本文回顾了中美合作卫生信息管理专业专科层次教育项目的建设与管理过程,分析了生源质量、学生出国意愿、外籍教师选拔及派遣、教育教学质量监督与评估等方面存在的问题,对于高等专科医学类中外合作办学、外籍教师规范管理、保证并提升中外合作高等教育项目的教学质量提出了建设性意见建议.

本文从人才培养方案、课堂教学、教学评价、综合素质能力培养等方面着手,分析了中美合作卫生信息管理专业办学中教学理念与教学方法的改革与创新,包括人才培养方案中外教课程的调整与实施,主干课程教学,外教课程教学评价,注重学生综合素质能力培养等,探讨提高办学质量的有效途径.教学实践表明,此次教学改革顺应了高等教育国际化发展的要求,促进了中美高等教育的交流与合作和人才培养水平的提升.

文章提出基于乡镇卫生院应用的区域电子病历系统的建设思路,包括建设目标和建设原则,分析其技术架构要求、模式和总体技术架构,探讨其在乡镇卫生院的应用及最终产生的效果,包括提高了基层医护人员的工作质量与效率、提高了基层医疗机构的管理水平、加强了居民健康管理水平和降低医疗费用,减轻群众看病负担等.

[Objective] To get to know the status of Medical Statistics teaching,explore the teaching ways and methods,and improve the teaching results of Medical Statistics.[Method] In this survey,203 students who have just accomplished Medical Statistics studying were selected and filled in the questionnaires.[Result] The study showed that the majority of students have a basic understanding of the importance and the aim of Medical Statistics.However,their interest in this course was not high.30.0% of the students felt difficulty in learning and the percent of students who could carry out the statistical report was only 8.4%.Most students were satisfied with the teaching arrangement and 60.1% of students thought that increasing seminar was a good choice.[Conclusion] The students have a basic understanding of the importance of Medical Statistics.We should improve our teaching quality through all kinds of methods such as case-based teaching of raw data and combining theory and practice.

乡镇卫生院是三级卫生服务网的枢纽,在公共卫生事业中扮演着非常关键的角色.新医改文件中,明确规定了乡镇卫生院的职责:负责提供公共卫生服务和常见病、多发病的诊疗等综合服务,并承担对村卫生室的业务管理和技术指导[1].因此,必须明确乡镇卫生院公共卫生服务的职责和范围,尤其是经济发达地区的乡镇卫生院.经济发达地区的乡镇卫生院的公共卫生服务需要符合和谐社会的发展目标,适应发达地区社会经济发展水平,因此,要具有一定前瞻性,同时要紧扣我国新医改精神。

Educational practice in school training base is an important way to develop professional ability in vocational education.Primary public health training base of Zhejiang Medical College is one of the vocational demonstration training bases in Zhejiang Province.Since being founded,the base strengthened the role of professional construction support through the rational distribution and strengthens the software and hardware improvement,actively carried out school-enterprise cooperation,scientific research and social services.The base gradually became a training base combining the functions of teaching,research,training,technique accreditation and technology services into one,so that the base could fully play the exemplary and leading role.This article describes the experience and thinking of the primary public health training base construction,in order to provide reference for other domestic institutions construction multifunction training base.

Objective To analyze age composition,education background,professional structure,professional title level of professional staff of general hospital medical record department and information department in Zhejiang province,and provide reference for human resource management.Methods Investigating information related department staffs of 41 hospitals by stratified sampling.Building database by EpiDate3.0,analyzing it through SPSS 13.0.Results Sex ratio at the men and women is 1/4.19.Most of the age is 40 years to 50 years(33.7%).Most of the initial degree and current degree are junior college(41.6% and 42.8%),Most of the initial professional is nursing (18.7%).Most of the current professional are management and medical record statistics(38%).31.9% for intermediate title.Sex ratio at the men and women in information department is 1/0.4,Most of the age is 30 years to 40 years(45.0%). Most of the initial degree and current degree are undergraduate course(61.8% and 66.5%).Most of the initial professional and current professional is computer(81.2% and 82.3%).33.0% for intermediate title.The two departments' personnel in the gender,age,education,professional distribution is different.Conclusion The medical record division personnel in Zhejiang general hospital are not professional.We should strengthen continuing education and professional training and actively introduce young professionals to adapt to the needs of the hospital medical record management work.

Objective To investigate the HIV/AIDS knowledge of rural residents in two cities of China and to provide scientific basis for health education.Methods Stratified cluster random sampling was used to select 5296 people aged 15 years or older for a questionnaire survey.All the data were analyzed with SPSS11.5 software.Significance level of a test αwas 0.05.Results The HIV/AIDS awareness rate was 69.6% for the population.There were significant differences in age,marital status,educational background and occupation.Conclusion The HIV/AIDS awareness is low in rural residents of Zhejiang province.Health education for HIV/AIDS prevention should be strengthened among the population.

<正>为提高农民的健康水平,浙江省从2006年底开始正式实施了农民健康工程,其中信息化建设是一项重要内容。通过信息化建设可以加强对农村地区常见病、多发病、传染病、慢性病等疾病的综合管理,提高基层公共卫生服务的可及性,进一步促进农村居民健康水平的提高。同时,只有加强乡镇卫生院的

Objective To investigate the AIDS awareness in residents in two cities of Zhejiang province,and to provide scientific basis for health education. Methods Stratified cluster sampling was used to select 5 296 people aged 15 years or older for a questionnaire survey.All the data were analyzed with SPSS 11.5 software. Results The AIDS awareness rate was 69.6% for the population.There were significant differences existed among ages,marital status,cultures and occupations. Conclusion The AIDS awareness is low in residents of Zhejiang province.Health education for AIDS prevention should be strengthened in the population.

目的:分析浙江省卫生信息专业人员的年龄构成、学历层次、专业构成、职称级别等方面的状况,探讨存在的问题.方法:采用分层整群随机抽样的方法,利用EpiDate3.0建立数据库,SPSS 13.0进行统计分析.结果:浙江省卫生信息专业工作人员学历结构硕士及以上占5.4%,本科占47.6%,大专占35.3%,中专占9.3%.其余为高中及以下学历.就初始专业而言,计算机占32.6%,护理占20.7%,卫生管理占8.7%;目前的专业,计算机占34.7%,护理占9.3%,卫生管理占17.7%.结论:浙江省卫生信息专业工作人员整体学历分布较合理,但计算机和卫生管理专业不占优势,应加强继续教育和专业培养,以适应卫生信息管理工作的需要.

We have investigated staff of health information management in Zhejiang medical organization with stratified clusters sampling.The results showed that the major of health information management is most suitable.Relative schools' teaching have set computer network and hardware repair,medical information search,classification of disease,disease case management and statistics and linked teaching contents and training demand to IT certification.

Objective An investigation of the status quo of the Medical Record practitioners in health care organizations in different levels in Zhejiang Province has been carried out to find the possible problems and analyze them. Methods 125 individuals and 32 hospitals were sampled by the method of multistage sampling. And a questionnaires method to them was performed.Results The ratio of the number of staff of medical record to the number of sickbed was 1∶240,the ratio of the number of male to the number of female was 0.17∶1,and the highest rate of all investigated staffs is 25～45 years old in 71.20%; and the highest rate in education is associate bachelor degree in 49.60%, and they graduated from literature search and health management, in 42.40%; the highest rate of their professional title is intermediate in 48.80%.Conclusions The number of the medical record practitioners cannot fit the needs of the medical record management and there are still rooms for them to improve their quality.

建国以来,哈尔滨市(哈市)传染病防制工作取得了显著成绩.许多传染病被控制或基本消灭,传染病已不再是引起死亡的主要原因.由于哈尔滨市所辖县(市)不同时期有过几次变动,因此本文主要对哈尔滨市所辖七区进行近57年的疫情分析,现报告如下.

自1949年建国以来,哈尔滨市传染病防治工作取得了巨大成绩.许多传染病被控制、消灭或基本消灭,传染病已不再是引起死亡的主要原因.