OBJECTIVE To analyze the application of automatic early-warning system for communicable diseases for improving alert efficiency.METHODS With dynamic percentile and one-case early-warning method,the early-warning of communicable disease system was established.Data from the system were analyzed with epidemiologic methods.RESULTS In 2011,the system issued 212 times of alert information with a positive ratio of 0.94 percent.The disease case reports show a positive correlation with the signals.(r= 0.714,P=0.009).CONCLUSION Positive predictive value is low,but the sensitivity is high for the early-warning information system.

OBJECTIVE To analyze mouth disease(HFMD)among children in Xuhui in 2011.METHODS Descriptive epidemiology surveys.RESULTS Totally 866 HFMD cases were reported in2011,with the incidence of 79.81 100 000.The cases mainly occurred during May to July and October to December.Off all HFMD cases,94.11% were less than 6 years old.The outskirts have high incidence and mobile population scattered children cases(61.8%).Pathogens constitute mainly of EV71(46.07%)and CoxA16(29.21%) through Pathogen monitoring.CONCLUSION There are two peak incidence of HFMD epidemic.Household population incidence is in preschool children.The incidence of floating population scattered children,pathogens mainly constitute of EV71 and CoxA16.

OBJECTIVE To study the cost situation of Chinese medicine service items in basic-level medical organization of Shandong Province,analyze the reason why the development of Traditional Chinese Medicine(TCM) is holdback in basic-level medical organization,and provide suggestions on development of TCM.METHODS To select the samples in Shandong Province using the multistage stratified random sampling method,and carry on cost accounting with Full cost accounting method.RESULTS In the four kinds of medical institutions,such as village clinics、township health centers、the county TCM hospital and the County people's hospital,the defective item proportion in the Chinese medicine service items are respectively 46.90%、36.30%、39.10% and 41.90%,defective item are mostly the services of lager quantity.CONCLUSION The deficit phenomenon is universal in the Chinese medicine service items,and the technical service value of Chinese medicine service personals have not been embodied sufficiently.

OBJECTIVE By exploring and analyzing the resource allocation of community health services in Tianqiao,Jin'an;We can provide a sound scientific basis for establishing the standard of regional health planning and resource allocation in the future.METHOD Every health service in Tianqiao obtained questionnaires,which include:'Monitoring Schedule of Community Health Service in City','Monitoring Schedule of Community Health Service Center'and'Monitoring Schedule of Community Health Service Station',RESULTS(1)There are on average three health service stations in each street or town,and 78.6% of them are brought into the medical insurance for urban workers.(2)Collocation of human resource:there are 810 people working in Health Service,in which the health personnel account for 76.3%.And the doctor-nurse ratio is 1:0.75.While,few of them have been trained well;and the support from higher-up is not sufficient.(3)Equipment allocation:The hardware device is fully equipped and thus it comes to a good medical environment.(4)Financial resources:The finance is improving gradually,and the fund investment on community health service has been increased by six times.CONCLUSION It is better to plan the community health resource as a whole,and preferentially boost the whole quality of medical personnel in health service.Furthermore,steady mechanism of health human resource and reimbursement mechanism for community health service need to be built up.At the same time,the equipments should be adjusted when it is necessary.

OBJECTIVE In order to improve the training method and effectiveness,we estimated the effect and situation and found out the problems on the training evaluation process of chronic disease by the public health practitioners in rural area.METHOD Training the public health practitioners from Shandong Province,in the way of questionnaire survey,examination,personal deep interview and giving marks locally to the process of training,estimation of management and results.On one side,estimate the satisfaction and examination score of the training people,on the other side,estimate the experiments according to the estimation table.RESULTS People who take part in the training program have a high degree of satisfaction to the training content,teacher,arrangement and so on.By comparing the results of two examination which are before and after training,there is a certain improvement of medical knowledge on the village people.And this difference has the logic meaning.There is also a problem that the arrangement is not so perfect,and not forming a mature management system and training mode.CONCLUSION The medic people in Shandong Province have a low level of medical knowledge;they also need to study more about the chronic disease.But through the training program,they improved a lot.At last,they should strengthen the management,build a good training mode and keep this training system for a long period.

我国正处于医改变革时期,医疗保险制度的发展正在不断地完善,本文介绍了我国医疗保险制度的发展历程,现行的基本框架,并对当前医保制度存在的问题进行了分析.