保障人民群众看病就医需求是政府卫生决策的基础。合理地控制居民就诊的医疗费用是减轻人民群众就医负担、建设和谐社会的要求,是新的医改政策工作的重点。文章针对医疗费用控制,分析了山东省城乡居民医疗费用并提出了建议。

目的 对濮阳市新型农村合作医疗患者住院率的变化、患者流向及其住院费用进行分析,探讨新农合运行方面存在的问题.方法 通过现场调查获取濮阳市新农合相关数据,采用描述性方法对2008年至2010年新农合患者住院患者流向及其费用变化进行分析.结果 濮阳市新农合住院率逐年上升,2010年达7.04%,乡级医疗机构住院比例逐年降低;次均住院费用低于全国平均水平,但呈现逐年上升趋势;实际住院补偿比高于全国平均水平,但有下降趋势.结论 濮阳市新农合总体运行平稳,但应加强对定点医疗机构的监管,控制住院率和医疗费用的快速上涨,提高实际住院补偿比.

OBJECTIVE:To investigate the demographic characteristics of HIV-positive women of fertility age in Henan province and their knowledge and behavior in relation to AIDS. METHODS:A questionnaire survey was administered to 686 HIV-positive women of fertility age through face to face interview. The demographic characteristics of the respondents and their association with AIDS-related knowledge and behavior were analysed. RESULTS:Over 90% of respondents had good knowledge about AIDS. Statistically significant differences existed in the knowledge of AIDS and the use of condom among those with different age, education and income (P < 0.05). Age (OR < 1) and annual income (OR > 1) were identified as risk factors of failing to use condoms in regression analysis. CONCLUSION:Interventions need to be strengthened for HIV-positive women of fertility age, in particular for those who are young and have high incomes.

通过对河南省濮阳市新农合病人住院费用构成及其变化和统筹基金流向分析,了解该市新农合运行状况,探讨新农合基金运行方面存在的问题,提出针对性对策和建议.方法:通过现场调查获取濮阳市新农合相关数据,采用描述性方法对2008年至2010年新农合病人住院费用构成及其变化和大病统筹基金流向进行分析.结果:濮阳市新农合基金使用率在国家政策控制范围内,但呈逐年下降趋势,2008年为93.30%,2010年降到81.14%;次均住院费用低于全国平均水平,但呈现逐年上升趋势;实际住院补偿比高于全国平均水平,但有下降趋势.结论:濮阳市新农合总体运行平稳,但应加强对定点医疗机构的监管,控制医疗费用的快速上涨,提高实际住院补偿比.

Aim: To learn about sub-health condition of clinical doctors from municipal hospitals in Zhengzhou.Methods:A questionnaire survey,including sub-health condition scare and demography,was conducted among 750 doctors selected by sampling from 12 municipal hospitals in Zhengzhou.Results:The sub-health condition was affected by gender,age,marital status,monthly income,department,frequency of midnight shift,dayly that hours worked more than ten per week,diet condition and physical exercise condition(P0.05).Diet,physical exercise,dayly hours worked more than ten per week and department surgery were influencing factors on scores of three dimensions of sub-health condition.Conclusion: Doctors should enhance ability of self-regulation,and every hospital should take measures to improve sub-health condition of doctors.

由于我国目前解决医疗纠纷的法制不完善,行政、司法途径解决成本较高.所以一旦发生医疗纠纷时,医患双方往往采取协商的方式私下解决,当协商结果无法达到医患双方满意的利益均衡点,纠纷就有可能扩大化,进而发展为"医闹".

目的:了解艾滋病单阳家庭配偶的艾滋病相关知识知晓水平及行为情况。方法:采用访谈法对艾滋病单阳家庭配偶的艾滋病相关知识及行为情况进行调查,并对资料进行t检验、Logistic回归分析。结果:调查对象对艾滋病三个主要传播途径知晓率较高,对非主要传播途径知识了解较低。女性知识得分高于男性,不同年龄组知识得分没有统计学差异;行为得分男性高于女性,高年龄组低于低年龄组;文化程度、收入水平不同对艾滋病知识及行为差异具统计学意义;文化程度和安全套获得及时性是影响安全套使用因素。结论:重点针对低文化程度、低收入阶层和男性增加艾滋病知识宣传和行为干预力度,扩大安全套发放范围,预防艾滋病的家庭内部感染。

乡镇卫生院作为我国农村卫生服务网络的中心环节,没能跟上时代的步伐,在改革的大潮中落伍。在市场化的今天如何扭转乡镇卫生院发展的不利局面,为文章探讨的重点。服务是医院生存之本,在存在诸多不利因素的情况下,乡镇卫生院要改变当前不利局面,就要改变以往的服务模式,向社区卫生服务服务方向发展。