通过分析新增医疗服务项目成本测算现状,比较时间驱动作业成本法(TDABC)与传统作业成本法(ABC)的区别,发现时间驱动作业成本法具有简单易行、便于更新的优点,特别适合于以定价为目的成本测算.文章结合样本医院实例介绍基于时间驱动作业成本法在新增医疗服务价格项目成本测算中的应用,以期为医院新增项目成本测算提供一种准确、简便的方法选择.

"母子双亡"事件,引发人们对依法执业与人文医学精神进行深入思考,这对于加快卫生法制和医学伦理建设的进程肯定具有积极的促进作用.强化医学伦理功能、重建医患信任和改善医疗环境,是法律的责任,也是社会的责任,医务人员更是责无旁贷.

2006年,为了深入开展"医院管理年"和创建人民满意医院活动,加强医务人员基本技能训练,规范临床操作,提高医疗服务质量,在北京市卫生局所属医院中,我院率先开展了以"三基、三严"为重点的岗位练兵活动.在一年时间里,医务处、护理部和教育处组织我院11个医技科室的医务人员参加了全院岗位练兵活动,取得了良好效果.

Objectives: To find out the main factors of the average length of stay, to properly shorten average length of stayby integration management and promote hospital efficiency and benefit. Methods: Relative analysis method and factor analysismethod were used to choose the indicatrix. Multiple regression method was used to get the coefficients B, combining the relativeanalysis method was to find out the indicatrix whose relative is evident. Results: The chosen indicatrix are the number of theformal worker and the proportion of being in hospital in two weeks again and the proportion of the critically ill patients andanother three indicatrix, which are chosen into the multiple regression equation. Conclusions: With the analysis of the paper liststhe influence factors of the length of stay. According to the influence factor, the paper suggests that the hospital should take somemeasure to short the length of stay. The purpose of shorting the length of stay is to utilize the health resources efficiently and toimprove medical quality and the general competition of the hospital, which can make the hospital advances in the quality,efficiency and benefit.

OBJECTIVE To investigate the pertinency between acute physiology and chronic health evaluation Ⅱ scores(APACHEⅡ)and nosocomial infection.METHODS The clinical data from 1 007 ICU patients were evaluated with APACHEⅡ scores system,and made a prospective survey of nosocomial infection.RESULTS Along with the increase in APACHEⅡ scores,nosocomial infection rate and mortality showed rising trend and they were in linear relationship.CONCLUSIONS APACHEⅡ scores system not only can appraise the degrees of severity of illness,evaluate medical treatment,and estimate the prognosis,but also forecast nosocomial infection.

为了深入开展医院管理年活动,进一步加强医务人员的能力素质建设,提高医疗服务水平和质量,高标准做好奥运会和残奥会医疗服务保障准备,北京市卫生局决定2007年在全市各级医疗机构大力开展以"三基、三严"为重点的岗位练兵活动。2006年,我院通过向率先开展岗位练兵活动的解放军总医院学习后,在市属医院中较早地推进了此项活

Medical system, lack of humanistic and honesty were main causes of medical dispute. Hospital management was considered to smooth staff moral, humanistic and medical skill. Humanistic service and emotion care were good moral and the foundation of hospital culture building. Hospital managers were considered to improve humanistic management to promote humanistic service.