考生识别SP情绪变化的比例显著高于线上考生(P=0.045).结论:"远程模拟"线上考核方式应用于内科住培临床技能结业考核具有一定的可行性;线上医患沟通时,考生识别SP情绪变化的意识和能力尚待提高.
Using theoretical analysis and case data research, under the guidance of system theory, the path of building geriatricfriendly medical institutions in Grade Ⅲ general hospitals is explored by analyzing the system environment, system and system elements, and integrating the functional orientation of Grade Ⅲ general hospitals with the construction of geriatric-friendly medical institutions. It is pointed out that the construction of geriatric-friendly medical institutions in tertiary general hospitals is influenced by many external environmental and internal system elements. There are still some problems between external environmental factors,internal system elements, and internal and external. It is proposed that three aspects of the external environment aging trend, policy requirements, and evaluation system and four elements of the internal system hospital management, geriatrics department construction,multi-disciplinary specialty synergy, and multi-departmental cooperation provide suggestions for the practice work, and finally achieve the optimal system effect.
Objective:To study the demand willingness and its influencing factors of the elderly in rural areas for Chinese medicine treatment services,and to provide a reference for promoting the reform of Chinese medicine services at the grass-roots level.Methods:A multi-stage sampling method was used to select 720 elderly people in rural areas of Jiangxi Province to conduct questionnaire surveys,and the influencing factors were analyzed by chi-square test and logistic regression.Results:A total of the 609 valid questionnaires collected,39.9％of the elderly were willing to receive Chinese medicine treatment services.Logistic regression results show that chronic diseases,trust in traditional Chinese medicine services,perceived health,setting of traditional Chinese medicine bulletin boards,and expenditure on traditional Chinese medicine services have a significant impact on the elderly willingness to demand Chinese medicine treatment services.Conclusion:The overall demand for Chinese medicine treatment services for the elderly in rural areas of Jiangxi Province is low.It is suggested to broaden the dissemination of health knowledge of Chinese medicine,innovate the health service model of Chinese medicine in grassroots areas,and improve the price of Chinese medicine and medical insurance policies so that Chinese medicine health services can play a key role in rural areas.
