目的:对国家层面及黑龙江省医养结合服务政策进行梳理,分析政策的关键要素与不足,为完善医养结合政策提供借鉴.方法:基于政策工具视角,采用罗斯威尔和菲尔德模型对医养结合政策文件进行编码和统计分析.结果:分别收集国家层面及黑龙江省医养结合相关政策文本42份、22份.国家层面及黑龙江省医养结合服务政策均综合运用了供给型、环境型及需求型政策工具,其中,各政策工具占比中,国家层面占49.04%、28.36%、22.60%,黑龙江省占47.71%、38.15%、14.44%.结论:建议优化供给型政策工具内部结构,促进医养结合服务发展;增加需求型政策工具运用,有效拉动医养结合服务需求.

目的:分析"十三五"时期样本省省级预算医疗机构的经济运行情况,为"十四五"时期的政府部门决策提供依据.方法:利用2016—2020年财务年报数据,通过医疗机构的收入、支出及经济运行相关指标对样本省省级预算医疗机构经济运行情况进行描述性分析和对比分析.结果:2020年,样本省省级预算医疗机构财政补助收入占总收入比重、基本支出补助占总支出比重分别为21.96％、8.28％,药品支出占比降至26.40％,卫生材料支出、公用经费支出和管理费用支出占比分别为15.51％、4.19％和15.51％,在职职工年人均工资为13.46万元,资产负债率降至58.38％,流动比率为1.18,总资产周转率、流动资产周转率和固定资产周转率分别为51.12％、114.63％和161.22％,固定资产净值率仅为55.61％,药品收入占医疗收入的比重为33.35％,病床使用率下降到44.49％.结论:样本省省级预算医疗机构财政补助比例有待提高,偿债能力不足应加强抗风险能力,经济运营效率有待提高,精细化管理有待加强.

自我医疗是公众提升自身健康水平的途径之一,但在农村地区,患者采取的自我医疗行为往往带有盲目意识,这可能会给农村居民造成经济和健康双重的损失.文章从行为经济学视角出发,对农村地区居民自我医疗药品消费决策过程进行了分析,旨在为引导农村居民采取合理的健康促进行为决策提供理论支持.

目的:分析我国以黑龙江省为代表的寒冷地区卫生费用中治疗费用情况,为实现"健康中国2030"提供数据支持和相关政策建议.方法:基于"卫生费用核算体系2011",核算分析黑龙江省经常性卫生支出中治疗费用情况.结果:2018年黑龙江省经常性卫生费用为992.80亿元,人均经常性卫生费用2631.25元.治疗服务费用总额为735.31亿元,占经常性卫生费用的74.06％.结论:针对寒地特有地理及气候环境,关注特殊人群健康状况,优化医疗保障制度设计,建立完善的健康服务体系,推动健康中国的建设.

目的:分析黑龙江省医务人员离职意愿影响因素,引入行为经济学禀赋效应为提出相关建议提供有效依据.方法:对离职意愿影响因素进行Logistic回归分析.结果:研究发现医疗纠纷、幸福感、培训和假期等福利制度以及自我提升等因素影响离职意愿.结论:医疗机构从应保障医务人员人身安全,调整可能影响医务人员幸福感的因素,加强技能培训,给予医务人员足够的职业成长和发展空间入手,降低医务人员离职率.

目的:通过对以黑龙江省为代表的我国寒地老年人经常性卫生费用进行核算分析,找出影响寒地老年人健康的因素,为寒地老年人研究和相关政策制定提供参考.方法:基于"卫生费用核算体系2011"(SHA 2011)体系,对黑龙江省老年人经常性卫生费用进行核算分析,找出影响寒地老年人健康的相关因素.结果:慢性病仍是影响寒地老年人健康的主要因素.结论:应关注老年人群健康,加强基层医疗建设,有针对性地提供相应的医疗服务,引进新型养老模式,为老年人群健康提供充足的保障.

行为经济学作为经济学与心理学相结合而诞生的一门学科,在过去十几年间已取得了十足的发展并被应用于众多领域之中,尤其是在卫生健康领域表现出良好的适应性.不同国家已进行了将二者相结合的研究,并证实是行之有效的.通过使用文献计量分析方法,回顾与展望国际上行为经济学在卫生健康领域应用的研究力量、高影响力作者、核心期刊、研究热点和前沿趋势,为我国学者今后的研究提供数据支持和方向指导.

文章在介绍了行为经济学的背景与不同学科融合以及在卫生与健康领域的应用情况基础上,阐述了行为经济学与卫生经济学相结合形成行为卫生经济学这门新兴分支学科的前景,并试着给行为卫生经济学下了一个定义.

OBJECTIVE:Assessing the patient safety culture is necessary for improving patient safety. Research on patient safety culture has attracted considerable attention. Currently, there is little research on patient safety culture in China generally, and in Heilongjiang in northern China specifically. The aim of the study is to explore the perception of healthcare employees about patient safety culture and to determine whether perception differs per sex, age, profession, years of experience, education level and marital status.DESIGN:Cross-sectional study.SETTING:Thirteen tertiary hospitals in Heilongjiang, northern China.PARTICIPANTS:About 1024 healthcare employees.MAIN OUTCOME MEASURE:The perception of healthcare employees was measured using the safety attitude questionnaire, which include six dimensions. Higher scores represented more positive attitudes. An analysis of variance was used to compare socio-demographic differences per position, marital status and education; t-tests were used for sex, age and experience.RESULTS:A total of 1024 (85.33%) valid questionnaires were returned. The mean score of the six dimensions was 73.74/100; work conditions (80.19) had the highest score of all the dimensions, and safety climate (70.48) had the lowest. Across distinct dimensions, there were significant differences in perceptions of patient safety culture per sex, age, years of experience, position, marital status and education level (P < 0.05).CONCLUSIONS:The findings can help in assessing perceived patient safety culture among healthcare employees and identifying dimensions that require improvement. Interventions aimed at specific socio-demographic groups are necessary to improve patient safety culture.

通过对哈萨克斯坦医疗卫生系统中有关法律法规、人力资源、筹资体系、组织机构、信息系统、评估体系以及发展计划的简要介绍,粗略描绘了哈萨克斯坦医疗卫生体制的现况及发展计划,以供“一带一路”战略的践行者参考.

首先,通过描述前苏联时期的哈萨克斯坦医疗卫生情况和宣告独立后的哈萨克斯坦新医疗卫生体制改革情况,揭示了哈萨克斯坦医疗卫生体制变革的艰辛历程;继而,通过绘制哈萨克斯坦医疗卫生系统组织结构框架,展示了哈萨克斯坦医药卫生系统的精简过程;最后,总结了哈萨克斯坦医疗卫生体制变革的经验与教训.

Objective:To develop a set of scientific and operational indicators for assessing medical quality of county hospital.Methods:Through literature study to compare the different hospital quality evaluating models at home and abroad and to identify the original index database.Focus group method was applied to select the quality evaluating model,Delphi methods was adopted to select indicators and their weight by using the direct estimation method and variation coefficient method.Results:County hospital quality evaluation model was established,which is composed of 3 first level indicators,7 second level indicators and 31 third level indicators as well as their weighing system.The quality evaluation model has 3 dimensions:medical structural quality,process quality and outcome quality.Conclusion:The evaluating index system incorporated the important policy indicators with the indicators reflects the key areas of quality concern and it is easy to be operated.It will meet the practical need of county hospital for carrying out quality management and control in Heilongjiang Province.

Objectives: IDD info, a new software for managing survey data of Iodine Deficiency Disorders (IDD), is presented in this paper. IDD Info aims to create IDD project databases, process, analyze various national or regional surveillance data and form final report. It has series measures of choosing database from existing ones, revising it, choosing indicators from pool to establish database and adding indicators to pool. It also provides simple tools to scan one database and compare two databases, to set IDD standard parameters, to analyze data by single indicator and multi-indicators, and finally to form typeset report with content customized.Methods: IDD Info was developed using Chinese national IDD surveillance data of 2005. Its validity was evaluated by comparing with survey report given by China CDC.Results: The IDD Info is a professional analysis tool, which succeeds in speeding IDD data analysis up to about 14.28% with respect to standard reference routines. It consequently enhances analysis performance and user compliance.Conclusions: IDD Info is a practical and accurate means of managing the multifarious IDD surveillance data that can be widely used by non-statisticians in national and regional IDD surveillance. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

Hospital performance evaluation has been widely recognized in health system.Many countries have established performance indicators and carry out evaluation,and their performance evaluation plans are different for their different national circumstances and institutions.The paper makes comparative analysis of the evaluation dimensions and feedback mechanism in UK,US,Australia,Netherlands and WHO performance assessment in Europe,summarizes their characteristics to offer implications for us.

<正>由天津市卫生局和天津市卫生经济学会共同主办、天津市人民医院承办的"京津沪渝第六届卫生经济管理论坛",于2011年9月26—27日在天津举行。出席本届论坛的领导主要有天津市卫生局林立军副局长,天津市卫生经济学会

Disability adjusted life years has been used to measure global disease burden for a long time.In the paper,the advan-tages and problems of this index will be evaluated and some pieces of advice are given.

<正>2010年12月4日,由中国卫生经济杂志社主办,泰和诚医疗集团有限公司、京盛龙康(北京)文化传媒有限公司和琼海市人民医院、三亚市人民医院协办的以"创新卫生经济工作适应并推动卫生改革"为主题的第12届中国卫生经济学术论坛在海口市拉开帷幕,出席开幕式的领导主要有:卫生部规划财务司李斌司长、卫生部卫生发展研究中心张振忠主

<正>在北京市卫生局的大力支持下,由北京市卫生经济学会主办,北京诺华制药有限公司、中国医药保健品股份有限公司和北京美康永正医药有限公司共同协办的"第五届京津沪渝卫生经济管理论坛"于2010年11月8—10日在北京举行。出席本届论坛开幕式的领导主要有:北京市卫生局副局长赵春惠女士、北京市财政局副局长师淑英女士、中国卫生经济学会

<正>由黑龙江省卫生厅、中国卫生经济学会主办,中国医院管理杂志社、中国卫生经济杂志社承办的"首届太阳岛医药卫生发展论坛"于2009年1月11～13日在哈尔滨举行。论坛的主题是构建和规范公立医院管理体制和运行机制。卫生部

<正>2009年11月2-3日,中国社区卫生发展协作网络"语动中国"社区卫生服务万人培训计划首期培训在南京举办。中国社区卫生发展协作网络成员单位及其推荐单位和人员、中国社区卫生服务技术创新战略联盟成员单位参加了首期培训。